Question

CASE STUDY PROGRESS

After a 3-week stay in ICU, G.S. is being transferred to your unit. The ICU nurse gives you the following report: “She is awake, alert, and oriented to person and place. Both legs remain casted from hip to toe. She can wiggle her toes on both feet. Heart tones are clear, last vital signs were 138/90, 88, 26, 99.3° F (37.4° C); bilateral radial pulses 3 +. All the surgical incisions are healed. She has bilateral chest tubes to water suction with closed drainage, both dressings are dry and intact. She has a duodenal feeding tube, a Foley catheter to down drain, and a left double-lumen PICC line. Urine output is good; urine is clear yellow. Her morning labs are still pending.”

5. What additional information do you need from the ICU nurse?

Neurologic:
CV:
Skin:
Respiratory:
GI:
General:

6. Describe the phase of ARDS G.S. is in.

7. What are the long-term complications of ARDS you need to monitor for in G.S.?

Answer 1

5.additional information needed from the icu nurse regarding respiratory system is her chest x-ray , pulse oxymetry , ABG analysis

6. Now G.S is in recovery phase after the fibroproliferative phase of 3 weeks . In this recovery phase G. S will return to premorbid pulmonary function. First of all we will get the degree of hypoxemia .

7.we have to monitor G.S for abnormal lung

function because in some cases lungs may become permanently damaged and can lead to symptoms such as extreme tiredness , chest pain and shortness of breath during physical activity

Muscle weakness.