Assignment A 77-year-old man is admitted to the intensive care unit (ICU) from the operating room....
Mr. Smith, a 77-year-old man who was admitted to the intensive care unit (ICU) post- surgery for peritonitis following a perforated colon. Due to your superior intellect nursing skills over the course of a few days, he is stabilized and recovering from sepsis. You are now attempting to wean him off of the ventilator. Questions Describe briefly what you know about the pathophysiology of ARDS and risk factors.
Mr. P. F., a 68-year-old man, is admitted to the medical intensive care unit from the emergency department with respiratory failure and hypotension. His history is significant for type 2 diabetes mellitus, steroid-dependent chronic obstructive pulmonary disease, peripheral vascular disease, and cigarette and alcohol abuse. His medications at home include glipizide, prednisone, and Combivent. In the emergency department he received a single dose of ceftriaxone and etomidate for intubation. On medical examination he is intubated, on pressure-controlled ventilation, and receiving...
Mr. Smith, a 77-year-old man who was admitted to the intensive care unit (ICU) post- surgery for peritonitis following a perforated colon. Due to your superior intellect nursing skills over the course of a few days, he is stabilized and recovering from sepsis. You are now attempting to wean him off of the ventilator. Questions 1. Describe briefly what you know about the pathophysiology of ARDS and risk factors. Unfortunately, on his way home from the hospital he hits a...
SCENERIO: A 77-year-old man who was admitted to the intensive care unit (ICU) post-surgery for peritonitis following a perforated colon. Due to your superior intellect nursing skills over the course of a few days, he is stabilized and recovering from sepsis. You are now attempting to wean him off of the ventilator. Unfortunately, on his way home from the hospital he hits a tree and sustains blunt chest trauma. A chest tube was inserted in the ER to treat a...
A 77-year-old man who was admitted to the intensive care unit (ICU) post-surgery for peritonitis following a perforated colon. Due to your superior intellect nursing skills over the course of a few days, he is stabilized and recovering from sepsis. You are now attempting to wean him off of the ventilator. Unfortunately, on his way home from the hospital he hits a tree and sustains blunt chest trauma. A chest tube was inserted in the ER to treat a pneumothorax...
Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment Within 24 hours...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Marguerite M., an 89-year-old widow, is admitted into the cardiac intensive care unit in Chicago’s Memorial Hospital at 3:00 A.M. on a Sunday morning with a massive heart attack (myocardial infarction). Her internist, Dr. K., who is also a close family friend, has ordered an angiogram to determine the status of Marguerite’s infarction (heart attack). Dr. K. knows that the angiogram and resulting treatment need to be done within the first six hours after an infarction in order to be...