possibility of spinal injury has been ruled out. This rapid assessment begins with an inspection of the patient’s airway to ensure no obstructions exist. Possible airway obstructions include the patient’s tongue‚ loose teeth‚ foreign objects‚ vomit or blood. The airway must be cleared of any obstructions before proceeding with the assessment. The case study does not indicate the presence of any airway obstructions. Once the airway is deemed clear‚ an assessment of breathing occurs. This includes observing
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ABNORMAL ARTERIAL BLOOD GASES Arterial Blood Gases‚ or ABGs‚ measure the amounts of oxygen‚ carbon dioxide and acid/base level in the blood‚ according to Medline Plus‚ a service of the U.S. National Library of Medicine. ABGs are ordered if the patient has difficulty breathing‚ symptoms of an acid/base imbalance‚ or if a pre-existing condition is worsening‚ and blood is taken from an artery in the wrist‚ groin‚ or inside of the elbow. Respiratory Acidosis The kidneys and lungs work together
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a flurry of activity as the patient enters the recovery room/ICU and the admitting nurse connects the patient and the invasive lines to the monitoring equipment while another staff member connects drainage devices appropriately and draws admission blood work. The operating room nurse and the anesthesiologist report the patient’s condition to the receiving nurse. Postoperative Pulmonary Management Pulmonary dysfunction and hypoxemia may occur in 30% to 60% of patients after CABG.10 Patient history
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(progress note) Alb T. Bili AST T. Dir. Bili ALT Alk Phos ABG (arterial blood gas) pH/ CO2/ O2/ %Sat; time A: (assessment) 54 y/o white male w/ PMH (past medical history) DM and 20 year pack history with one day h/o pneumonia and day #1 abx (antibiotic) treatment. 1) ID: community acquired pneumonia x1 day with infiltrates in right lower lobe on broad spectrum abx coverage 2) Endo: DM type II‚ blood sugars are well controlled 3) F/E/N: (fluids/ electrolytes/ nutrition) pt clinically
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the SIRS criteria’. SIRS is outlined as a ‘systemic inflammatory response’ consisting of two or more of the following symptoms ‘temperature >38 degrees Celsius or 90 beats per minute‚ respiratory rates greater than 20 breaths per minute and white blood count higher than 12‚000 cells per microliter or lower than 4000 cells per microliter’(Latto 2008). Severe sepsis requires rapid diagnosis and treatment it can be described as ‘the presence of sepsis with organ dysfunction‚ hypotension or poor perfusion’
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Arterial blood pressure is "normal" when the systolic pressure is 90-119 mmHg and the diastolic pressure is 60-79 mmHg. When the arterial pressure is ≥120/80 mmHg‚ a person is considering being hypertensive [1-3]. According to U.S. national guidelines (JNC 7 Report and JNC 8 Report)‚ the following represents different stages of hypertension: Classification Systolic (mmHg) Diastolic (mmHg) Normal <120 <80 Prehypertension 120-139 80-89 Stage 1 140-159 90-99 Stage 2 >160 >100 Treatment of Hypertension
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CEN Practice Questions Category: Professional-Legal (1) A 49-year-old woman with a subarachnoid hemorrhage is identified as a potential organ donor. The patient’s family consists of her husband‚ from whom she is separated‚ elderly parents‚ her 18-year-old son‚ and 44-year-old sister. Who is the legal next of kin that can give permission? A) Her son B) Her sister C) Her parents D) Her husband Category: Neuro (2) The normal range for intracranial pressure (ICP) in an adult is: A)
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copes well. Family lives a few hours away but they visit him regularly Present Vital Signs Pulse: 98 beats per minute Temperature: 37.6o C Blood Pressure 150/95 mmHg Respirations: 28 breaths per minute at rest and shallow with ongoing complaint of pleuritic chest pain Electrolytes K+ - 5mmol/L Na+- 135mmol/L CL- 92mmol/L Arterial Blood Gases -49 mmHg PaCO2 PaO2 - 82 mm Hg HCO3 - 29 mmHg pH- 7.4 Chest X-Ray (AP and Lateral view) Results The lungs are hyperinflated
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Starting Out: A New RN In the MICU 5/1/04 1- What kinds of patients come into the MICU? 2- How do families interact with the MICU staff? 3- Who are the nursing staff in the MICU? 3-1- Who are the resource nurses? 3-2- Who is the nurse manager of the MICU? 3-3- Who is the Clinical Nurse Specialist? 3-4- How are the assignments made? 3-5- Who are the CCTs? 3-6- Who are the OAs? 3-7- Who are the USAs?
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auscultates muffled heart tones‚ no breath sounds on the right‚ and faint sounds on the left. A.W. is stuporous‚ tachycardic‚ and cyanotic. The paramedics inform the physician that it was difficult to ventilate A.W. A STAT portable chest x-ray (CXR) and arterial blood gases (ABGs) are obtained. A.W. has an 80% pneumothorax on the right‚ and her ABGs on 100% oxygen are pH 7.18‚ PaCO2 92 mm Hg‚ PaO2 32 mm Hg‚ HCO3 27 mmol/L‚ base excess (BE) -5 mmol/L‚ SaO2 53%. 1) Given the diagnosis of pneumothorax
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