Shelby Lynch
Date of Care: 03/19/2013
Chamberlain College of Nursing
NR 340: Critical Care
|Assessment |Medical/Nursing Diagnoses |Treatment |
|Brief review of the patient |Medical Diagnoses: |Therapeutic Modalities |
|Age: 86 years old |Admitting Diagnosis: |-Continuous vital sign machine: to constantly monitor vital (HR, BP, respiration, temperature and O2|
|History of present illness: This 86 year-old |Chronic Respiratory Failure (worsening of condition)- |saturation) and to see changes in patient’s health status. |
|Asian male admitted to the ER on 03/18/2013. He |Respiratory failure is a condition that results when too |-Tracheostomy: to prevent closure of airway because of patient’s chronic respiratory failure and |
|was brought to the ER from home by his family |little oxygen passes from the lungs into the blood or when |paralysis of throat muscles secondary to past CVA. |
|who care for him. The patient’s family found him|the lungs are unable to properly remove CO2 from the |-Trach collar with 40% O2:To maintain adequate oxygenation. |
|in respiratory distress and called emergency |blood. |-PICC line in right arm: for IV medication and central venous pressure monitoring (CVP) to measure |
|services. Fire and rescue responded and found |--Acute respiratory failure develops quickly and
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