difficulty with tracheal intubation‚ or both.1 In order to identify patients who are expected to have difficult intubation‚ anesthesiologists use several methods before the initiation of anesthesia.2‚ 3 There are several complications associated with the difficult airway such as trauma to the face‚ teeth‚ or airway‚ unnecessary tracheostomy‚ cardiopulmonary arrest‚ brain injury‚ or death.1‚4 The gold standard for the management of difficult intubation is fiberoptic intubation using fiberoptic bronchoscope
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during surgical abortion. Aspiration is caused by an elevation of physiological changes in the fetus‚ which is characterized by gastroesophageal reflux disease‚ increased nausea‚ and vomiting. However‚ health practitioners advocate endotracheal intubation to expectant mothers receiving anesthesia during their first trimester. Most health practitioners prefer to intubate pregnant women during surgical abortion. On the contrary‚ outpatient facilities prefer to administer deep intravenous anesthetic
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Chapter 11 ARDS INTRODUCTION Acute respiratory distress syndrome (ARDS) - lung inflammation seen at the level of the alveolar capillary membrane with increased vascular permeability. ARDS results in: bilateral pulmonary edema and atelectasis despite no evidence of left heart failure (e.g.‚ normal pulmonary capillary wedge pressure (PCWP). ARDS is present when the ALI results in such severe hypoxia that at the PaO2/FIO2 ratio is 200 mm Hg or less. Approximately 10% to 15% of intensive care
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Chapter 3 –Emphysema Response 1: O2 via NC at 2lpm Breathing tx (Albuterol) q4h CPT q4h Postural Drainage of RLL Monitor closely for respiratory failure Response 2: Recommend Intubation with mechanical ventilation Order ABG in 30 minutes Continue Albuterol q4h – Add Mucomyst q4h CPT q4h Patient has severe case of COPD with air trapping. Patient was diagnosed previous to this admission with Chronic Emphysema. Patient also suffers from pneumonia. I placed patient on nasal cannula to
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caused by pneumonia‚ urinary tract infection‚ skin infections‚ ruptured appendix‚ etc. (Shiel‚ 2013). Symptoms of septic shock include cool‚ pale arms and legs‚ lightheadedness‚ high or very low temperature‚ little or no urine‚ heart palpitations‚ rapid heart rate‚ low blood pressure‚ restlessness‚ confusion‚ shortness of breath and/or skin rash (Hadjiliadis‚ 2012). Patients that are diagnosed with septic shock are usually admitted into the intensive care unit (ICU) in the hospital where they can
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Respiratory Case Study The following case study is of a 37-year old Hispanic male weighing 145 lbs and 70 inches tall found unconscious by his girlfriend. According to her he was unconscious for about 15 hours and she was concerned because he would not wake or respond and was breathing shallow and slow. She then called 9-1-1. The patient entered the ER by emergency vehicle and on my initial assessment Pt had an altered mental status‚ was very unresponsive showing symptoms of a possible drug overdose
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The University of Miami Hospital (UMH) has recognized as one of the top hospitals in Miami-Dade County. This hospital is a 560-bed hospital and runs with a multidisciplinary function like cardiology‚ pulmonology‚ neurology‚ ophthalmology‚ psychiatric‚ and much more. In order to provide and promote a good care efficiently to their patients and to prevent any possible complication which may cause a negative impact into the patient life‚ this hospital had developed certain clinical practice guidelines
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occluded by pressing the cricoid cartilage against the cervical vertebrae during induction of anesthesia or positive pressure mask ventilation. Ever since Dr. Sellick’s publication and findings‚ the application of cricoid pressure to the tracheal intubation is called Selleck’s maneuver. (Blackwell
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Airway Management Updated: Mar 2011 Terminal Learning Objective Given a combat casualty with airway compromise‚ Maintain a casualty’s airway IAW Prehospital Trauma Life Support The Respiratory System - Review The Respiratory System - Review Check on your Learning… What is the function of the nasal cavity? It warms‚ humidifies‚ and filters to remove impurities of inhaled atmospheric air. Does the diaphragm contract or relax during inhalation? Contract Check on your Learning… When
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STUDY GUIDE FOR NR 340 EXAM ONE *Remember: The exam questions will test more of the higher level thinking skills (application‚ analyzing and evaluating) and fewer lower level (remembering‚ understanding)‚ within the nursing process‚ teamwork/collaboration‚ patient-centered care and QSEN application. Critical care IV medication and formula calculations Enteral feedings for critically ill patients Pharmacodynamics (and nursing implications) for the following medications (generic/brand names):
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