responding. Clinical signs when a horse is showing the pain of colic- elevated body temperature: most commonly associated with medically managed colic such as enteritis‚ colitis‚ peritonitis‚ and intestinal rupture‚ elevated heart rate‚ elevated respiratory rate‚ increased capillary refill time and a change in mucous membrane (gum) color‚ change in the degree of gut sounds or different types of sounds‚ pawing at the ground‚ increased attention toward the abdomen‚ including flank watching‚ nipping‚
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daily decision making(Kollef and Schuster‚1994). Classification of scoring systems: (modified after Roberts and Zimmerman‚1995) 1-Disease-specific severity systems e.g.: *Acute myocardial infarction *Acute pancreatitis *Adult respiratory distress syndrome(ARDS) *Liver cirrhosis 2-System-specific severity system e.g.: Glasgow Coma Scale Score(GCS) 3-General severity scoring systems e.g.: *Therapeutic intervention scoring system(TISS) *Acute Physiology and Chronic
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II. HISTORY OF PRESENT ILLNESS Three days prior to admission‚ the patient suffered from fever‚ cough‚ and colds. He didn’t receive any medications or even consulted a physician. One day prior to admission‚ he suffered difficulty of breathing which triggered his parents to bring him to the hospital. They went first in the OPD and he was assessed with (+) head hobbing‚ (+) nasal flaring‚ and (+) rales. He was admitted at the PICU ward for further evaluation. Through the diagnosis
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ADVISORY: Notes from the 2010 FLCC Critical Care Transport Paramedic class as was recorded solely by Marcus LaBarbera- NYS Paramedic. I do not apologize for any spelling or grammar errors‚ lack of completeness‚ or recording errors. These are primarily personal notes but I am offering them to the community as an additional study resource. I will take no responsibility for persons who fail any quiz or test as a result of this document. Always consult the text books recommended specifically by
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Leading and managing is a vast process in nursing. "Leadership is the process of engaged decision making linked with actions taken in the face of complex‚ unchartered or perilous circumstances present in clinical situations for which no standardized solution exists" (Bleich‚ M.R.‚ 2011) Description: I would like to share an incident in my nursing experience where one of my colleagues played a leadership role. I was working in the cardio thoracic and vascular surgery intensive care unit (ICU)
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Waveform capnography to today’s paramedic is what it felt like with the invention of the washing machine becoming available to generations of people who grew up using a wash board. Now that people have a machine to do the work for them‚ they cannot imagine going back to hand washing. The same holds true for capnography. Now having real-time feedback of patient conditions‚ providers cannot conceive going back to the delayed readings of pulse oximetry. The hope for medical professionals is that “60
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Case Study 1: Breast Cancer Situation: The client is a 50-year-old female teacher who was notified of an abnormal screening mammogram. Diagnosis of infiltrating ductal carcinoma was made following a stereotactic needle biopsy of a 1.5 x 1.5 cm lobulated mass at the 3:00 position in her left breast. The client had a modified radical mastectomy with lymph node dissection. The sentinel lymph node and 11 of 16 lymph nodes were positive for tumor. Estrogen receptors and progesterone receptors were
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their condition‚ recognising early clinical deterioration and protection from harm or errors (Rogers et al‚ 2008). For over 100 years‚ nurses have performed this surveillance using the same vital signs: temperature‚ pulse‚ blood pressure‚ respiratory rate and in recent years‚ oxygen saturation (Ahrens‚ 2008). Prompt detection and reporting of changes in these vital signs are essential as delays in initiating appropriate treatment can detrimentally affect the patient’s outcome (Chalfin et
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suspected infection accompanied by evidence of two or more of the SIRS criteria’. SIRS is outlined as a ‘systemic inflammatory response’ consisting of two or more of the following symptoms ‘temperature >38 degrees Celsius or 90 beats per minute‚ respiratory rates greater than 20 breaths per minute and white blood count higher than 12‚000 cells per microliter or lower than 4000 cells per microliter’(Latto 2008). Severe sepsis requires rapid diagnosis and treatment it can be described as ‘the presence
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ACUTE RESPIRATORY DISTRESS SYNDROME Is a clinical syndrome characterized by a sudden and progressive pulmonaryedema‚ increasing bilateral infiltrates on chest x-ray‚ hypoxemia refractory to oxygensupplementation‚ and reduced lung compliance. These signs occur in the absence of left side failure. Patients with ARDS usually require mechanical ventilation with a higher than normal airway pressure. * PATHOPHYSIOLOGY ARDS Occurs as a result of inflammatory trigger that initiates the release of cellular
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