Shock Shock is a syndrome characterized by decreased tissue perfusion and impaired cellular metabolism. This results in an imbalance between the supply of and demand for oxygen and nutrients. The exchange of oxygen and nutrients at the cellular level is essential to life. When a cell experiences a state of hypoperfusion‚ the demand for oxygen and nutrients exceeds the supply at the microcirculatory level. Classification of Shock The four main categories of shock are * cardiogenic‚: *
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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.
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A surgical nurse is responsible for monitoring and ensuring quality healthcare for a patient following surgery. Assessment‚ diagnosis‚ planning‚ intervention‚ and outcome evaluation are inherent in the post operative nurse’s role with the aim of a successful recovery for the patient. The appropriate provision of care is integral for prevention of complications that can arise from the anaesthesia or the surgical procedure. Whilst complications are common at least half of all complications are preventable
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Unit 5 Notes Chapter 41 Diuretics Drugs that increase urinary output Two major applications Treatment of hypertension Mobilization of edematous fluid to prevent renal failure Introduction to Diuretics Figure 41-1 How diuretics work – mechanism of action Blockade of sodium and chloride reabsorption Site of action Proximal tubule produces greatest diuresis Adverse effects Hypovolemia Acid-base imbalance Electrolyte imbalances Figure 41-2 Classification of diuretics Four major categories
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NATIONAL KIDNEY AND TRANSPLANT INSTITUTE Department of Anesthesiology TITLE: AWARENESS AND DREAMING DURING TOTAL INTRAVENOUS ANESTHESIA IN OUTPATIENTS UNDERGOING EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY: A PRELIMINARY SURVEY AUTHOR: Xenia P. David‚ M.D. Senior Resident CO-INVESTIGATORS: Alexander Bautista‚ M.D. Junior Resident Warren Caballa‚ M.D. Junior Resident Ronald Torres‚ M.D. Junior Resident SUPERVISING INVESTIGATOR:
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echocardiogram-used to assess heart valves. valve disorders require prophylactic antibiotics before invasive procedures. avoid IM injections when suspecting MI can affect CK levels hemodynamic measurements-transducer placed @ the midaxillary line at the fourth or fifth intercostal space phlebostatic axis. calcium channel blockers-assess for constipation 1. Neuroleptic malignant syndrome (NMS): -NMS is like S&M; -you get hot (hyperpyrexia) -stiff (increased muscle tone) -sweaty
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SECTION 1 1.1 introduction A new born baby in the family is very much awaited by all parents‚ but when the baby was born premature‚ many complications to be borne with the baby. Bronchopulmonary Dysplasia is one of the complications faced by the premature baby. Singer.L et al(1997)‚mentioned in United States Bronchopulmonary Dysplasia is one of the leading cause of lung disease in low very birth weight infants(VLBW). Infants with BPD had higher rates of mental retardation‚ associated with greater
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TRAUMA SYSTEMS Rural Trauma and Emergency Medical Service Challenges in a Sample of Western States Jolene R. Whitney‚ MPA; Susan Werner‚ MAS; Susan Wilson‚ BSN; Neis Sanddal‚ PhD; Vicki Conditt‚ RN; Peggy Sale‚ MSN; Clay Mann‚ PhD; Jennie Nemec‚ RN; Johnathan J. Jones‚ BSN; Grace Sandeno‚ MPH; Diane Hartford‚ MS of providing emergency medical services to largely rural states include geographic barriers of vast expanses of unpopulated landmass‚ provision of services across mountain
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Acknowledgement Apart from the efforts of researcher‚ the success of any project depends largely on the encouragement and guidelines of many others. The researcher take this opportunity to express a gratitude to the people who played an important role in the successful completion of this project. Abstract Background: Staff nurses are exposed to blood and other body fluids in the course of their day to day activities in general medical ward. Standard precautions are designed to reduce the
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During the physical examination‚ we were unable to elicit findings typical of pneumonia such as dullness on both the lower lung fields‚ crackles‚ and increased breath sounds. We attributed this to the medications that were already taking effect on the day prior to conducting the physical examination. Administration of antibiotics and expectorants relieves the pulmonary congestion by reducing the bacterial load and purging the mucus that clogs the bronchi. The resolution of the disease in the patient
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