*Meds corticosteroids (increase b.g. and decrease immune system), NSAIDS, beta-adrenergic blockers, bronchiodilators, chest PT, TX given before meals…
13-year-old female patient initially inpatient treated at a peripheral Children's Hospital with respiratory symptoms since a few days as part of an infection of the upper airways. Rapid respiratory worsening in the clinical course with the need for intubation. Influenza A was positively detected. During the intubation a temporary resuscitation was needed. Continuously increasing of catecholamine and ventilation requirements post intubation (PIP = 40 cmH2O, PEEP = 15 cmH2O, FiO2 = 100%). For an escalation of treatment due to the clinical presentation of fulminant septic shock due to the basis of an influenza infection (CrP 354 mg/l, Procalcitonin 3855 µg/l, Leukocytes 6,600/µl), the patient was taking over to our pediatric intensive care unit.…
The following case study is of a 37-year old Hispanic male weighing 145 lbs and 70 inches tall found unconscious by his girlfriend. According to her he was unconscious for about 15 hours and she was concerned because he would not wake or respond and was breathing shallow and slow. She then called 9-1-1. The patient entered the ER by emergency vehicle and on my initial assessment Pt had an altered mental status, was very unresponsive showing symptoms of a possible drug overdose. The girlfriend told the physician the Pt had taken 75 mg of methadone and an unknown amount of Xanex and other amounts of Benzodiazepines. On assessment, the doctor noticed his altered mental status and unconscious status. He had a gag reflex and responded to pain. Pt had a blood pressure of 63/41 and a 02 saturation of 50% on room air and a heart rate of 108. We put the patient on an oxy mask at 14 liters and his saturation improved to 90%. The Physician then administered Narcan which in return raised the respiratory rate. The physician then eventually intubated with Etomidate. He is then diagnosed with Acute Renal Failure, Acute Lung Injury with possible aspiration and CHF with Atrial Fib.…
It is a closed pneumothorax because there isn’t any associated external wound and it just randomly happened.…
Nosocomial pneumonia is acquired during a hospital stay. It happens when a patient is admitted into the hospital with a medical diagnosis that they are hoping to be treated for and contract the infection of pneumonia through the spread of germs. “Nosocomial pneumonia (NP) clinically presents more than seven days after hospitalization with new fever, pulmonary infiltrates, and leukocytosis. Nosocomial pneumonia is a common nosocomial bacterial infection and is most prevalent in medical and surgical intensive care units. The most common pathogens associated with NP are: P aeruginosa, Klebsiella pneumoniae, Escherichia coli, and S marcescens (Medscape, 2015). Whereas community acquired pneumonia is contracted in the community. “Community-acquired pneumonia (CAP) is one of the most common infectious diseases and is an important cause of mortality and morbidity worldwide. CAP is usually acquired via inhalation or aspiration of pulmonary pathogenic organisms into a lung segment or lobe” (Medscape, 2015). The most common organisms involved in causing CAP are: Streptococcus pneumoniae, Haemophilus influenza, and Moraxella catarrhalis.…
Also, the Birmingham Children Hospital will provide a Pharmacist; there is a Pharmacist nearby, which is Ashworth Pharmacy - 5.6 miles; they will meet my client’s needs by giving pre-subscriptions from doctors; they’ll select a medicine suitable for my client; the Pharmacist will need to make give my client something that won’t affect his health like allergies; they’ll talk about side effects and dosage of the selected medicine. Moreover, the Pharmacist will provide advice and recommendations; this is for my client’s parents to have guidance and help on what they should do next and actions with my client.…
The structure that would normally help with this are the Macrophages. They are normal found in the terminal bronchioles and alveoli.…
The most common clinical problems associated with the onset of ALI and ARDS are sepsis, severe trauma, multiple transfusions, aspiration, severe pneumonia, and smoke inhalation.…
From pediatric patients to geriatric patients, respiratory diseases and disorders can affect a variety of patients. Many of which cause lower respiratory rates and drug interactions that can compromise routine dental treatment and even elicit medical emergencies. A hygienist should not only have the knowledge to treat a respiratory emergency but also how to prevent one. Respiratory diseases can be divided into upper and lower respiratory diseases, some requiring more precautions than others. It is important to know the general characteristics of both types and the problems they present to receiving dental treatment. This paper is indicated to discuss the identification, precaution, and treatment of patients with respiratory diseases most commonly seen in a dental setting.…
September 11, 2001just after 8:45a.mif you turned the television on the images you saw took your breath away. Little did we know that 14 years later that would be one of the aftermath a lot of the servers, first responders and people who were in the area that day would still be feeling. Due to the collapse of the Twin Towers and the fumes from jet fuel burning people are surfing daily from repertory issue. Some of the first responds started becoming ill weeks after this. They began developing repertory problem; Asthma, Pulmonary Fibrosis, Sarcoidosis and Lung cancer are just some of the issues they devolved. Soon people that where in area that day began devolving the same issues. Now these poor people have this will be haunted not just of image they much rather forget but along road of poor health.…
