silent chest • Talk in words • Sits hunched forward • Agitated • RR>30 • PR>120 • O2 <90% • PEFR<50% Treatment of severe Asthma (GINA) • Short acting B2 agonist • Ipratropium Bromide • O2 • IV Corticosteroids • IV magnesium • Consult ICU • Prepare intubation Salbutamol • Most cost effective by MDI with spacer (BTS) • Continuous neb may be more effective (BTS) • No evidence of routine IV use (reserve for pts when inhaled therapy cannot be used reliably) Steroids • Should be given within 1 hour •
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Many intensive care unit (ICU) patients with multiple traumatic injuries are susceptible to pulmonary contusion. A pulmonary contusion is an injury to the lung which is a common result after a blunt chest trauma from incidents such as vehicular accidents and assaults or after penetrating chest trauma from explosions or shock waves (Ganie et al‚ 2013). Also‚ although it is more commonly associated with chest traumas such as pneumothorax‚ rib fractures or hemothorax‚ pulmonary contusion is also related
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This document is in response to your verbal request via phone call on Thursday May 31‚ 2018. Since you stated you were unable to put this request in writing‚ I hope that I address all of the concerns yourself‚ Dennis Lunde‚ and Dr. Shaun Patterson requested. PRID #50771811 Scene description: Found patient supine in bed with head elevated in care of Tri-Boro Ambulance. Patient in obvious respiratory distress with copious amounts of thick milky white substance coming from both mouth and nose.
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during the start of the case‚ the circulator can help with the process of starting general anesthesia. The circulator can help with the oxygen mask provide the certified registered nurse anesthetist with the tools needed for intubation. This is will make the process of intubation much smoother for the certified registered nurse anesthetist. The role of a certified registered nurse anesthetist is certainly intriguing and interesting but it is not a current role that will be present in the future. This
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This assignment describes my own reflective experience while caring for a sick neonate with Respiratory Distress Syndrome (RDS) in the neonatal unit. This has enabled me to explore the meaning and significance of my clinical practice and to recognise the complexities within it. The experience raises a number of issues frequently encountered in daily nursing practice. Within this assignment‚ I will be discussing a particular pre term baby with RDS and critically analyse the use of nasal continuous
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CURRICULUM VITAE JAREENA DUDEKULA‚ B.SC NURSING‚ 4-8-10/A‚ SECOND FLOOR‚ NCB COLONY‚ TIRUPATHI‚ PIN:517501 EmailID:jareena286@yahoo.com/zareenashaikhmohammad@gmail.com MOBILE:9703372148 CAREER OBJECTIVE: To obtain a challenging position with a technology and oriented organization to significantly contribute to the success of organization by utilizing my knowledge and experience in nursing besides improving my skills learning technologies. TOTAL EXPERIENCE: 7YEARS EXPERIENCE AS
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PLANNING FOR CARE Advanced medical directives are documents where a patient have a chance to determine in advance how his health treatment will be conducted in case he/she will incapable to communicate to medical providers. They are two main advanced medical directives. A Durable Power Of Attorney for Health Care: this is an advanced medical directive whereby a patient choose one person who will be responsible for medical decision in case he/she will not be able to communicate or to speak. This patient
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Ventilator-associated pneumonia (VAP) is defined as pneumonia that develops 48 hours or longer after patients has intubated and received mechanical ventilation. An infection may develop if microscopic organisms or germs invade the intubation of the patient’s lower respiratory tract and lung parenchyma (Koenig‚ S. M.‚ 2006). According to the 2009 National Healthcare Safety Network (NHSN) report‚ the accountability for ventilator-associated pneumonia (VAP) preventions includes hospital’s CEO and senior
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Harmful Habits & Infectious Disease Prevention Managing health and wellness is largely dependent upon our knowledge of controllable and uncontrollable risk factors that exist amongst people and within our environment. Our overall ability to maximize our level of wellness revolves around the choices made on a daily basis including our actions and our diets. In order to take our health seriously‚ we must learn to come to terms with the harmful effects of our decisions as well as the occasion of factors
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for the family going through this unfortunate situation. For example‚ the first activity involves normal breathing. In order for organs to be viable‚ a person who cannot breathe independently will require immediate intubation. According to Nicely and DeLario (2011)‚ “intubation and ventilation is necessary and is not negotiable in a brain-dead patient” (p. 73). A competent nurse will recognize the need for such an intervention and assist in achieving the desired outcome. Henderson’s activities
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