Intraoperative monitoring: A consensus on standard monitoring requirements has not yet established in the literature. Routine monitoring includes electrocardiography, pulse oximetry, capnography, temperature and urine output monitoring. There are many authors who recommend invasive blood pressure monitoring by indwelling arterial catheter in all patients, irrespective of their age 18.Abrupt changes in cerebral blood flow due to changes in intracranial pressure (ICP) is possible during the…
CLINICAL CLARIFICATION 1
• Life-threatening condition characterized by the inability of the pulmonary system to meet the metabolic demands of the body with respect to oxygenation of the blood and systemic organs and/or CO2 elimination
• May be accompanied by ventilatory failure 7
• Develops within minutes or hours as opposed to chronic respiratory failure that develops over several days, weeks or years
CLASSIFICATION 2, 1
• Classification is mainly based on arterial blood gas (ABG)…
Chronic Obstructive Pulmonary Disease
Chronic obstructive pulmonary disease (COPD) is a progressive disease of the lungs that causes obstruction of the airways and results in a gradual decline in the function of the lung (Stark). COPD is typically a combination of emphysema and chronic bronchitis. COPD has been around for a very long time, however, in previous decades it was called something else. In 1679 physician Bonet called it, ‘voluminous lungs’. In 1814 Charles Badham was the first person…
On Monday November 7th during my Acute Nursing clinical rotation at Nashville General Hospital I was given the opportunity to go into the Emergence Department or ED. Kamila, a registered nurse, introduced herself as the charge nurse on the floor. She told other nursing students and myself, that in result of the staff shortage the staff was extremely busy.
I was able to meet Sarah also a Registered Nurse and Tennessee State University Alum. What surprised me the most is that majority of the…
In this section, the author (SS) will briefly present his interpretation of alarm fatigue through the lens of TMSC theory. For the purpose of a clarity, the author will use a nurse working in the ICU as the individual in the model. The adaptation of the TMSC theory into the alarm fatigue is translated into Figure 3.
Stressor/stimulus and the transaction. In alarm fatigue phenomenon, clinical alarm is viewed as a stressor/stimulus. Based on our understanding of the TMSC theory, when a nurse…
percutaneous twist-drill craniostomy (TDC), operative burr-hole evacuation (BHC), and craniotomy. The neurosurgeon and the patient’s son agreed on TDC; the son signed the informed consent. The patient was placed on continuous electrocardiograph (ECG) and pulse oximetry. In regards to emergency surgery and patients who are on antiplatelet medications such as clopidogrel and aspirin, the American Society of Hematology (2011), recommends pre-operative platelet transfusion. An indwelling urinary…
Anesthesia in obese patients is associated
with difficult mask ventilation, rapid desaturation,
and difficult intubation1,2. Practice guidelines for
management of the difficult airway reported by the
American Society of Anesthesiologists (ASA) advise
that ‘multiple airway features should be assessed’3.
EL-Ganzori simplified risk index (EGRI) combines
and stratifies seven variables derived from parameters
and observations individually associated with difficult
intubation, a score…
Sarcoidosis was first mentioned by J. Hurtchinson in early 1869, and was thought to be a dermatological condition based on a patient he had seen. During that summer, he visted Christiania (now Oslo, Norway), and viewed a compilation of pathological drawings, including one of a healthy, Swedish sailor, a patient of C.W. Boeck. The sailor had skin lesions comparable to those of Hutchinson's original patient. However, unlike Hutchinson's original patient, this one did not suffer from gout.
order to help the client breathe. Epinephrine was given for an allergic reaction that may have led to the asthma attack.
Some parts of her lab are normal. Something that is concerning is that she is in respiratory acidosis. Her pulse oximetry is on 94% while on four liters of oxygen, which is not ideal.
Some of the most common adverse effects for the medications that were ordered include dizziness and insomnia, as well as headaches, tremors and…
they have been unable to get regular care and checkups. Initial examination reveals an uncomfortable, skinny boy. Vital signs are: temperature 37.5ºC (99.5ºF), heart rate 110 beats/min, blood pressure 90/40 mmHg, respiratory rate 20 breaths/min, pulse oximetry 99% on room air. Cardiac, abdominal, and lung examination are normal. Ophthalmologic exam reveals a gray-colored lesion in the back of the globe. Dermatologic exam reveals adenoma sebaceum on the face, hypomelanotic macules, periungal…