American Academy of Pediatrics and American Academy of Family Physicians article regarding acute otitis media is a filtered resource. It is an appropriate source for nursing practice because; it establishes clinical guidelines to diagnose and manage AOM. It also establishes guidelines when to treat the signs and symptoms of AOM, watchful waiting, or to treat with an antibiotic. This article is classified as an evidence based guideline because, it reviews multiple research literatures in a systemic manner and provides recommendations of practice. Block’s Causative Pathogens article is an unfiltered resource. It is an appropriate source for nursing practice because it provides the clinician with the most recent and up to date research on the topic. The article is primary research evidence because; its researchers acquired the data first hand. Kelly’s article regarding Current pediatric diagnosis and treatment is a general information resource. This article is not appropriate for clinician use because it only provides basic general background. It does not guide the clinician in diagnosing and treatment. McCracken’s article in the Pediatric Infectious Disease Journal is an unfiltered resource. It is an appropriate for nursing practice because it supports established guidelines and shows what will happen with continued antibiotic use. This is an evidence summary article because it lists all of the important information and the evidence supporting it. The last source of evidence is interviews with parents. This type of source is considered a general information resource. It is appropriate because, the interviews give firsthand experience of onset and signs and symptoms of AOM. This source of classifications is none of the listed.…
Ventilator associated pneumonia (VAP) is a hospital acquired infection occurs in the intensive care unit (ICU) for the patients who are on mechanical ventilator. It further complicates the hospital course by extending the length of stay, increase the cost of treatment, and increases the mortality rate. It is estimated that about 1% to 3% patients on mechanical ventilator develops VAP per day. Compared to the previous years, the Chlorhexidine mouth care and other ventilator bundle strategies decreased the VAP rate. Evidence based research studies proved that almost 89.7% reduction in VAP occurs after the implementation of ventilator bundle and other care related to it (Hutchins et al, 2009). Ventilator care bundle was introduced in 2005 by the Institute of Healthcare Improvement with the aim to increase nursing compliance with evidenced-based actions to decrease the VAP rate (Sedwick et al, 2012).…
Bronchitis is a respiratory disease in which the mucus membrane in the lungs' bronchial passages becomes inflamed. As the irritated membrane swells and grows thicker, it narrows or shuts off the tiny airways in the lungs, resulting in coughing spells that may be accompanied by phlegm and breathlessness. The disease comes in two forms: acute (lasting from one to three weeks) and chronic (lasting at least 3 months of the year for two years in a row). People with asthma may also have asthmatic bronchitis, inflammation of the lining of the bronchial tubes. Acute bronchitis may be responsible for the hacking cough and phlegm production that sometime accompany an upper respiratory infection. In most cases, the infection is viral in origin, but sometimes it's caused by bacteria.If you are otherwise in good health, the mucus membrane should return to normal after you've recovered from the initial lung infection, which usually lasts for several days. Chronic bronchitis is a serious long-term disorder that often requires regular medical treatment. If you are a smoker and come down with acute bronchitis, it will be much harder for you to recover. Every cigarette damages the tiny hair-like structures in your lungs, called cilia, that are responsible for brushing out debris, irritants, and excess mucus.If you continue smoking, the damage to these cilia prevent them from functioning properly, thus increasing your chances of developing chronic bronchitis. In some heavy smokers, the mucus membrane lining the airways stays inflamed and the cilia eventually stop functioning altogether. Clogged with mucus, the lungs are then vulnerable to viral and bacterial infections, which over time distort and permanently damage the lungs' airways. This permanent condition is called COPD (chronic obstructive pulmonary disease). Your doctor can perform a breathing test, called spirometry, to see if you have developed COPD. WebMD has many resources to help you to successfully quit smoking. Chronic…
The learning objectives for this teaching plan are health promotion and prevention. As nurses it is important to promote good health and prevent disease. One goal for this teaching plan is that students will be able to promote respiratory heath in their patients. Another goal is that students will be able to learn how to prevent pneumonia in their patients. One intervention to promote health is to know who is at risk. Nurses need to know how to recognize who is at risk for pneumonia. Patients at risk for developing pneumonia are “the very elderly, smokers, and those with chronic lung disease or any severe illness or injury, such as severe head trauma, chest trauma, or shock. Other risk factors include diabetes, alcoholism, malnutrition, history of antibiotic or corticosteroid use, decreased levels of consciousness, immunosuppression, poor oral hygiene, and elevated gastric pH. Early ambulation after surgery, use of an incentive spirometer, and adequate fluid intake all promote respiratory health.…
Randomly selected participants were 160 children aged 24–60 months suffering from URI-induced cough in an outpatient setting. The purpose of the study was “to compare the effect of honey, DM, and DPH on the nightly cough and sleep quality of children and their parents.” (page 787). The study lasted just 24 hours. They started by administering surveys to the children’s parents. Questions asked were about their age, gender, duration of cough, severity of cough, sleep quality, etc. using a “Likert scale” (Page789). Participants were randomly divided into four groups. First group received natural honey, second and third group received dextromethorphan syrup, and fourth group or control group received no treatments or supportive treatment. Participants that took more than required dose of medication or less than required were excluded. “Data were analyzed by SPSS software version 11”. (Page…