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) Bradycardia (.5-1 mg IV every 3-5 min up to 3 mg, 6 mg max if given ET)…
The physician orders a treatment plan for this patient: Start an IV, then give dobutamine 3 mg/kg/hr IV; furosemide (Lasix) 40 mg IV stat; digoxin 0.5 mg orally stat, then 0.125 every 6 hours for three doses, with ECG before doses 3 and 4; morphine 2 mg IV stat and then 2 mg IV every 1 to 2 hours PRN; oxygen 4 L/min per nasal cannula; schedule for an echocardiogram; no added salt diet; weigh daily and monitor input and output.…
Short term goal: After 6 hours, the client will have no elevation in blood pressure above normal limits and will maintain blood pressure within acceptable limits.…
11/3/16 1800 Instill 1 drop in both eyes at routine for dry eyes. Gave PRN Tylenol 325mg 2 tablets for complaints pain on right thumbnail rated 6/10. Patient states that she is having shortness of breathing when she was walked back from the dining room to her room. O89% by NC. Reported to nurse. Gave routine albuterol and ipratropium 0.5 mg nebulizer. Offered 1 cup of protein shake mixing with nectar powder. Encourage pt to drink it because she didn’t eat much at supper, will get hungry later. Drank 60%. HDoan WATC PN 2.…
5. Administer morphine sulfate 6 mg, IM, q 4 h PRN. Morphine sulfate is available as…
Patient X is a 52-year-old man who lives in Bowen Hills, Brisbane. He is an automotive repair man. However, he has recently lost his job and has stayed idle for one year. Recently, he was playing basketball with his eldest son and suddenly developed a substernal chest pressure. When he thought it was just a typical ‘heartburn’, he continued playing. After another 20 minutes, he had an intolerable sharp, nagging chest pain. His left arm became numb. His son verbalised that he looked pale and was sweating a lot. His son called the paramedics which accordingly arrived after 30 minutes and he was brought to Royal Brisbane and Women’s Hospital.…
A nebulizer is used to administer aerosolized medication. A mist is seen when the medication…
The first priority is to perform a focused assessment to include the patient’s respiratory function, pain, mental status, and any medication the patient has taken. The patient’s airway and ability to breathe and maintain a patent airway becomes the first priority. By asking the patient the four questions of orientation the nurse can assess the patient’s mental status. The patient’s pain can also be assessed quickly by using a numerical value or the Wong-Baker Scale prior to the patient becoming unresponsive, as well as asking the patient for a brief history of her medical condition and any co-morbidities. For the patient’s airway and breathing, the patient should be placed on 15 liters of oxygen with a non-rebreather mask to allow for increased oxygenation and a pulse…
b. Explain what the medication is and does, as well as its potential side effects…
ER Physician assesses patient and orders Diazepam to be given. Diazepam was given at 16:05.…
Patient X is a 55 year old retired policeman who was constantly having cough during the…
Always be used to reduce a fever in a person with a temperature above 38 degrees…
Sessler, D. I. (2009). _Temperature monitoring and perioperative thermoregulation_. Retrieved , from July 14, 2014…
.09% NS is infused at 500 ml/hr for 2-3 hours, then .45% NS administered in order to increase the fluid volume back within normal range…