Focus Questions #1 1. Relate each client’s current manifestations to the pathophysiology of shock to determine what type of shock the client could be experiencing. Shock is a syndrome characterized by decreased tissue perfusion and impaired cellular metabolism. The patient Richard Tanner has been admitted to the CCU for r/o myocardial infarction. The patient has not prior history of cardiac problems though he has been treated for the last 5 years for cholesterol totaling 285 (HDL 35‚ LDL 212)
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Administration of feeds • Care of insertion site and enteral feeding tube • Preventing the spread of infection Context Enteral feeding means using the gastrointestinal tract for the delivery of nutrients‚ which includes eating food‚ consuming oral supplements and all types of tube feeding. This method of feeding has resulted in a range of different routes and systems for delivery of nutrition‚ and more patients are now being fed by home enteral feeding tubes in the community setting. The need
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Small Intestinal Obstruction Client’s Data: Name: Mr. X Age: 40 Gender: male Address: Bagong Tuklas‚ Brgy. San Agustin‚ Novaliches Quezon City Civil Status: Married Chief Complaint: Abdominal Pain & Constipation Admitting Diagnosis: Small Intestinal Obstruction Final Diagnosis: Hiatal Hernia Family Health Illness History It was revealed in the diagram that on father side‚ Mr. T’s grandfather is hypertensive and has Diabetes mellitus‚ and his grandmother died because of old age
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Chapter 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems Test Bank MULTIPLE CHOICE 1. The nurse assessing a 54-year-old female patient with newly diagnosed trigeminal neuralgia will ask the patient about a. visual problems caused by ptosis. b. triggers leading to facial discomfort. c. poor appetite caused by loss of taste. d. weakness on the affected side of the face. ANS: B The major clinical manifestation of trigeminal neuralgia is severe facial pain that is triggered by cutaneous
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bronchi/o bronchial tube‚ bronchus Bronchospasm: This tightening of the bronchus is a chief characteristic of asthma and bronchitis Bronchiectasis: Caused by weakening of the bronchial wall from infection. Bronchodilator: This drug causes dilation‚ or enlargement‚ of the opening of a bronchus to improve ventilation to the lungs. An example is albuterol‚ delivered via an inhaler. Bronchopleural: A bronchopleural fistula is an abnormal connection between the bronchial tube and the pleural cavity
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Tunneled Catheter Insertion Tunneled catheter insertion is a procedure to insert a thin‚ flexible tube (catheter) into a vein. The catheter makes it easier to draw blood‚ give blood products‚ remove waste products from the blood (hemodialysis)‚ and give medicines. This procedure is usually done when the bloodstream needs to be accessed many times over a long period of time. Tunneled catheters can be placed in different parts of the body depending on how they will be used. The most common place
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During gastric lavage the nurse will pass a tube down the patient’s esophagus via mouth or nose. The nurse will move the tube down to the stomach of the patient. The nurse will then secure the tube to the patient and test for proper placement. The nurse can shoot air into the tube and listen for a swoosh sound in the stomach to help determine proper placement. A more accurate test can be testing the ph of the contents that is suctioned through the tube. The most accurate way to find proper placement
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NURSING: The Postoperative Phase Postoperative care of the cardiac surgery patient is challenging in that changes can occur rapidly. The preoperative condition of the patient as well as intraoperative events should be considered in postoperative care. It is essential for the nurse to anticipate the possible complications so that appropriate interventions are initiated in a timely manner in order to ensure a positive outcome for the patient. There is a flurry of activity as the patient enters
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Determining Genotypic Frequencies for Alu Insertion Polymorphism at the PV92 Locus Introduction An Alu element is a short stretch of non-coding DNA found in primates. It gets its name from the single recognition site for the endonuclease Alu I‚ located near the middle of the Alu element. Alu elements are transposable DNA sequences that copy and insert themselves into new chromosome locations. They are regarded as “selfish DNA” because they do not encode protein and appear to only exist for their
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Post operative care There is a range of activities that nurses need to undertake when caring for postoperative patients. There are also specialist areas of surgery‚ e.g. bowel and thoracic surgery‚ which require more specific care and these are covered in Section 5. The patient is placed in the recovery room attached to theatre. The patients’ condition is assessed and he is nursed in the lateral recovery position to minimize risks of aspiration until fully conscious‚ when he can be transferred
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