◄ Mail AA 12:05 s-pdx-prod.inscloudgate.net Case Study Shock and Multiple Organ Dysfunction Syndrome 1. A S, is a 77-year-old male patient admitted from a nursing home to the intensive care unit with septic shock secondary to urosepsis. 2. Patient has Foley catheter in place with cloudy greenish, yellow-colored urine with sediments. The nurse removes the catheter after obtaining a urine culture and replaces it with a condom catheter attached to a drainage bag since the patient has a history of urinary and bowel incontinence. 3. The patient is confused, afebrile, and hypotensive. BP 82/44 mm Hg. RR 28 breaths/min and the pulse oximeter reading is at 88% room air. Physician ordered 2 to 4 L of oxygen per nasal cannula titrated to keep SaO2 greater than 90%. The patient responded to 2 L of oxygen per nasal cannula with a SaO2 of 92%. 4. The patient developed diarrhea. His blood glucose level is elevated at 160 mg/dL. The white blood count is 15,000 and the C-reactive protein, a marker for inflammation, is elevated. The patient is being treated with broad-spectrum antibiotics and norepinephrine (Levophed) beginning at 2 mcg/min and titrated to keep systolic blood pressure greater than 100 mm Hg. A subclavian triple lumen catheter was inserted and verified by chest x-ray for correct placement. An arterial line was placed in the right radial artery to closely monitor the patient's blood pressure during the usage of the vasopressor therapy. 1. What predisposed the patient to develop septic shock? 2. What potential findings would suggest that the patient's septic shock is worsening from the point of admission? 3. The norepinephrine concentration is 16 mg in 250 mL of normal saline (NS). Explain how the nurse should administer the medication. What nursing implications are related to the usage of a vasoactive medication? 4. Explain why the effectiveness of a vasoactive medication decreases as the septic shock worsens. What treatment should the nurse anticipate to be obtained to help the patient? 5. Explain the importance for nutritional support for this patient and which type of nutritional support should be provided? Answer

bry Bookmarks Window Help and grade: Case studies SBI3U-EN-01-02-ON-(1-D-0922) 34 Adrive.google.com 3. What evidence supports Aunt Sally's diagnosis? CASE STUDIES FOR UNDERSTANDING THE HUMAN BODY G CASE STUDY 8- Thanksgiving Dinner Distress (dig 4. Once Colin is feeling better, which questions could Aunt Sally ask Colin to help her figure out if she is correct? 5. Cousin Carol said she was sure that Colin was suffering from lactose intoler- ance. She had the same problem, so she was careful to avoid certain foods. a. What is lactose intolerance? CA b. Where in the gastrointestinal tract do you usually digest lactose, and why is the pain in a different location from where lactose would be digested?

Paraphrase using simple words & please don’t use AI for paraphrasing 1. If you have normal blood pressure, your blood pressure is less than 120/80. The first, or “top” one, is your systolic blood pressure. The second, or “bottom,” one is diastolic blood pressure. 2. Elevated Blood Pressure. Elevated blood pressure is blood pressure that is slightly higher than normal. Diabetes,Unhealthy Diet,Physical Inactivity,Obesity,Too Much Alcohol,Tobacco Use ,Genetics and Family History. 3. 10 ways to control high blood pressure without medication:Lose extra pounds and watch your waistline. Blood pressure often increases as weight increases,Exercise regularly,Eat a healthy diet,Reduce salt (sodium) in your diet,Limit alcohol,Quit smoking,Get a good night's sleep,and reduce stress..

Water, Water, Everywhere, But Please Don't Give IV Problem: The treatment of severe hypernatremia can be challenging, especially in patients with preexisting conditions that may seem to limit therapeutic options. Such a situation recently resulted in an ill-conceived decision to give sterile water for injection IV to an elderly patient who had been admitted to an ICU with pneumonia and severe hypernatremia. The physician did not want the patient to receive any further infusions containing sodium. But the patient also was severely hyperglycemic. The physician's concern with giving sodium or dextrose to a patient with high blood sugar led to an order to change the patient's IV to "free water" at 100 mL/hr. "Free water" refers to water not associated with organic or inorganic ions. Because hypernatremia usually results from a deficit of "free water," it's likely that the physician intended to replace this loss when he wrote the order. Water can be replaced orally, however, it should never…