orders T.W. initial assessment and to stabilize him will be the priority following ABCs. The neurologic assessment every hour will provide T.W. general condition and information that can determine any changes. Oxygen will be given at 4 L per nasal cannula. The next will be stabilization of spine by immobilize the cervical spine to protect the spine and from causing more trauma. The preparation to administer fluid to maintain hemodynamic stability therefore‚ initiate two large bore IVs. An ECG monitor
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Mr T presented with acute generalised abdominal pain and vomiting over 24 hours. During his treatment for gastroenteritis the appendix perforated‚ leading him to have laparoscopic appendectomy. Abscesses formed around the abdominal wall causing the patient to become tachycardic and pyrexic. Most patients are discharged 24 to 36 hours after the laparoscopy‚ however in this case Mr T was kept in for longer to control the infection and abscesses that formed in his abdomen. As well as affecting the health
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Within the culture of the St. John Health System (SJHS)‚ risk management is considered the responsibility of every SJHS associate‚ from the CEO to the maintenance man. Each associate has an obligation to perform their jobs safely and to eliminate or at least minimize the risk of harm to any resident‚ visitor‚ or employee. The collection and utilization of data is also essential to a successful risk management program. Effective risk managers recognize the importance of data which may be used to identify
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Stroke I. Pathophysiology A. Ischemic Stroke 1. Results from blockage of a cerebral artery‚ leading to decreased blood flow. 2. Cerebral blood arteries dilate and constrict due a process called cerebral autoregulation. 3. This process is affected by stroke 4. One possible ischemic stroke occurs due to blockage of an intracranial vessel due to an embolus from a distant area (i.e. cardiogenic embolus)‚ 5. Another possible ischemic stroke occurs due to in situ thrombosis of an intracranial vessel
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(positive Murphy’s sign). He reports light-colored stools for 1 week. The patient voids dark amber urine but denies dysuria. Skin and sclera are jaundiced. Admission vital signs (VS) are 164/100‚ 132‚ 26‚ 36° C‚ SaO2 96% on 2 L of oxygen by nasal cannula (O2/NC). What structures are located in the RUQ of the abdomen? The primary structures that are located in the RUQ are the Liver and the
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PAIN MANAGEMENT IN THE EMERGENCY MEDICINE DEPARTMENT Associate Professor Peter Manning Emeritus Consultant Emergency Medicine Department National University Hospital‚ Singapore Jan 2004 Revised Aug 07 / Feb 08 / Nov 09 / Dec 11 / Dec 12 Accepted practice patterns must be questioned – implementation of pain score to vital signs We underestimate the pain produced by common practical procedures Analogy – just as we vary antibiotics according to sensitivities‚ perhaps we should be prepared
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art & science research & Using an intravenous catheter system to prevent needlestick injury Dimitri Sossai et al (2010) Using an intravenous catheter system to prevent needlestick injury. Nursing Standard. 24‚ 29‚ 42-46. Date of acceptance: September 23 2009. Abstract Aim To identify the effect of a sharps awareness campaign and the introduction of a safety catheter device on the annual incidence of needlestick injuries between 2003 and 2007. Method In 2003‚ a sharps awareness campaign began in
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Abortion “Ethical or Unethical” In my paper I will argue on why I feel that abortions are unethical and why they should not be allowed. As you are reading this paper I really hope that I don’t start to contradict myself. Let me begin by saying there are several different reasons why abortions should be prohibited. The first reason why I feel that abortions should be prohibited is because of religious laws. The bible says that “thou shall not kill”. By aborting babies we are disobeying god and
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Rocuronium versus Cisatracurium as Adjuvants to Local Anesthetic in Peribulbar Induced Akinesia Abstract: Background and Objectives: Peribulbar anesthesia is widely used in cataract surgeries; but‚ the onset of akinesia is way behind and slower in comparison to that for the retrobulbar technique. The effect of using adjuvant to the peribulbar block in developing ameliorated conditions in absence of any adverse effects‚ and in accelerating the onset of akinesia have been implicated. We investigate
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Patient Centred Care Introduction This essay will engage closely in exploring the case study provided during week one through four. It will deal with various issues such as the difference between type one and type two diabetes‚ outcomes of poorly managed blood sugar levels‚ the necessity of pain control during post-operative care for Josie‚ the implementation of Tanner’s model of clinical Judgement and lastly but not the least‚ a summary of Josie’s progress note. Diabetes and blood glucose
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