Homework Answers
A simple face mask should not be used for COPD patients with less the 5L/min O2 supply.Oxygen flow rate of less than 5L/min may result in patient recreating exhaled CO2, build up in the mask.Rate of flow of O2 can be increased to 5L/min with simple mask.This patient must be closely monitored for it not to reduce from 90%.Arterial Blood Gas(ABG) analysis must be taken frequently.Nasal canula with an O2 flow of 1-2L/min can also.be used.
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3. You are asked to assess a patient with COPD. When you arrive at the bedside, you note that he is receiving O2 at...
4. You are asked to assess a recently extubated patient. Following extubation, she was placed on...
4. You are asked to assess a recently extubated patient. Following extubation, she was placed on a facemask with large-volume air-entrainment nebulizer at 40 % dilution and an O2 flow of 14 L/min. The Spo2 was 88% just prior to your arrival. The physician increased the FIO2 setting to 60 %, and the Spoz is now 84%. When you increase the nebulizer dilution setting 80%, the Spo2 decreases to 82%. How can you explain this clinical response and what would...
Stop and Think: Critical Thinking Activities 1. A patient with severe COPD has a Paco2 of...
Stop and Think: Critical Thinking Activities 1. A patient with severe COPD has a Paco2 of 90 mm Hg and a pH of 7.35. He is using O2 at 2 L/min by cannula and has a Spo2 of 91%. Why is it important that you tell the patient to never increase the O2 flow?
4. You are asked to assess a recently extubated patient. Following extubation, she was placed on a facemask with la...
4. You are asked to assess a recently extubated patient. Following extubation, she was placed on a facemask with large-volume air-entrainment nebulizer at 40% dilution and an O, flow of 14 L/min. The Spoz was 88% just prior to your arrival. The physician increased the FiO2 setting to 60%, and the Spo, is now 84%. When you increase the nebulizer dilution setting 80%, the Spo2 decreases to 82%. How can you explain this clinical response and what would you do...
Question Set 3 You are receiving bedside report on your patient, Fred Hearty, in Room 218. He is being monitored possibl...
Question Set 3 You are receiving bedside report on your patient, Fred Hearty, in Room 218. He is being monitored possible chest trauma after being in a MVA earlier in the day. The nurse giving you handoff report states, “He’s stable and doing all right.” When you perform your assessment at 1930, Mr. Hearty is more restless than you think he should be. His V/S are as follows: 37.3, 112, 28, 130/79, and 95% on RA. He has diminished lung...
You are performing bedside shift report to the night nurse. The patient is a 70-year-old male...
You are performing bedside shift report to the night nurse. The patient is a 70-year-old male with a COPD exacerbation in room 107, named Sam Fire. When he arrived, he was very short of breath and had an SPO2 of 83%. In the ER he was given steroids, nebulizer treatments, and was put on 2L of oxygen on a nasal cannula (which he is still on). In addition to COPD, his history is hypertension and he is a current smoker...
An assessment based on the situation for example for the falls you would assess the laceration,...
An assessment based on the situation for example for
the falls you would assess the laceration, size swelling and amount
of bleeding , around area, assess the ankle for pain scale,
swelling, mobility. Do a complete skin assessment. Assess what they
were doing before fall, going to the bathroom, reaching for
personal item.
SBAR. COPD-4 125% Zoom Add Page Table Chart Text Shape Media Comment SBAR: COPD S: Exacerbation of symptoms. Increased sputum production (thick with yellow color). Increased SOB...
Case Study: COPDPlease complete below.CASE STUDY THE PATIENT WITH COPD Use a separate sheet...
Case Study: COPDPlease complete below.CASE STUDY THE PATIENT WITH COPD Use a separate sheet of paper to answer the questions in this Case Study. Answer guidelines for this Case Study are available on your Evolve website at http:/levolve. elsevier.com/Iggy/ in the "Prepare for Class" folder.The 72 -year-old patient is being evaluated in his home by the home health nurse. He was admitted to the hospital for an exacerbation of his COPD and discharged 2 days ago. He states, "I feel a...
