Patient Interaction A full medical history and examination was taken from this patient suffering from recurrent acute exacerbations of COPD and heart failure. This 79 year old female has suffered with what she describes as a bad chest for over ten years frequently experiencing dyspnoea and chest infections. She recalls suffering many exacerbations and put this down to experiencing asthma attacks. The patient admitted she had smoked 10 cigarettes a day for 64 years- a 32 pack year history. She
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Using the guidelines in Wilson & Giddens ’ Ch. 11 and videos‚ perform a respiratory assessment process on a patient or a significant other. Write up your findings following the guidelines and post them here. It is important for nurses in all practice settings to be able to perform a basic respiratory assessment. This includes taking a pertinent patient history and using the techniques of inspection‚ palpation‚ percussion‚ and auscultation. Immediately upon meeting a patient I am looking to
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Inhalant anaesthesia in dorsal recumbency can result in hypoventilation and in the development of intrapulmonary shunts (Oura et al. 2012). The respiratory dysfunction is associated with formation of atelectasis in dependent lung areas‚ which can impair pulmonary compliance‚ gas exchange and oxygenation (Staffieri et al. 2007; De Monte et al. 2013). Such alterations may be prevented by using mechanical ventilation‚ which can be adjusted in terms of fraction of inspired oxygen (FiO2)‚ positive end-expiratory
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Chapter 68: Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome Test Bank MULTIPLE CHOICE 1. To evaluate the effectiveness of ordered interventions for a patient with ventilatory failure‚ which diagnostic test will be most useful to the nurse? a. Chest x-ray b. Oxygen saturation c. Arterial blood gas analysis d. Central venous pressure monitoring ANS: C Arterial blood gas (ABG) analysis is most useful in this setting because ventilatory failure causes problems with CO2
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Impaired gas exchange related to lung consolidation as evidenced by increased work of breathing. alveolar capillary membrane changes secondary to inflammation. Bronchospasm‚ which occurs in many pulmonary diseases‚ reduces the caliber of the small bronchi and may cause dyspnea‚ static secretions and infections. Bronchospasm can sometimes be detected by stethoscope when wheezing or diminished breath sounds are heard. Increase mucous production along with decrease mucous ciliary’s action‚ contributes
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Part A: From the handover received from neonatal registrar‚ it can be assumed that baby Amira is in respiratory distress. Amira is currently receiving 30% flow-by oxygen at 10 minutes old to maintain oxygen saturation (Sa02) levels of 92%. Although the target Sa02 level at 10 minutes old is between 85-90% (Department of Health and Human Services‚ 2014) the fact that Amira is still displaying signs of nasal flaring and moderate work of breathing despite receiving flow-by oxygen is concerning. After
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Is bronchitis contagious? Bronchitis is an ailment that is going to make you cough a lot and pant for breath along with wheezing‚ coughing‚ fatigue and pain in the chest. It is triggered when the lining of the airways in the lungs become irritated. To determine‚ whether or not bronchitis is contagious‚ it is important to understand the types of contagious. Chronic bronchitis: This type of bronchitis happens when the airways get continuously irritated. It may last for months or even years and tend
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Anatomical dead space and functional residual capacity (FRC) play a very important role to ensure the constancy of alveolar gas tensions. Firstly it is important to understand what the anatomical dead space and FRC actually are. The anatomical dead space refers to the gas in the conducting areas of the respiratory system where air does not come into contact with alveoli. Examples of places in the respiratory system where anatomical dead space is present are the mouth and trachea. The functional residual
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Unfortunately‚ mold on your memory foam mattress is a sign that it’s time to throw it away. Although you can remove surface mold with a vacuum cleaner‚ household cleaners and a bit of time in the sun‚ there is no way to remove mold from deeper parts of the mattress. Instead‚ you’ll need to get a new mattress and take steps to prevent mold from growing again. The Problem Mold likes damp dark places‚ and there are few places darker than the core of a memory foam mattress. Memory foam mattresses consist
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INTRODUCTION : I hereby present to you a case study on pulmonary embolism( PE)‚ in which includes details of the patient ‚ current problems and management taken place while caring for the patient . Present compalints: A 65 year old female with chest pain‚ acute shortness of breath‚ cough and swelling on the surgical limb. Detail history of presenting complaints: Mrs Blue‚ a 65 year old female who presents with chest pain and shortness of breath‚ underwent bilateral total knee replacement
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