NURSING PROCESS WORKSHEETS Client Name: NURSING PROCESS Nursing Diagnoses: (include 1 psychosocial) 1. Impaired Gas Exchange related to thoracotomy as evidenced by O2 via NC‚ L side chest tube‚ Hx of asthma‚ Obesity‚ chest x-ray showing congestion and atelectasis in the left lower lobe‚ and SOB on exertion. 2. Acute Pain related to surgical incision as evidenced by patients verbal report of pain (rated at a 10 on a scale from 1-10)‚ positioning
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supplemental oxygen. Mild to moderate hypoxemia is a common arterial blood gas finding. Hypocapnia and respiratory alkalosis may occur due to the high respiratory rate of an acute asthma exacerbation‚ but prolonged or severe symptoms may cause hypercapnia and metabolic acidosis (Karwat‚ 2002). Chest radiography is often normal; however‚ findings can encounter hyperinflation of the lungs with flattened diaphragm if there is obvious air trapping with the diagnosis of asthma. A CXR may be obtained
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Chapter 58 Practice Questions page 755 (652-674) (652) 1. An emergency department nurse is assessing a client who has sustained a blunt injury to the chest wall. Which of these signs would indicate the presence of a pneumothorax in this client? * Diminished breath sounds Rationale: This client has sustained a blunt or a closed chest injury. Basic symptoms of a closed pneumothorax are shortness of breath and chest pain. A larger pneumothorax may cause tachypnea‚ cyanosis‚ diminished breath
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What are dust mites? These are microscopic‚ eight-legged pests that are often found in carpets‚ upholstered furniture‚ mattresses‚ curtains and beddings. They feed on dead human skin cells. Houses with poor ventilation and high humidity levels are their common targets‚ usually 75 to 80 percent humidity is ideal for them and they will die if it drops to 50 percent. They don’t drink water but instead absorbs moisture in the air. How harmful are dust mites? It might be surprising to know that
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Asthma is a chronic condition of the respiratory system that causes hypersensitivity and reversible inflammation of the airways resulting in breathing difficulties (Levy et al.‚ 2006). One of the features of the disease is fixed airflow obstruction which is where the patient’s FEV1/FVC ratio is less than 0.7. The reduction of this ratio is caused by parenchymal and airway damage resulting from chronic inflammation (Nice.org.uk‚ 2010). Fixed airflow obstruction is more commonly found in severe asthma
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In the science of transfusion‚ there is currently only two options when a PRBC transfusion is needed; an autologous or allogeneic transfusion. An autologous transfusion is when the blood of a single patient is collected and is retransfused into the same patient when needed. An allogeneic transfusion is when blood donated from an anonymous donor is transfused. There are 3 methods for providing an autologous transfusion; cell salvage‚ preoperative autologous donation (PAD) and acute normovolaemic
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1.0 INTRODUCTION Imagine you are walking through the park; it’s a warm day‚ you are surrounded by beautiful flowers‚ grass‚ and trees. Now imagine that these normal‚ everyday activities such as‚ walking outside on a humid day‚ make it more difficult for you to breathe. Instead of taking a normal breath‚ you are only able to inhale at thirty percent capacity. That is like breathing through the end of a tiny crimped straw. Also‚ imagine having to carry various inhalers and oxygen as part of an
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Weekly Journal Clinical Week 11 Clinical Date: Monday‚ November 10 2014 Working with a patient living with and experiencing chronic obstructive disease (COPD) I feel it is necessary to better understand the dyspnea. COPD is a respiratory disorder mainly caused by smoking‚ characterized by progressive‚ partly reversible airflow obstruction‚ systemic manifestation‚ and increasing frequency and severity in exacerbations. Cardinal symptoms experienced by patients with COPD are dyspnea‚ difficulty
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Microbiology case study Spring 2009 Case Study On July 14th‚ a 26 year-old man developed severe nausea and bloody emesis. At a local hospital emergency room‚ he was treated with IV fluids and antiemetic medication and admitted for further observation. That evening he became disoriented‚ combative‚ and had difficulty breathing. On July 16th‚ he became hypotensive and hypoxic and was transferred to a specialty care facility for ventilator support. Examination revealed a temperature of 104
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Chronic bronchitis is “a productive cough that lasts at least three months for two consecutive years” (Mayo Clinic Staff‚ 2011). The bronchiole tubes become inflamed and enlarged narrowing the airways which will result in pulmonary hypertension. The air passage way can become blocked because of increased mucus production caused by enlarged mucus glands ("Chronic Bronchitis"‚ n.d.). The cells that help the mucus move out of the body can become damaged reducing the ability to clear mucus from the air
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