Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. 2011. Endotracheal intubation. [ONLINE] Available at: http://www.nlm.nih.gov/medlineplus/ency/article/003449.htm. [Accessed 13 May 14].…
Chapter 37 Bronchodilators and Respiratory Drugs A. Diseases of the Lower Respiratory Tract * COPD * Asthma * Emphysema *…
Shortly after plaintiff Nosrat Khajavi (Khajavi), an anesthesiologist, and defendant, Robert Del Pero, a surgeon, engaged in an altercation over the wisdom of proceeding with a particular surgery, defendant Feather River Anesthesia Medical Group (Feather River) terminated Khajavi’s employment. At trial, the court non-suited Khajavi’s claims that defendants Feather River and Robert Del Pero had discharged him, and conspired to discharge him, in violation of public policy -- that is, in retaliation for advocating “medically appropriate health care” in violation of Business and Professions Code section 2056.…
In most cases, with critical patients such as this, we usually just skip CPAP and jump right to BiPAP.…
In the post anesthesia care unit (PACU), patients at risk for unplanned extubation usually have insufficient sedation (Chevron et al, 1998). When the patient 's sedation is discontinued during the ventilation weaning process, the wrist restraint is routinely applied . Unplanned extubation usually occur at this time secondary to improper tying of the wrist restraints. Even though reintubation may not be required for many of these patients, they should still be closely monitored. Reintubation can be quite difficult, necessitating highly skilled airway management (Christie et al, 1996).…
It is important for the nurse to assess respirations of the client when administering opioids because of the possibility of respiratory depression. The other interventions may or may not be necessary in the care of the client and do not focus on safety.…
When I was in nursing school, I did my rotations in a couple of intensive care units (ICU). Often I cared for patients who were very ill and possibly dying. I took very seriously the task of discussing do not resuscitate (DNR) status with the patient and family, even as a student. Many times, death was anticipated and those involved were ready to make a decision toward do not resuscitate status. The legal and ethical dilemma arose when the patient or family was against DNR status and wanted everything done. Some of the intensive care units that I have worked in had an unwritten status of "slow code" that the nursing staff would assign to patients that, according to consensus, would not survive. This slow code meant that the staff would call the code after the patient was too far-gone for successful resuscitation or that advanced cardiac life support (ACLS) protocol drugs would not be given. It may have been less than adequate CPR or decreasing the concentration of oxygen used. I had the understanding that life saving resources was not to be wasted on these patients. I heard nurses talk about squirting the drugs into a garbage can or into the mattress of the bed.…
Credibility: As a registered nurse for eight years I start IVs on a daily basis and I am a resource nurse for nurses whose patients are difficult to start IVs on from pediatric to geriatric patients.…
Nursing, as other medical profession, aims at helping and saving the life of other. As much as nurses and physician wants to intervene to prolong a patient life, it’s important to consider patient’s wishes. Ethically, intubating Mr.E without proper discussion and consideration of his wishes is against his living will. It’s a violation of Provision I of ANA Code of Ethics in respecting patient’s dignity. The nurse also fail to meet the Standards of Competent Performance based on California Code of Regulation, Article 4, code 1443.5, which stated “ [nurses] acts as the client’s advocate, as circumstances require, by initiating action to improve health care or to change decisions or activities which are against the interests or wishes of the client […]” (p.70)…
So, the patient is a candidate for intubation or we have to place a tube to the mouth to help the patients breath because some clotted blood might affect the respiratory center of the brain. But the family decided to avoid resuscitating the patient. Supposedly, we should intubate the patient and if the patient will go on cardiac arrest, we have to perform CPR and inject…
Sedation dentistry is referred to as the medication which is used to help the patients relax during a dental procedure. It is otherwise called as ‘ sleep dentistry’ even though it is not completely accurate. Except for the patients under general anesthesia patients are usually awake. During dental procedures, the dentists use pharmacological agents to relax and calm the patient. These pharmacological agents are a kind of drugs used as the sedative. Their main function is to relax the muscles and depresses the central nervous system especially in the areas which are concerned with conscious awareness.…
“Anesthesia is quite remarkable. It's lost time. And you wake up kind of refreshed.” –Michael Keaton A simple explanation of this quote is that under anesthesia you dont remember whats going on there for your losing time but after being woke up you feel better.…
It is in our nature as humans to trust a doctor with a degree in medicine. A visit to the doctor is what most people do when something is felt wrong with their bodies. Upon a visit, a doctor will evaluate his or her patient's problem, write a prescription, then bill the insurance company. In this case, an antibiotic will usually be prescribed. When a patient has a serious illness, something which causes unbearable pain, a doctor will prescribe a stronger medication, such as a painkiller or sedative. What doctors sometimes neglect to tell patients is that the painkiller or sedative is a narcotic: an addictive drug, such as opium, that reduces pain, alters mood and behavior, and usually induces sleep or stupor. A doctor will usually tell a patient the side effects,…
The first group handling of medicines covers the steps from the prescribing of a medicine to its receipt, storage and administration to the individual for which the medicine is intended.…
classify marijuana as an illegal drug and will arrest any person in possession of it.…