Mrs Alensi returned to the ward 1 hour ago following a Left sided total knee replacement. She has a morphine infusion running at 1mg/hour for pain relief. 30 minutes ago, her BP was 115/75 and her respirations were 16. You have just checked again and now her BP is 85/55 and her respirations are 10. Describe what actions you would take and medications you anticipate administering and provide rationale.
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- Mrs. Lee is a 70 yr old female admitted for dizzy spells. Her family states she has become a fall risk and are afraid she will fall and hurt herself.Your initial assessment shows an elderly female who looks younger than her stated age. She is alert and oriented, though distracted and complains of a headache. Her blood pressure is 170/98 pulse is 89 and her oxygen saturation is 97% on room air.You leave to get her a glass of water and when you return, you notice she is slurring her words slightly and face appears to be drooping on the right side. What is the most important thing impacting outcome of acute stroke?What are the 5 sudden signs of a stroke?What are some other differential diagnoses that stroke can mimic?A patient is recei-ing an opioid -ia a PCA pump as part of his postoperati-e pain management program. During rounds, the nurse finds him unresponsi-e, with respirations of 8 breaths/min and blood pressure of 102/58 mm Hg. After stopping the opioid infusion, what should the nurse do next? a )Notify the charge nurse b )Draw arterial blood gases c )Administer an opiate antagonist per standing orders d) Perform a thorough assessment, including mental status examinationGF is a regular patient at your pharmacy. His past medical history includes angina, dyslipidemia and hypertension. While picking up his medication this month, he informs you that he had a heart attack last week which was a wake-up call and wants to quit smoking. He reports smoking about 1 pack/day (20 cigarettes) but doesn’t smoke his first cigarette until after he goes to work. Which of the following smoking cessation aids should be avoided at this time? (A) Nicotrol Gum (B) Bupropion (C) Varenicline (D) None of the above
- on 23 May ●●● aut.au1.qualtrics.com Incorrect For which of the following conditions would you immediately Dial 111? (tick all that apply) Unconscious, unresponsive person Shock Surface burns smaller than 1cm Asthma attack, improving with inhaler Arterial Bleeding Head injury - person is drowsy and confused Stroke7.A patient is recei-ing an opioid -ia a PCA pump as part of his postoperati-e pain management program. During rounds, the nurse finds him unresponsi-e, with respirations of 8 breaths/min and blood pressure of 102/58 mm Hg. After stopping the opioid infusion, what should the nurse do next?a )Notify the charge nurseb )Draw arterial blood gasesc )Administer an opiate antagonist per standing ordersd) Perform a thorough assessment, including mental status examinationpatient is 82 year old lives alone and diagnosed with Alzheimer’s disease 6 years ago. In addition to hypercholesteroleamia and hypertension, patient also has permanent atrial fibrillation. Her medication consists of Warfarin, Atorvastatin and ACE inhibitors. She also has a variety of analgesics in her home to help with pain from arthritic kneesQ) With reference to appropriate sources, analyse the use of Warfarin in patients with atrial fibrillation, the risks associated with it, and how to reduce these risks?
- Alcohol consumption Is considered a factor of develop hypertension True .a O False b OMrs. Reyes, 71 years old, while doing household chores has fallen her front steps. She had a large bruise on her right temple and her right face and is brought to the emergency department by ambulance. Upon assessment her vital signs are HR 125; BP 110/76; RR 16; T 37.6°C; and pain 4/10. Document a brief neurologic exam on this patient.A young woman is brought to the emergency department by ambulance after a severe motor vehicle accident. She is unconscious. Her blood pressure is 64/40 mm Hg; heart rate is 150 bpm. She is intubated and is being hand-ventilated. There is no evidence of head trauma. The pupils are 2 mm and reactive. She withdraws to pain. Cardiac examination reveals no murmurs, gallops, or rubs. The lungs are clear to auscultation. The abdomen is tense, with decreased bowel sounds. The extremities are cool and clammy, with thready pulses. Despite aggressive blood and fluid resuscitation, the patient dies. Questions A. What are the four major pathophysiologic causes of shock? Which was likely in this patient? B. What pathogenetic mechanism accounts for this patient’s unresponsiveness? For the cool, pale extremities? C. What forms of hypovolemic shock may have been present in this patient? Why?
- A patient, 50 years old, complainş of sharp paiņs in the region of the heart and legs during a quick waking. He works as the director of a large plant, work is associated with a constant psychoemotional overstrain. Thě patient smokes a lot. On examination: height - 180 cm, weight- 110 kg. The arterial pressure is 180/100 mm Hg, the heart rate is 130 běats / min. Skin of feet cold, pale. Angiography of the vessels of the heart and legs detected a narrowing of the lumen of the arterial vessels and ulceration of their walls as well. Questions: 1. What violation of regional blood circulation in the heart and lower limbs is present in the patient? 2. What disease was the cause of this violation of regional blood circulation? 3. Give the definition of this disease. 4. Indicate the factors of this disease, available to the patient. 5. List the stages of development of this disease, briefly describe each stage. 6. What stage of the disease is observed in the patient? 7. What are the possible…A young woman is brought to the emergency department by ambulance after a severe motor vehicle accident. She is unconscious. Her blood pressure is 64/40 mm Hg; heart rate is 150 bpm. She is intubated and is being hand-ventilated. There is no evidence of head trauma. The pupils are 2 mm and reactive. She withdraws to pain. Cardiac examination reveals no murmurs, gallops, or rubs. The lungs are clear to auscultation. The abdomen is tense, with decreased bowel sounds. The extremities are cool and clammy, with thready pulses. Despite aggressive blood and fluid resuscitation, the patient dies. Questions A. What are the four major pathophysiologic causes of shock? Which was likely in this patient? B. What pathogenetic mechanism accounts for this patient’s unresponsiveness? For the cool, paleextremities? C. What forms of hypovolemic shock may have been present in this patient? Why?A young woman is brought to the emergency department by ambulance after a severe motor vehicle accident. She is unconscious. Her blood pressure is 64/40 mm Hg; heart rate is 150 bpm. She is intubated and is being hand-ventilated. There is no evidence of head trauma. The pupils are 2 mm and reactive. She withdraws to pain. Cardiac examination reveals no murmurs, gallops, or rubs. The lungs are clear to auscultation. The abdomen is tense, with decreased bowel sounds. The extremities are cool and clammy, with thready pulses. Despite aggressive blood and fluid resuscitation, the patient dies. Questions B. What pathogenetic mechanism accounts for this patient’s unresponsiveness? For the cool, pale extremities? C. What forms of hypovolemic shock may have been present in this patient? Why?