106(2)‚ p. 196-204. Barbera‚ J.A.‚ Roca‚ J. and Ferrer‚ A. (1997) Mechanisms of worsening gas exchange during acute exacerbations of chronic obstructive pulmonary disease. European Respiratory Journal‚ (10)‚ p. 1285-1291. Barnes‚ P. J. and Celli‚ B. R. (2009) Systemic manifestations and comorbidities of COPD. European Respiratory Journal‚ 33(5). Bhowmik‚ A.‚ Seemungal‚ T. A.‚ and Sapsford‚ R. J. (2000) Relation of sputum inflammatory markers to symptoms and lung function changes in COPD exacerbations. Thorax
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DRUG NAME | ACTION | INDICATION | CONTRAINDICATION | ADVERSE REACTION | NURSING RESPONSIBILITIES | GENERIC: Piperacilin + Tazobactam BRAND NAME: Piptazo DOSAGE: 4.5g FREQUENCY Q8 ROUTE: IV | CLASSIFICATION: Antibiotic; Piperacillin and enzyme inhibitor. Belongs to the class of penicillin combinations‚ including beta-lactamase inhibitors. Used in the systemic treatment of infections | intra – abdominal linfections w/ peritonitis | Hypersensitivity to penicillins
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ic Case 4: Brittany Long Guided Reflection Questions Opening Questions How did the simulated experience of Brittany Long’s case make you feel? Brittany Long’s case gave me the experience of providing care for a patient diagnosed with sickle cell. Initiallly‚ I was unsure on which pain medications to give being that she had orders for acetaminiophen‚ ibuprophen and morphine. I decided to stck with the morphine after retrying since her pain level was severe. Describe the actions you felt went well
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how close the passages and sinuses are to each other. B. What is the cough reflex? Describe the process that Cari’s respiratory system is using to clear her lungs by coughing. The cough reflex is deep inhalation followed by complete closure of the glottis and strong exhalation suddenly opening the glottis‚ and blasting air through the upper respiratory passages. Cari’s respiratory system is forcing out mucous in order to maintain enough space within her lungs for oxygen. C. Which structures found
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would lower her total lung capacity by not allowing the space that is taken up by the fluid to be filled with air. G. How does the elevation of Cari’s respiratory rate alter her minute ventilation? The elevation in her respiratory rate would alter her minute ventilation by raising it. Minute ventilation is determined by times ing respiratory rate by total volume. H. Normal
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Terminologies with a significant domain can differ substantially in granularity‚ structure and organization principles because of the differences in their purposes for which they were designed and developed for. This is the case of SNOMED-CT and ICD-10. Both are very different even though they both primarily related to the domain of findings‚ disease‚ and disorders. 3.1 Difference between a Classification System and a Terminology: SNOMED-CT‚ a clinical terminology‚ is a structured list of health
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arterial vascular disease. His arterial blood gas (ABG) values are pH = 7.32‚ PaCO2 = 60 mm Hg‚ PaO2 = 50 mm Hg‚ HCO3- = 30 mEq/L. His hematocrit is 52% with normal red cell indices. He is using an inhaled ß2 agonist and Theophylline to manage his respiratory disease. At this clinic visit‚ it is noted on a chest x-ray that R.S. has an area of consolidation in his right lower lobe that is thought to be consistent with pneumonia. Discussion Questions 1. What clinical findings are likely in R.S. as a
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arterial vascular disease. His arterial blood gas (ABG) values are pH = 7.32‚ PaCO2 = 60 mm Hg‚ PaO2 = 50 mm Hg‚ HCO3- = 30 mEq/L. His hematocrit is 52% with normal red cell indices. He is using an inhaled ß2 agonist and theophylline to manage his respiratory disease. At this clinic visit‚ it is noted on a chest x-ray that R.S. has an area of consolidation in his right lower lobe that is thought to be consistent with pneumonia. Discussion Questions 1. What clinical findings are likely in R
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Synchronized Intermittent Mechanical Ventilation Mode/CareFusion Avea Ventilator I have chosen the mode Synchronized Intermittent Mechanical Ventilation Mode because it is one of the modes that is most commonly used in the hospital. I wanted to further understand this mode since it is used as an initial mode setting and is also used to wean patients off the ventilator. I will be going over the taxonomy‚ description of the mode‚ its purpose & use‚ and its advantages & disadvantages. Taxonomy: Volume
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high pressures‚ or pulmonary hypertension (“COPD and heart failure: Symptoms‚ causes‚ treatment‚ and more‚” 2005). Respiratory failure is another lethal complication. The patient experiences hypoventilation and a ventilation-perfusion mismatch because of the dyspnea. When experiencing hypoventilation‚ a patient’s arterial blood gasses should be taken to assess for respiratory acidosis. However‚ unless the emphysema is very advanced‚ the ABG’s are likely to be within normal range. These complications
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