1. Joe Clark, 79 years of age, is a male patient who is receiving hospice care...
1. Joe Clark, 79 years of age, is a male patient who is receiving hospice care for his terminal illnesses that include lung cancer and chronic obstructive pulmonary disease (COPD). He developed bilateral pleural effusion (fluid that accumulates in the pleural space of each lung), which has compromised his lung expansion. He states that he is short of breath and feels anxious that the next breath will be his last. The patient is admitted to the hospital for a thoracentesis...
The patient is a 64 year old man with COPD who lives with his wife of...
The patient is a 64 year old man with COPD who lives with his wife of 35 years. He retired 2 years ago when his disease interfered with his job as a carpenter. He also quit smoking about a year ago. Since then, his disease has remained stable; however, he now reports that he thinks his wife is preparing for widowhood by taking over all the home chores that he always performed including driving and bill paying. Limiting his interaction...
of COPD is admitted to the emergency department with A 66-year-old male with a history of...
of COPD is admitted to the emergency department with A 66-year-old male with a history of COPD is admitted to the emers shortness of breath. He is not currently taking any medication for his breathing. Th states that he usually gets short of breath only upon exertion, but he developed several days ago that made his breathing worse. He has been placed on Oxygen The n placed on oxygen. The doctor wants him to have breathing treatments. a) What medication,...
4. You are asked to assess a recently extubated patient. Following extubation, she was placed on a facemask with large-volume air-entrainment nebulizer at 40 % dilution and an O2 flow of 14 L/min. The Spo2 was 88% just prior to your arrival. The physician increased the FIO2 setting to 60 %, and the Spoz is now 84%. When you increase the nebulizer dilution setting 80%, the Spo2 decreases to 82%. How can you explain this clinical response and what would...
Stop and Think: Critical Thinking Activities 1. A patient with severe COPD has a Paco2 of 90 mm Hg and a pH of 7.35. He is using O2 at 2 L/min by cannula and has a Spo2 of 91%. Why is it important that you tell the patient to never increase the O2 flow?
4. You are asked to assess a recently extubated patient. Following extubation, she was placed on a facemask with large-volume air-entrainment nebulizer at 40% dilution and an O, flow of 14 L/min. The Spoz was 88% just prior to your arrival. The physician increased the FiO2 setting to 60%, and the Spo, is now 84%. When you increase the nebulizer dilution setting 80%, the Spo2 decreases to 82%. How can you explain this clinical response and what would you do...
An assessment based on the situation for example for
the falls you would assess the laceration, size swelling and amount
of bleeding , around area, assess the ankle for pain scale,
swelling, mobility. Do a complete skin assessment. Assess what they
were doing before fall, going to the bathroom, reaching for
personal item.
SBAR. COPD-4 125% Zoom Add Page Table Chart Text Shape Media Comment SBAR: COPD S: Exacerbation of symptoms. Increased sputum production (thick with yellow color). Increased SOB...
Case Study: COPDPlease complete below.CASE STUDY THE PATIENT WITH COPD Use a separate sheet of paper to answer the questions in this Case Study. Answer guidelines for this Case Study are available on your Evolve website at http:/levolve. elsevier.com/Iggy/ in the "Prepare for Class" folder.The 72 -year-old patient is being evaluated in his home by the home health nurse. He was admitted to the hospital for an exacerbation of his COPD and discharged 2 days ago. He states, "I feel a...
of COPD is admitted to the emergency department with A 66-year-old male with a history of COPD is admitted to the emers shortness of breath. He is not currently taking any medication for his breathing. Th states that he usually gets short of breath only upon exertion, but he developed several days ago that made his breathing worse. He has been placed on Oxygen The n placed on oxygen. The doctor wants him to have breathing treatments. a) What medication,...
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