had supraventricular cardiac arrhythmias‚ including atrial fibrillation and atrial flutter. The cardiology staff utilized intravenous medications that controlled the cardiac rate‚ adequately resolving these cardiac issues. I managed the patient’s ventilator in intensive care status along with my respiratory therapy team. Unfortunately the patient developed multiple infections‚ hospital acquired‚ including Klebsiella pneumonia infection and
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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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Nursing – a profession demonstrating nobility‚ unconditional love and holistic care. It is just more than a job; it is a profession that is enriched with opportunities for those who wants to make a difference and return something constructive back to the society. This profession has a variety of roles to offer and to work with a wider range of people. The profession breeds an innate desire to help people with the need. Not only transforming health care facilities round the globe‚ a nurse makes a
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multiple right upper and middle lobe‚ as well as left lower lobe bullae; which was markedly visible on the CT scan of the chest. Serum alfa-1-antitrypsin was negative. She revealed that she was delivered prematurely at the age of six months needed ventilator support for the first four months of life. Her PFTs upon initial presentation revealed increased residual volume and total lung capacity with FEV1/FVC ratio of 70. She underwent bullectomy of the right middle and left lower lobe‚ along with parietal
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Every day we are faced with decisions. “Choosing meaning and making decisions creates the who we are becoming.” (Pilkington‚ Jonas-Simpson‚ p.9) Not all decisions are life changing but have significant meaning and impact the future of our lives. Whether the decision is as minute as what to eat for breakfast or life changing regarding intubation if in respiratory distress. These decisions can be based on fear‚ prior knowledge‚ gathered information‚ values‚ and the quality of life we choose to
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A book is a beautiful thing. They give us sanity and imagination. Books take us to a place of many wonders. So why get rid of them? The beloved author Ray Bradbury creates a New York Times bestseller Fahrenheit 451‚ a fictional future when books are outlawed and burned. The book shows how absent-minded humans can be without books. How unimaginative we are without them. Another author‚ Bernard Malamud‚ once wrote a story named A Summer’s Reading. This story talks about a young man who has dropped
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ethical responsibilities to patients and‚ in the broader sense‚ to society” (Lachman‚ 2009‚ p. 87). The other day a senior nurse‚ we will refer to Nurse X‚ on out unit was assigned to care for a young patient in her 40’s‚ she is trached and on a ventilator with multiple surgical problems and complications. This patient has been on our unit since late September of this year. At 0300 and we see this patient‚ which we will name Jane Doe‚ respiratory rate in the 60’s‚ systolic blood pressure in the
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center‚ three days in a row and being responsible for fifteen patients while working with a Licensed Practical Nurse or a Certified Nurses Assistant. During that time I worked on a medical-surgical/telemetry floor where we also had patients on ventilators. Nurses were not able to provide proper care for their patients‚ and obtained needle sticks due to
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For many doctors‚ nurses‚ and the general public; the term life support calls up the image of a ventilator. However‚ there are many types of life support -one of them is organ transplanting. As with any other type of life support‚ organ transplantation comes with its share of problems. Today‚ science has made improvement in the field of transplantation to the point that most transplant operations are considered low risked operations. The success rate is high for kidney‚ liver‚ cornea and even
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TREATMENT FOR THE ADVENTURE OF THE SPECKLED BAND I. Now we go back even further in time‚ says Watson‚ to a case that Sherlock Holmes investigated while he and Watson were still together at the 221B Baker Street apartment. It’s early April 1883‚ and Holmes wakes Watson at 7:15am to tell him that a young lady has come to Holmes with a case. Sitting in the room is a lady around thirty‚ dressed in black‚ with a black veil‚ who’s shaking with fear. She is pale and her hair has strands of premature
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