health. The patients we care for are of great importance and responsibly to us as the caretaker. With this in mind‚ I would like to show what carelessness and oversight can result in. Arsula Samson was an 80 year old mother of four. She developed pneumonia and checked in to Good Hope Hospital‚ Birmingham to be treated in the intensive care unit. While being treated for low serum potassium levels her nurse Mrs. Lisa Sparrow‚ RN entered an incorrect time frame on the infusion pump giving her a fatal
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Chapter 28: Nursing Management: Lower Respiratory Problems Test Bank MULTIPLE CHOICE 1. Following assessment of a patient with pneumonia‚ the nurse identifies a nursing diagnosis of ineffective airway clearance. Which assessment data best supports this diagnosis? a. Weak‚ nonproductive cough effort b. Large amounts of greenish sputum c. Respiratory rate of 28 breaths/minute d. Resting pulse oximetry (SpO2) of 85% ANS: A The weak‚ nonproductive cough indicates that the patient is unable to clear
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PH210 PHARMACY CLERKSHIP HOSPITAL PUTRAJAYA Case 5 Congestive Cardiac Failure Nephrotic Syndrome Community-Acquired pneumonia Siti Hasmah Bt Mohd Suffian (2006200606) CASE SUBJECT Name: MAM Gender: Male Age: 24 years old Race: Malay Weight: 138 kg BMI: 55 (morbidly obese) Height: 159cm DOA: 21st March 2010 SUBJECTIVE Chief complaint: • bilateral lower limb swelling for the past 2 weeks. • scrotal swelling for the past 3 days but noted on DOA had progressively
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Analyse nursing interventions following balloon tamponade tube insertion which monitor effect and minimise potential complications (e.g. checking tube placement‚ type of traction methods‚ free drainage or not‚ sputum clearance‚ saliva removal‚ aspiration pneumonia‚ tissue pressure necrosis‚ malaena‚ metabolic effects of blood in lower GI tract). Q.3 It is decided to remove the balloon tamponade tube at 24 hours. Consider how this process should be managed to minimise the risk of re-bleeding. Victor’s
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Other scan methods used are ultrasounds and CT (Cat Scans). CT scan are unique to the fact they can see smaller amount of fluid. They are able to detect small encapsulated pocket of fluid within the pleura. Doctors also use another method of aspiration‚ which is a process that involves use of a needle and syringe. Once the fluids are removed and tested a diagnosis can be given based on the fluids composition and appearance. The fluid is labeled as either transudative or exudative. Transudative
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a certain incident during my surgical rotation. Our patient was an 87 year-old demented woman with multiple co-morbidities who had just had surgery the day before. She was now presenting with new-onset delirium and was diagnosed with aspiration pneumonia. When we saw her that morning‚ her breathing was quick and labored. Her heart was racing and the levels of oxygen in her blood were dropping at an alarming rate. Although she could only moan‚ it was evident that she was suffering. But
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The Causes of Meconium Aspiration Meconium is a dark green substance that makes up an infant’s first bowel movement. Materials inside the uterus are ingested by the fetus which makes up for the fetus’s meconium. Most infants have their first bowel movement after birth. Occasionally a fetus can pass meconium in uteri. Aspiration of meconium and amniotic fluid can happen during any point of the labor and delivery. The fetus could aspirate this mixture of fluids while they are still in the uterus
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BRONCHOPNEUMONIA Bronchopneumonia or bronchial pneumonia or Bronchogenic pneumonia is a type of pneumonia that is characterized by an inflammation of the lung generally associated with‚ and following a bout with bronchitis. This inflammation starts in the small bronchial tubes the bronchioles‚ and irregularly spreads to the peribronchiolar alveoli and alveolar ducts with a diameter of about 3 to 4 inches. The result is that the inflammatory changes lead to the localized
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Chapter 68: Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome Test Bank MULTIPLE CHOICE 1. To evaluate the effectiveness of ordered interventions for a patient with ventilatory failure‚ which diagnostic test will be most useful to the nurse? a. Chest x-ray b. Oxygen saturation c. Arterial blood gas analysis d. Central venous pressure monitoring ANS: C Arterial blood gas (ABG) analysis is most useful in this setting because ventilatory failure causes problems with CO2
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Approach Considerations Treatment decisions in children with pneumonia are dictated based on the likely etiology of the infectious organism and the age and clinical status of the patient. Antibiotic administration must be targeted to the likely organism‚ bearing in mind the age of the patient‚ the history of exposure‚ the possibility of resistance (which may vary‚ depending on local resistance patterns)‚ and other pertinent history (see Etiology and Clinical Presentation). After initiating therapy
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