Q1:
What oxygen device:
1. Keep patient on room air, if baby is getting fetal distress, then connect to oxygen source by venturi mask.
Diagnostic test:
1. Continue to monitor FHR.
2. ABG level.
Q2:
1. Nasal prong 2 litre oxygen.( hypocic state stimulate oxygenation)
2. ABG level
3. Chest x ray to rule out barrel chest
Q3:
1. Oxygen therapy by non re breathing mask
Diagnosis:
1. Chest x ray
2. Abg level
Assessment:
1. Closely monitor vital signs
2. Monitor for paradoxical respiration.
3. Assess for internal external bleeding
1) 38 year-old female in labor, contractions 5 minutes apart , cervix 7 cm dilated, first...
1) 47 year-old female, in the Emergency Department for severe pain in back of neck, radiating down L arm and making fingers numb. RR 40, deep breaths, diaphoretic, and very anxious. HR 140, complaining to nurse of feeling faint, never had this pain before, s/p weight lifting and sit-ups, usual exercise routine. After speaking with patient, suddenly patient passes out. What do you initially do?? List the assessments: 2) 55 year-old male, 30 pack year smoking history, COPD/Emphysema patient. •RR...
1) 30 year-old male, construction accident fell 20 feet to the ground. R/O Head injury, internal bleeding, possible fractures. HR 120, RR 36, B/P 90/60, T 98.6 Chest assessment: Paradoxical breathing, R/O flail chest, B/S diminished R side, normal L. Tachypnea, dyspnea noted, O2 Sat 88% on 21% What 02 device? Diagnostic tests? 2) 20 year-old female s/p MVA possible chest trauma •RR 44, HR 124, B/P 160/100, T 98.6 •O2 Sat on 21% 85% •3 hours later RR 24,...
1) 24 year-old female anxiety attack due to exam in RSP-119. HR = 130, RR 32, B/P 130/90, T 98.6 02 Sat on 21% 98% What 02 device? •What diagnostic tests should be ordered? •Follow up assessments? 2) 38 year-old female admitted for R/O pneumonia, complaining of chest pain on r side and persistent coughing •HR 90, RR 24, B/P 125/90, T 103F •B/S fine rales (crackles) @ R base posterior •02 Sat on 21% = 91 % •what 02...
1) 33 year-old male, s/p housefire, R/O possible CO poisioning, RR 36, HR 130, B/P 135/87, T 98.7 •02 Sat on 21% = 89% •1 hour later after 02, ABG = 7.40/40/88/24/95% •Titrate to: •Other possible treatments? •Follow up assessments? Diagnostic tests? 2) 66 year-old male HX of cardiac problems, R/O Pulmonary Edema •HR 125, B/P 160/100, RR 30, B/S bilateral rales •NPC present, accessory muscle use, dyspneic, tachypneic •02 Sat on 21% = 88% •ABG on 21% = 7.35/45/58/28/88%....
M.C. is a 36-year-old female who had a Laparoscopic cholecystectomy. She was under general anesthesia and required a fluid bolus during the intraoperative phase. Post -Op Vitals- 98.8 Temp 86 HR 16 RR 104/65 BP O2 Sat 94% on 4 liters NC Surgical Incisions - 4 small incisions on her abdomen with glue and steri-strips Allergies – none Home medications- Aspirin Metformin Omeprazole Medical History - DM HTN GERD M.C. lives at home with her husband and 3 children between...
M.C. is a 36-year-old female who had a Laparoscopic cholecystectomy. She was under general anesthesia and required a fluid bolus during the intraoperative phase. Post -Op Vitals- 98.8 Temp 86 HR 16 RR 104/65 BP O2 Sat 94% on 4 liters NC Surgical Incisions - 4 small incisions on her abdomen with glue and steri-strips Allergies – none Home medications- Aspirin Metformin Omeprazole Medical History - DM HTN GERD M.C. lives at home with her husband and 3 children between...
M.C. is a 36-year-old female who had a Laparoscopic cholecystectomy. She was under general anesthesia and required a fluid bolus during the intraoperative phase. Post -Op Vitals- 98.8 Temp 86 HR 16 RR 104/65 BP O2 Sat 94% on 4 liters NC Surgical Incisions - 4 small incisions on her abdomen with glue and steri-strips Allergies – none Home medications- Aspirin Metformin Omeprazole Medical History - DM HTN GERD M.C. lives at home with her husband and 3 children between...
please use complete sentences . no bulletpoint answer Patient 1: M.J. is a 40-year-old female who had a mastectomy 3 days ago and has started on chemotherapy for stage 4 breast cancer. M.J. has a central line, a urinary catheter, and the surgical incision. She is alert and oriented. Her skin is flushed and hot to touch. Her vitals are: T 104, HR 110, RR 30, B/P 106/66. Hemodynamics are CO 5, CVP 3. EKG is sinus tachycardia per the...
Group 2 Scenario: C.L. is a 58-year-old female post op day 1 following coronary artery bypass graft (CABG). C.L. has a history of coronary heart disease and angina; she recently had a coronary angiogram, which indicated that she had several blocked coronary arteries. A traditional CABG was scheduled due to the finding of the angiogram. C.L. is transferred to the ICU after surgery with mediastinal chest tubes. Hemodynamic monitoring lines are in place for the first day. After 4 hours...
SCENERIO Mrs. M is a 76-year-old Caucasian female who presented to the emergency department with extreme weakness, shortness of breath and increasing ankle edema which has progressively worsened over the last two weeks. Mrs. M has a history of myocardial infarction 8 years ago requiring stents. In addition, Mrs. M medical history is significant for HTN, DM Type II and Stage 4 Chronic Kidney Disease. Ms. M sees her primary care physician often for adjustments of her diuretics. She notes...