T.W. initial assessment and to stabilize him will be the priority following ABCs. The neurologic assessment every hour will provide T.W. general condition and information that can determine any changes. Oxygen will be given at 4 L per nasal cannula. The next will be stabilization of spine by immobilize the cervical spine to protect the spine and from causing more trauma. The preparation to administer fluid to maintain hemodynamic stability therefore, initiate two large bore IVs. An ECG monitor will be connected to record and detect heart conduction, disturbances or hyperkalemia. Also, a Foley catheter will be inserted that will assist T.W. with voiding and lastly, apply warm blanked as needed to prevent hypothermia and to maintain his temperature.…
2. The nurse is caring for a patient who is receiving IV furosemide (Lasix) and morphine for the…
Ensure that the patient is sitting or lying. The arm needs to be at heart level to insure accurate reading if the…
A nurse is caring for an 80-year-old patient who was admitted to the hospital with a diagnosis of dehydration. The patient stated he had been vomiting for 2 days and had been unable to take food or fluids. He has been healthy and currently takes only a diuretic for his blood pressure. On physical examination, the nurse notes the patient’s skin is dry with decreased turgor, oral mucous membranes are dry, heart rate is 100, and blood pressure is 90/60. The patient’s urine is dark amber with a specific gravity of 1.028. His urine output was 30 cc/hour for the past 4 hours since admission.…
7. A client with an irregular pulse of 81 and a K level of 3.0 mEq/L has digoxin (lanoxin) ordered. Which of the following actions if taken by the RN IS BEST?…
Mindy Perkins is 48 year old woman who presents to the ED with 10- 15 loose, liquid stools daily for the past 2 days. She completed a course of oral Amoxicillin seven days ago for a dental infection. In addition to loose stools, she complains of lower abdominal pain that began 2 days ago as well. She has not noted any blood in the stool. She denies vomiting, fever, or chills. She is on Prednisone for Crohn’s disease as well as Pantoprazole (Protonix) for severe GERD.…
cardiac monitoring, k+ monitoring, monitor breathing and circulation. IV administration of calcium gluconate, glucose, and insulin, if ineffective possible dialysis (hemodialysis or peritoneal) Diuretics to assist with excretion of excess K+. Education regarding foods and complications ect. Assess patients understanding of appropriate salt substitutes and potassium replacements. Counseling for possible…
Administer analgesics as indicated and also Inform patient of the expected therapeutic effects and discuss management of side effects…
I have checked Mr McLachlan’s other medication and there may also be an interaction between enzalutamide and bisoprolol. The manufacturer specifically mentions that bisoprolol may be affected by enzalutamide3. This may be due to the fact that bisoprolol is partially metabolised by CYP3A46. However, it is also metabolised by CYP2D66 so the potential for reduced exposure is not as significant as with…
* Assisting with preparatory procedures, such as pulmonary artery catheterization, electroencephalographic spectral analysis, echocardiography and evoked potentials.…
The physician has indicated that if Darlene does not respond to medication over the next 2-3 days, he will order ECT. Darlene has a history of hypertension but has not been taking medication. On admission her pulse is 98, Temperature…
My goal in life is to secure a position as a CRNA, and to further my education and skill. I chose to become a CRNA because I wanted a job that was challenging and difficult and different each and every day. Having the same and boring schedule everyday is not for me. I like to have a different outcome every day.…
Assessed for presence of edema, I & Os, lab values of sodium and potassium, vital signs performed q hour, breath sounds assessed, cardiac monitoring.…
Heng bakah hian Co-Scholastic huang chhungah WE, Health leh Physical, Games leh Art Education te telh an ni bawk.…
Abstract: Mizoram is one of the most urbanized states in India. The higher rate of urbanization brings about a challenging task to the service delivery agencies. Sanitation effort has started under the Mizo District Council (MDC) and activities were gradually intensified with the Union Territory and State Government and now ultimately driven by the urban local body, i.e. Aizawl Municipal Corporation backed by the 74th Constitution Amendment Act (CAA). Solid Waste Management (SWM) in Aizawl, since 2009 has been managed through modified public – private partnership mainly based on a quantum of people’s participation. Local Councils are engaged in the collection and disposal of waste. Urban governance is facing numerous challenges in solid waste management system – due to its topography, only 80.44 per cent of households have participated in the PPP mode and the rest 16.73 per cent are out of its purview. Hence, the question is how far has Solid…
