You measure the vital signs for Mr. Yazdani, a client you are caring for. His oxygen saturation is 87% on room air. Mr. Yazdani does not appear to be in any distress and denies having any pain or shortness of breath. You see in his previously charted vitals that the saturation was 86%. You have two other clients who require your attention, including one who has been waiting for a shower. What will you do next?
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- At 11 p.m., a patient is admitted to the Emergency Department (ED) with a respiratory rate of 44 breaths/minute and SaO2 85%. They are anxious with audible wheezes. The patient is immediately given nebulised Salbutamol follow by oxygen via face mask and Hydrocortisone intravenously (I.V). 1. Explain the reason for Intravenous (I.V) HydrocortisoneA event At 11 p.m., a patient is admitted to the Emergency Department (ED) with a respiratory rate of 44 breaths/minute and SaO2 85%. They are anxious with audible wheezes. The patient is immediately given nebulised Salbutamol follow by oxygen via face mask and Hydrocortisone intravenously (I.V). 1. Explain the reason for Intravenous (I.V) Hydrocortisone.Your patient is la 38-year-old female who just returned from a long business trip in Japan. She states the only medication she uses is a daily vitamin, Tylenol PRN and oral contraceptive. She is now complaining of sharp chest pain and "trouble breathing". Her vitals are as follows: BP 136/90 P:110 R:22 Sp02 90% on 15Imp of oxygen via NRB. Given this information, which of the following is the most likely cause of her symptoms:?a. Acute Pulmonary Edema b. Pulmonary Embolism c. Myocardial Infarction d. Tylenol overdose
- Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of chronic obstructive pulmonary disease (COPD). Today, he presents to the emergency department with reports of shortness of breath and difficulty breathing. He in respiratory distress with retracting respirations of 26 breaths/min, BP is 154/76 mm Hg, pulse is 120 beats/min, and temperature is 37°C. His skin color is pale gray, his chest is barrel-shaped, and he uses accessory muscles to breathe; he appears anxious and is sitting in a tripod position. His nail beds are bluish in color; his oxygen saturation by pulse oximetry is 72%. Chest auscultation reveals wheezes and decreased-to-absent breath sounds in bilateral bases. Hyperresonance is noted upon chest wall percussion. Chest x-ray showed atelectasis bilaterally in the bases. Mr. Ritter coughs with minimal amounts of clear sputum. (Learning Objectives 5 and 8) What is the pathophysiology related to this disease process in the aging…Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of chronic obstructive pulmonary disease (COPD). Today, he presents to the emergency department with reports of shortness of breath and difficulty breathing. He in respiratory distress with retracting respirations of 26 breaths/min, BP is 154/76 mm Hg, pulse is 120 beats/min, and temperature is 37°C. His skin color is pale gray, his chest is barrel-shaped, and he uses accessory muscles to breathe; he appears anxious and is sitting in a tripod position. His nail beds are bluish in color; his oxygen saturation by pulse oximetry is 72%. Chest auscultation reveals wheezes and decreased-to-absent breath sounds in bilateral bases. Hyperresonance is noted upon chest wall percussion. Chest x-ray showed atelectasis bilaterally in the bases. Mr. Ritter coughs with minimal amounts of clear sputum. (Learning Objectives 5 and 8) Nursing Diagnosis 1: Goals: (Expected Outcome, long and short term)…Oxygenation Ms Era Singh is a 39-year old secretary who was admitted to the hospital with an elevated temperature, fatigue, rapid, labored respirations; and mild dehydration. The nursing history reveals that Ms Singh has had a “bad cold” for several weeks that just wouldn’t go away. She has been dieting for several months and skipping meals. Ms Singh mentions that in addition to her full-time job as a secretary she is attending college classes 2 evenings a week. She has smoked one package of cigarettes per day since she was 18 years old. Chest x-ray confirms pneumonia. The care plan appropriately focuses on the acute care of this client. Once she is significantly improved, the nurse will perform discharge teaching. What areas should be included? It appears that the client’s sputum has not been cultured. In caring for this client, what infection control guidelines would be needed? Ms Singh’s oxygen order is for a face mask at 6 L/min. She repeatedly pulls it off and you find it lying…
