The nurse is working in the emergency department when the paramedics call in and report that they are in route with Mr. T, who was involved in a motor vehicle accident. He is presently unconscious and receiving supplemental oxygen. Vital signs are BP, 110/68; HR, 100; RR, 10; and shallow, T. 98°F. a.
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In this case, the nurse should get additional information from the paramedics which helped to arrange medical necessities before the arrival of the patient and for timely treatment. The nurse should get adequate information about
The nurse is working in the emergency department when the paramedics call in and report that...
The next day, the nurse notices that Mr. T has marked hypoxemia, which is not responding to increased levels of oxygen. A chest x-ray is obtained, which reveals diffuse bilateral infiltrates. He is diagnosed with ALI/ARDS. 6. What is the pathophysiology associated with ALI/ARDS (provide a specific process, start to finish)?
Case Study, Chapter 8, Disorders of Fluid, Electrolyte, and Acid–Base Balance A nurse has just been assigned to care for three patients: A, B, and C. Selected lab work for each patient is listed below. Patient A Patient B Patient C Na+ 138 mEq/L 142 mEq/L 148 mEq/L K+ 5.1 mEq/L 6.1 mEq/L 3.8 mEq/L Ca+ 8.9 mg/dL 7.5 mg/dL 9.5 mg/dL Mg+ 1.3 mg/dL 0.9 mg/dL 2.1 mg/dL pH 7.40 7.32 7.42 PCO2 42 mm Hg 48 mm Hg...
ear-old, 6-foot-tall man presented to the emergency department with a 2-0da A 45-y of fever and productive cough with copious amounts of brown spuay history hemodynamically stable with a blood pre showed a right middle lobe infiltrate, and his room air arterial blood gas (ABG) is as follows: pH 7.32; Paco2 32mmHg (HCOs) 18 mEq/i; (mEqL), and Pao2 78mm Hg. He was started on antibiotics and ssure of 130/87 mmHg. His chest radiograph admitted to the floor. Four hours later,...
A 45-year-old, 6foot-tall man presented to the emergency department with a 2-day of fever and productive cough with copious amounts of brown sD hemodynamically stable with a blood pre nt with a 2-day history sputum. He was ssure of 130/87 mm Hg. His chest radio ed a right middle lobe infiltrate, and his room air arterial blood gas (ABG) is as show follows pH 7.32; PaCO2 32 m rnHig (НСО,-) 18 mEq/L; (mLg/L), and Pao2 78 nm Hg. He started...
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...
History: Mr. Dan Griffith is a 65 year old male who presented to the emergency department with shortness of breath and chest tightness of recent onset. He has a 7 year history of COPD and is on oxygen at home. Physical assessment reveals a respiratory rate of 32 and slightly labored, temperature of 98.9, and SpO2 of 86% while on oxygen via nasal cannula at 2 L/min. Question: Mr. Griffith is admitted to the pulmonary unit with acute exacerbation of...
Calvin Cooper is an 87-year-old male, brought to ER 9 days ago by paramedics after several falls at home. Initial vital signs on Mr. Cooper were: temp 99.1° F, HR 92, B/P 145/82, RR 24, O2 sat 98%, Pain 0 (on scale 0-10). The nurse completed an assessment on Mr. Cooper and documented the following exceptions to normal findings: patient has bilateral hearing aids, confused and forgetful at times, orientated x 2, diminished breath sounds at bases, bilateral swelling or...
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...