continued his stats dropped and I made the mistake of ‘simulation pretend’ instead of looking at the situation as a real obstacle. The program of decreased oxygenation was solved when proper trach suctioning was initiated. Though the order stated nasal cannula for decreased oxygenation‚ trach oxygenation was implemented and was deemed appropriate. With our other patient‚ vitals were obtained through the charge nurse‚ but I neglected to put priority on getting her assessment and instead reobtained vitals
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Artificial organs began back in 1943‚ when a Dutch physician by the name of Willem Kolff invented the hemodialysis machine. This machine forced blood to and from the body for cleansing. Every time this was performed‚ it was required for the cannulas to be connected to arteries and veins. Eventually‚ these sites would become exhausted and could not work anymore. This resulted in the invention of a shunt by Dr. Belding Scribner‚ which is a tube permanently attached to one vein and one artery and
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of staff In order o achieve this objective I carried out the following activities and observations: * Doing te dressing wit te other staff nurse using aseptic technique * Taking rounds with Doctors. Assisting with insertion and removal of cannulas where needed. Taking report with other members of staff. * Working in a cubicle‚ progressing for the patients using the SOAPIE method and giving files to the registered nurse counter sign for and also to check if I have done the progressing well
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Group B Streptococcus Infection‚ Newborn Group B streptococcus (GBS) is a type of bacteria that can cause an infection in a newborn. This bacteria is often found in the vagina and rectum of healthy women‚ but this does not mean that the woman has an infection. Most newborns who are exposed to GBS from their mother do not get infected. In some cases‚ however‚ GBS can cause serious infections in pregnant women and newborns. If the newborn is infected in the first 7 days of his or her life‚ the infection
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vomiting‚ Temp: 99.2F. Abdominal U/S confirmed inflamed appendix. 6. Health State: Admitted at 14:36 and appendectomy surgery performed from 19:32 to 20:50 on 10/12/13. Assessment findings: BP 136/83‚ HR 86‚ RR 14‚ O2 Sat 96 on oxygen 2L nasal cannula‚ Temp 98.4F‚ abd pain 3/10. Lungs: clear and equal breath sounds; apical pulse: auscultated‚ strong‚ regular; pulses: equal‚ regular‚ strong radial and pedal sites‚ no edema. Capillary refill immediate (less than 2 seconds). Negative Homan sign bilaterally
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In Search of Excellence: Review In Search of Excellence is a book dealing with many different principles of economics and what makes big business’ excellent. The first idea that Peters discusses is his chart of the McKinsey 7-S Framework. The graph is very simple but the ideas are fairly complex. In their research‚ they found that their philosophies were too hard to explain and easily forgettable. They made this Framework to deal with strategy‚ structure‚ style‚ systems‚ staff (people)
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Congestive Heart Failure Congestive heart failure is an older name for heart failure. Congestive heart failure takes place when the heart is unable to maintain an adequate circulation of blood in the bodily tissues or to pump out the venous blood returned to it by the veins (Merriam-Webster). The heart is split into two distinct pumping structures‚ the right side of the heart and the left side of the heart. Appropriate cardiac performance involves each ventricle to extract even quantities of blood
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Abortion and Why it is Wrong by Ken Willaert English 10 Mr. Manske January 16‚ 2001 THESIS STATEMENT Abortion is wrong with respect to human morality. CONTENT OUTLINE I. Abortion is immoral. II. Abortion affects people ’s lives. A. "Pro-Life"� versus "Pro-Choice"� is a serious debate. B. Abortion is the termination of pregnancy before the fetus is capable of independent life. III. A baby is created at conception. A. The fetus forms at an early state. B. The baby is considered living. C. On
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Group Case Study: Emphysema D.Z.‚ a 65-year-old man‚ is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD; emphysema). He has a past medical history of hypertension‚ which has been well controlled by Enalapril (Vasotec) for the past 6 years. He has had pneumonia yearly for the past 3 years‚ and has been a 2-pack-a-day smoker for 38 years. He appears as a cachectic man who is experiencing difficulty breathing at rest. He reports cough productive of thick
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diaphoretic. A cardiac monitor was placed‚ and revealed a sinus rhythm with ST elevation of greater than 0.1mm with a presumably new bundle branch block. There was presence of Q waves in II‚ III and aVF leads with no other abnormalities. In route‚ a nasal cannula was placed with oxygen at 4 L. His vital signs remained unchanged. The chest pressure remained the same at 9 out of 10. Nonenteric-coated aspirin 325 mg was given to chew along with sublingual nitroglycerin 0.4 mg and morphine 2 mg IV. The cardiac
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