P’s lung is clear on auscultation sound. With inspiration‚ equal chest wall movement was noticed. He is intubated and validated on assist-control with volume control mode. The ventilator settings are tidal volume of 500 mL‚ the respiratory rate of 18 per minute‚ the inspired oxygen concentration (FIO2) of 70%‚ and the level of positive end-expiratory pressure (PEEP) of 10 cm H2O. Sputum via ETT suctioning is clear think moderate
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Two pounds and barely breathing. My mom went into labor three months before she was supposed to have me. I was born on February first‚ 2000 when it should have been May 2000. Immediately the doctors took me and connected me to a ventilator. This was a scary moment in time for my parents but me I was fighting for my life. Keeping me going was the gift of blood transfusions from my father and uncle. A spinal tap is a procedure to collect and look at the fluid surrounding the brain and spinal cord.
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had supraventricular cardiac arrhythmias‚ including atrial fibrillation in atrial flutter. The cardiology staff utilized intravenous medications that controlled the cardiac rate‚ adequately resolving these cardiac issues. I managed the patient’s ventilator and intensive care status along with my respiratory therapy team. Unfortunately the patient developed multiple infections‚ hospital acquired‚ including Klebsiella pneumoniae infection and probable fungemia. Multiple evaluations of the sputum and
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heart and hearing problems. As a result doctors have been resuscitated her few times. Doctors believe that if she stops breathing they should not relieve her because her quality of life would be so poor that it was pointless to put her back on the ventilator that she has no prospect of living. As her family members of charlotte‚ they would wish miracle and believe that she will respond to them. The
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You’re visiting the hospice for the twenty third day in a row‚ the bright flickering of the fluorescents and the squeaking of the linoleum floor greet you as you walk in. You are visiting your great grandmother‚ whose ninety three years old with a broken neck‚ who is unable to speak or eat. She hasn’t talked to you in several weeks due to the feeding tube and has lost the ability to move. She is a hollow shell of the woman she once was and her bright blue eyes have been fading endlessly every day
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Running head: CODE OF ETHICS 1 Code of Ethics Vicki Brinson‚ RN Western Governor’s University Nursing Roles and Values CODE OF ETHICS Code of Ethics 2 Mr. E is a 67-year-old male who has been brought to the emergency department for lung congestion. Mr. E is diagnosed with pneumonia secondary to aspiration and Dr. K has determined that the best course of action is to intubate Mr. E. The nurse on duty discovers that Mr. E has an advanced directive that clearly states he does not want
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Stroke What is stroke? A stroke is a serious medical condition that occurs when the blood supply to part of the brain is cut off. Strokes are a medical emergency and prompt treatment is essential because the sooner a person receives treatment for a stroke‚ the less damage is likely to happen. Ischemic strokes Ischaemic strokes‚ the most common type of stroke‚ occur when blood clots block the flow of blood to the brain. Blood clots typically form in areas where the arteries have been narrowed
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Everyday about twenty-two people die waiting for a life saving transplants‚ which doesn’t make sense then there are so many opportunities for them to be saved. The only thing keeping them from being able to live is that not enough people are registered organ donors. Ninety five percent of people agree that being an organ donor is the right thing to do but only about fifty two percent are actually registered donors. Becoming an organ and/or a tissue donor has no cost the the donor’s family or estate
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come a long way. Numerous life prolonging procedures are available that can extend a person’s life where once they would have expired. Kidney dialysis‚ chemotherapy‚ cardiopulmonary resuscitation (CPR)‚ feeding tubes‚ intravenous hydration‚ and ventilators are but a few of these means for extending one’s life. The choice between quantity versus quality of life is complex‚ and not one that should be left up to chance. In 1990‚ Congress passed the Patient Self-Determination Act (PSDA). According
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1. It will be most important for the nurse to check pulse oximetry for which of these patients? a. A patient with emphysema and a respiratory rate of 16 b. A patient with massive obesity who is refusing to get out of bed c. A patient with pneumonia who has just been admitted to the unit d. A patient who has just received morphine sulfate for postoperative pain C Rationale: Hypoxemia and hypoxemic respiratory failure are caused by disorders that interfere with the transfer of oxygen into the
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