I'm doing a literature review on Hypoplastic Left Heart Syndrome. I'm trying to find the boundary conditions for the Fontan Procedure (Average Flow Rates at the Inlets and Outlets. Pressure and Power Losses)
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I'm doing a literature review on Hypoplastic Left Heart Syndrome. I'm trying to find the boundary conditions for the Fontan Procedure (Average Flow Rates at the Inlets and Outlets. Pressure and Power Losses)
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- While inflating the balloon of a pulmonary artery catheter (PAC) with 1.0 mL of air to obtain a pulmonary artery occlusion pressure (PAOP), the nurse encounters resistance. What is the best nursing action ? a) add an additional 0.5 mL of air to the balloon and repeat the procedure. b) Advance the catheter with the balloon deflated and repeat the procedure. c) Deflate the balloon and obtain a chest x-ray study to determine line placement. d) Lock the balloon in the inflated position and flush the distal port of the PAC with normal saline asapFor a patient receiving a vasoactive drug such as intravenous dopamine, which action by the nurse is most appropriate? a) Monitor the gravity drip infusion closely, and adjust as needed. b) Assess the patient’s cardiac function by checking the radial pulse. c) Assess the intravenous site hourly for possible infiltration. d) Administer the drug by intravenous boluses according to the patient’s blood pressureA nurse is preparing to connect the tubing of an intermittent infusion bag (an antibiotic) to a patient's primary IV line. What should the nurse do first? Select one: a. flush the line using a pulsating method, using force. b. hang the piggyback infusion below the main IV bag. c. wipe the needleless connector port for 15 seconds with an alcohol swap d. flush the IV with heparin to prevent clotting.
- What are the advantages and disadvantages of these three ventiators: Puritan Bennett 980 Series Ventilator, Maquet Servo i, and Nellcor puritan bennett 840 Ventilator System; in terms of 1) quality of patient care,2) comfort, 3)ease of use for practitioner and 4)cost effectiveness?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…The nurse is administering an IV solution that contains potassium chloride to a patient in the critical care unit who has a severely decreased serum potassium level. Which action(s) by the nurse are appropriate? (Select all that apply.) a )Administer the potassium by slow IV bolus.b )Administer the potassium at a rate no faster than 20 mEq/hr.c) Monitor the patient’s cardiac rhythm with a heart monitor.d) Use an infusion pump for the administration of IV potassium chloride
- What are the key considerations for a nurse when preparing a patient for a diagnostic cardiac catheterization?The physician has written an order for meperidine 60 mg and atropine gr 1/150, IM. The meperidine on hand is 100 mg/ml and atropine is 0.4 mg/mL. The two are compatible so you plan to draw up both in the same syringe. How many mL’s of atropine will you administer? When drawing up the above medication, meperidine and atropine, for administration, what is the combined amount of medications ( mLs) to be drawn up in the syringe?A client with pre-eclampsia has given birth to a healthy baby boy. Six hours post-partum, her vitals are as follows: BP 130/80, HR 70, RR 14, 37.2°C. The attending physician would like to keep this client for observation for the next 72 hours. Which of the following findings would the nurse consider the priority when monitoring this client for eclampsia? Question 30 options: a) Systolic BP < 140 mmHg b) Disseminated intravascular coagulation c) Post-partum hemorrhage d) Change in reflexes and onset of headache
- Beth R. (58 kg, 63 years old) is suffering from symptomatic ventricular arrhythmia. She will be started on an oral multiple-dose regimen with the antiarrhythmic mexiletine. The population average values of mexiletine for clearance and volume of distribution are Cl = 0.5 L/h/kg and V = 6 L/kg, respectively. Although a therapeutic range of 0.5– 2 mg/L has been described, avoiding large peak-to- trough fluctuations is recommended. The available oral dosage forms are 150, 200, and 250 mg capsules with an oral bioavailability of 0.9%. Design an appropriate and practical oral-dosing regimen that keeps the plasma concentrations at an average concentration of approximately 1 mg/L, with a peak-to-trough fluctuation of less than or equal to 100% (between 0.75 and 1.5 mg/L). What dosing regimen should be used? A. 150 mg every 6 hours B. 200 mg every 6 hours C. 200 mg every 8 hours D. 250 mg every 8 hoursA 62-year-old client arrives at a community health fair where the nurse is offering blood pressure screenings. Upon assessment, the nurse notes that the client’s blood pressure is 160/96 mmHg. The client claims that their blood pressure is “usually much lower” and they recently started new medication for arthritis. What would the nurse advise the client to do? A. Go get a blood pressure check within the next 15 minutes B. Check blood pressure again in two (2) months C. See the healthcare provider immediately D. Visit the health care provider within one (1) week for a BP checkThe nurse is caring for Mr. Adrian, an 82-year-old man with CHF who has a past medical history of diabetes and renal insufficiency. He is prescribed digoxin (Lanoxin) 0.125 mg IV and then 0.125 mg PO daily. a. What are the therapeutic effects of cardiac glycosides? b. Is this patient at risk for digoxin toxicity? Explain. c. What are the adverse effects of digoxin? Discuss the nursing considerations for digoxin administration.