peripheral 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 taking an inhaled ß agonist and theophylline to manage his respiratory condition. At his clinic visit‚ it is noted that R.S. has an area of consolidation in his right lower lobe thought to be consistent with pneumonia. Discussion Questions 1. In what position would R.S. have the worst ventilation-perfusion matching
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often used by athletes such as wrestlers‚ who need to meet weight restrictions. Many stimulants also have secondary diuretic effect.The main adverse effects of diuretics are hypovolemia‚ hypokalemia‚ hyperkalemia‚ hyponatremia‚ metabolic alkalosis‚ metabolic acidosis and hyperuricemia. Anabolic Steroids- Anabolic steroids‚ technically known as anabolic-androgenic steroids (AAS)‚ are drugs that have similar effects to testosterone in the body. Anabolic steroids can cause many adverse effects. Depending
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abnormalities; thrombocytopenia; altered mental status; renal‚ liver‚ or cardiac failure; or hypo-perfusion with lactic acidosis. Septic shock is defined as sepsis-induced hypotension with lower than 90 mm Hg or reduction by 40 mm Hg or more from baseline in the absence of other causes‚ persisting despite adequate fluid resuscitation‚ along with signs of organ hypo-perfusion‚ such as lactic acidosis‚ oliguria‚ or acute alteration in mental status. The transition from sepsis to septic shock occurs most often
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tidal CO2 production which is an early sign‚ tachycardia‚ tachypnea‚ trunk or total body rigidity‚ masseter (jaw) muscle rigidity after succinylcholine which occurs commonly in children‚ marked temperature elevation (maybe a late sign)‚ respiratory and metabolic acidosis‚ myoglobinuria(MHAUS‚ 2011). If left untreated the patient will experience cardiac arrest‚ kidney failure‚ blood coagulation problems‚ internal hemorrhage‚ and possibly death (slideshare‚ 2010) Nursing Assessment Nurses taking care
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normal adults‚ arterial blood gas levels include PaCO2 36-44 mmHg‚ HCO3- 22-26 mEq/L‚ and pH 7.35-7.45. With that being said‚ RS has increased levels of PaCO2 and HCO3- with a decreased pH level thus leading to the conclusion that RS is in respiratory acidosis. His PaCO2 level is increased because of impaired gas exchange‚ and HCO3-
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most often the result of a bacterial infection‚ but it can also be caused by other types of infection. While septic shock can occur in people of any age‚ it is more common in infants‚ older adults‚ and people who have compromised immune systems. Respiratory failure‚ cardiac failure‚ or any other organ failure can occur. Symptoms of Septic Shock Symptoms of Septic shock include either fever‚ malaise‚ chills‚ and nausea. The first sign of shock is often confusion and decreased consciousness. In
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Biochemical weapons are a major factor in warfare in the upcoming years. These weapons are easy to make‚ efficient‚ and deadly which increases the threat even more if in the wrong hands. Biochemical weapons have been used in the past including World War 1‚ World War 2‚ Iran-Iraq War‚ and acts of terrorism. Many bacterial‚ viral agents and toxins can put public health in risk‚ in the case of biochemical attack. These pathogens‚ if used‚ will pose a huge dilemma with public health and can cost many
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Diagnosis: Heart Failure Defined: “An abnormal clinical condition involving impaired cardiac pumping that results in pathophysiologic changes in vasoconstriction and fluid retention” (Lewis‚ Heitkemper‚ Dirksen‚ O’Brien‚ Bucher‚ 2007‚ p. 821). Risk factors: Increasing age and coronary artery disease are the two main risk factors for heart failure. Heart failure may also develop by other contributing risk factors‚ such as cigarette smoking‚ diabetes‚ high cholesterol‚ obesity‚ and hypertension
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Sepsis; pathophysiology‚ etiology and treatment Abstract To define the disease known as sepsis‚ briefly discuss its pathophysiology‚ etiology‚ signs‚ symptoms‚ and treatments. Outline protocols for sepsis screening‚ early directed goal therapy‚ and to establish the nurse’s role in the process. Sepsis is a complex disease‚ or response to a disease process that can lead to patient mortality rates up to 60%. Gram negative infectious organisms invade the blood stream‚ and activate a systemic
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ASSOCIATE DEGREE NURSING NURSING PROCESS FORM: PART I – ASSESSMENT Student: Date of Care: 3/4/13 Client’s Initial: WB Room # 1011 Occupation: Teacher Age: 59 Sex: F Race: Black Religion: Christian Admission Date: 3/1/13 Primary Language: English Role in family: Widowed from husband Stage in Life Cycle: Generativity vs. Stagnation Surgery date(s) this admission: N/A Chief complaint: Brain Dysfunction/Traumatic‚ closed injury Admission Diagnosis:
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