- A patient is undergoing surgery under general anesthesia. The anesthesiologist is using an inhalational anesthetic agent with vecuronium to augment skeletal muscle relaxation. After the surgical procedure, the anesthesiologist wants to use a drug so the patient can resume breathing on their own and be weaned off the ventilator. Which of the following drugs is the best for quick recovery in this patient? Answers A - E A Atropine B Dantrolene C Neostigmine D Sugammadex E Succinylcholine OSylvia Gaylord works as a paralegal on the 12th floor of a tall glass-and-steel monument to modern architectural technology. On a clear days,views are spectacular. From her cubicle, Sylvia 's eye catches the edge of the beautiful blue-and -white skyscraper assembly reaches for her inhaler. Unfortunately this is the third asthma attack she has experienced since she returned from lunch four hours ago-her asthma is really bad today. But if she leaves work early again her boss will write her up for it. Sylvia concentrates on breathing normally. Her roommate, Kelly, is a respiratory therapist at the county hospital. Kelly says Sylvia 's asthma attacks are probably triggered by city's high level of air pollution and high levels of pollen. That can't be true. They both run in the park every morning before work, and Sylvia rarely needs to use her inhaler then.Her problems start when she gets to work. The wheezing and coughing were so bad today that by the time she got up the elevator and…https://www.youtube.com/watch?v=t0IngUYN2OA https://www.youtube.com/watch?v=pPxnIh_WTb8 1) Identify three positions of the patient to obtain a BP. 2) What problems can result from high blood pressure Or (HYPERTENSION)? 3) What problems can result from low blood pressure OR (HYPOTENSION)? 4) What IS the effect of exercise on BP? How does the body benefit from this change in BP during exercise? 5) How would the BP of an anxious patient visiting a doctor be different than if the patient is calm? 6) In atherosclerosis, plaque builds up inside the arteries. How would this affect BP? Is this an example of hypertension or hypotension? Part 2: The circulatory system has 5 functions. · Highlight the statements below that are only functions of the circulatory system. It carries cells that help to fight diseases. It gives structure and support to the body. It carries waste products to the urinary system. It carries carbon dioxide from cells…
- A client is diagnosed with polycythemia vera and has a hemoglobin of 19g/dL. Which of thefollowing statement indicate the client understand the teaching provided?a. “I should keep my lower extremities in a dependent position.”b. “I should limit my fluid intake to 1-2 liters per day.“c. “I should wear constrictive clothing and support stockings.”d. “I should use an electrical razor and soft bristled toothbrush.Mrs. Jones, a 59-year-old white female greeted you at the door with complaints of shortness of breath after cleaning her dusty closet. You are seeing her for a home visit because she was just discharged from the hospital for exacerbation of her chronic obstructive pulmonary disease (COPD). She had similar symptoms approximately a week and a half ago from an exacerbation of her COPD. Mrs. Jones past medical history is significant for coronary artery disease, myocardial infarction, COPD, hypertension, peripheral vascular disease, tobacco usage, and obesity. You heard wheezing on expiration when you auscultated her chest. The patient has two metered dose inhalers (MDI) prescribed to her- Proventil inhaler 2 puffs every 4-6 hours and Beclomethasone Dioprionate inhaler two puffs, once daily. Her other medications aside from the MDI's, include hydralazine 50 mg by mouth, 3 times per day, hydrochlorothiazide 25 mg by mouth daily, aspirin 81 mg by mouth daily, clopidogrel 75 mg by mouth daily,…Stan has poorly controlled chronic obstructive pulmonary disease and has suffered from frequent bouts of aspiration pneumonia. During your clinical evaluation at bedside, you notice that Stan is on oxygen and exhibits a rapid breathing rate. He complains of dyspnea, or air hunger, during tidal breathing that worsens upon physical exertion. Stan also complains that his dyspnea worsens during meals. Given Stan's history of frequent aspiration pneumonia, what reason might consider as a primary cause?
