Collins was admitted to the hospital for severe cellulitis with diabetes mellitus‚ glaucoma and hypertension. Mrs. Collins was admitted to the hospital for 6 days and received IV antibiotics. During her stay it was discovered that Mrs. Collins has atrial fibrillation and began treatment of Digoxin. It was also suspected that Mrs. Collins contracted MRSA and the physician would like to continue IV antibiotics for an additional 5 days. It is in this setting that case management was contacted to explore
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Chronic Respiratory Failure Shelby Lynch Date of Care: 03/19/2013 Chamberlain College of Nursing NR 340: Critical Care |Assessment |Medical/Nursing Diagnoses |Treatment | |Brief review of the patient |Medical Diagnoses: |Therapeutic Modalities
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during contraction and gap junctions allow ions to pass from cell to cell transmitting current across the entire heart 3. What are the different effects of the PNS and SNS on heart rate? Parasympathetic slows heart rate SNS increases heart rate 4. Atrial hypertrophy would probably have what effect on an electrocardiogram? *spike the p wave 5. What is the function of the papilary muscles? i.e. what do they prevent? pappilary muscle is necessary for the integrity of mitral and tricuspid valve apparatus
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Discussion and Practical Application of Interpersonal Relations in Nursing Theory Hildegard Peplau’s Interpersonal Relations in Nursing‚ published in 1952‚ emerged before the thrust of nursing theory development. Educationally‚ nursing students were discouraged from theoretical learning. Nursing was not considered a profession in 1952. Rather‚ nurses were viewed as physician helpers‚ being called upon based on the physician’s assessment of the patient’s condition and the assistance deemed appropriate
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Title: Safety of clonidine and quetiapine in post-cardiac surgery intensive care unit patients Purpose: Critical care of the cardiac surgical patient is a challenging and dynamic topic that requires a multidisciplinary team to ensure patient safety. Moreover‚ clonidine and quetiapine are commonly used agents in intensive care unit (ICU) settings. However‚ the safety of these agents in cardiac surgery patients is yet to be established. Hence‚ our goal is to assess the safety of oral clonidine and
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collections of data in which each record is stored in a certain format‚ allowing for sorting and organization of such data to generate information and knowledge. Therefore‚ in order to capture information and identify patients at risk for developing atrial fibrillation (AFib) after open heart surgery a database plan will need to be developed. The aim of developing this database plan is for early detection and implementing preventive measures to decrease the prevalence of AFib following open heart surgery
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6. The Mitral valve or tricuspid valve is leaking. The sloshy sound will be heard during the atrial systole. The dub is heard during the ventricular diastole. The chordae tendinae‚ or heart strings‚ support the atrioventricular valve because the heart strings connects the papillary muscles to the tricuspid and mitral valve. 7. The difference between a quintuple bypass surgery and an open heart valve surgery is that the quintuple heart surgery is an open heart surgery‚in which your chest gets crack
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Mrs. S. is an 83 year old woman with multiple medical problems‚ including chronic obstructive pulmonary disease (for which she sees a pulmonologist)‚ atrial fibrillation and systolic heart failure (for which she sees a cardiologist)‚ hypertension‚ diabetes‚ depression‚ and mild dementia. She comes to your provider’s office today with a new list of medications. Her pulmonologist changed her inhaler from one brand/strength to another brand/strength‚ but she is not sure why. Her cardiologist took her
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THE NURSING PROCESS: NURSING CARE PLAN NURSING DIAGNOSIS 2 (Problem; Etiology; Signs & Symptoms) P Decreased Cardiac Output R/T E Atrial Fibrillation and Mechanical Ventilation AEB S – Client on mechanical ventilation. Albumin 1.1 – 2/4/14 – low osmolality in blood – third spacing. Atrial Fibrilation Sluggish Pupil response Blood pressure 97/39 Heart Rate 54 Peripheral pulses diminished PLANNING ____________________________________________________________________________________
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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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