Chapter 67: Nursing Management: Shock‚ Systemic Inflammatory Response Syndrome‚ and Multiple Organ Dysfunction Syndrome Test Bank MULTIPLE CHOICE 1. A 78-kg patient with septic shock has a urine output of 30 mL/hr for the past 3 hours. The pulse rate is 120/minute and the central venous pressure and pulmonary artery wedge pressure are low. Which order by the health care provider will the nurse question? a. Give PRN furosemide (Lasix) 40 mg IV. b. Increase normal saline infusion to 250 mL/hr. c.
Premium Blood pressure Shock Myocardial infarction
Patient has nasogastric tube insitu for continuous drainage. Foley’s catheter is insitu on continuous drainage. IV fluids DNS 166mls/hr in progress via left hand. Patient is conscious‚ but is maintained on mechanical ventilator and attached to cardiac monitor. On 17.03.12 patient was extubated‚ but remained on continuous humidified O2 at 10L/min via facemask. Physical Examination T- 39.3 OC Skin: pale and moist P- 150 bpm Pupils: 2/2 R- 15 bpm Reaction- RTL B/P- 107/43 mmHg
Free Nursing care plan Nursing Blood pressure
1993; 95(5A Suppl):34S–36S. Drinkwater B. C. H. (1994). McCloy Research Lecture: does physical activity play a role in preventing osteoporosis? Res Q Exerc Sport 65: 197–206. Green HJ‚ Jones LL‚ Painter DC.(1990).Effects of short-term training on cardiac function during prolonged exercise Department of Kinesiology‚ University of Waterloo‚ Ontario‚ Canada.Aug:22(4):488 – 93. Saltin‚ B. & Rowell‚ L. B. (1980). Functional adaptations to physical activity and inactivity. Federation Proceedings 39‚ 1506-1513
Premium Muscle Heart Cardiac muscle
as age and ethnic background. (Kumar & Clarke‚ 2007) The factors that determine the arterial blood pressure are cardiac output (CO) and peripheral resistance (PR). CO is the amount of blood pumped out of the left ventricle per minute. PR is the amount of friction encountered by the blood as it flows through the lumen of the arteries. (Marieb‚2006) It can be increased or decreased by various factors which will be described later. Blood pressure is recorded in terms of the systolic and diastolic
Premium Hypertension Blood pressure
recognize normal and abnormal cardiac rhythms‚ called dysrhythmias‚ is an essential nursing skill. • Four properties of cardiac cells (automaticity‚ excitability‚ conductivity‚ and contractility) enable the conduction system to start an electrical impulse‚ send it through the cardiac tissue‚ and stimulate the myocardial tissue to contract. • The autonomic nervous system plays an important role in the rate of impulse formation‚ the speed of conduction‚ and the strength of cardiac contraction. Electrocardiogram
Premium Cardiac electrophysiology Cardiology Myocardial infarction
Nursing Process: Implementation REF: 1256-1258 MSC: NCLEX: Physiological Integrity 3. Which nursing action will be included in the postoperative plan of care for a patient who has had a transsphenoidal resection of a pituitary tumor? a. Monitor urine output every hour. b. Palpate extremities for dependent edema. c. Check hematocrit hourly for first 12
Premium Nursing Hypothalamus
1. What clinical findings are likely in R.S. as a consequence of his COPD? - COPD‚ chronic obstructive pulmonary disease is mostly consists of two main diseases: emphysema and chronic bronchitis. A patient with COPD can show various clinical findings which can include dyspnea‚ cyanosis‚ wheezing‚ “Blue bloaters” clubbing of the finger nails‚ and pink puffers. Also‚ the patient can show continuation of productive chronic coughing with expectoration within last 3 months for two consecutive years
Premium Chronic obstructive pulmonary disease Heart Asthma
of the veins have becomes stretched to the point where they have become noticeably visible. Mrs White’s circulatory system has‚ in order to compensate for the pooling of blood‚ increased the total circulating blood volume to maintain the total cardiac output of the body (1). c) There are many factors that could have contributed to Mrs White’s leg veins becoming varicose. Varicose veins can occur during
Premium Heart Blood Myocardial infarction
Physiology Name ____Maggie Hoyt_____ Homework Assignment Chapter 08: Cardiorespiratory Responses to Acute Exercise 1. List 6 components of the cardiorespiratory system that occur during acute exercise. 1) Heart Rate 2) Stroke Volume 3) Cardiac output 4) Blood Pressure 5) Blood Flow 6) The Blood 2. As heart rate INCREASES or decreases‚ the intensity of exercise INCREASES or decreases. 3. Define maximum heart rate (HRmax). The Highest HR value achieved in an all-out effort to the point
Premium Heart Muscle Blood
Clinical Pathway: Malignant Hyperthermia Courtney Daniel RODP Program Austin Peay State University Clinical Pathway: Malignant Hyperthermia I. Introduction Case Study Mr. F‚ a healthy 34-year-old man‚ is admitted to a local hospital for a routine cholecystectomy. A preoperative assessment by the nurse anesthetist reveals no complications with prior surgeries and a familial history of anesthetic complications‚ but Mr. F is unsure of what the complications were called. During
Premium Carbon dioxide Anesthesia Oxygen