Case Study Acute Respiratory Failure

Congestive Heart Failure Heart failure, also known as congestive heart failure, occurs when the heart no longer pumps blood as it should. With heart failure, the blood moves through the heart and the body at a slower rate. When this happens, the heart's pressure increases, and the heart could no longer pump oxygen and nutrients that the body needs. To avoid further damage, heart failure must be treated immediately. In line with this assertion, this paper will discuss the objective data, current treatments, diagnosis, social history, medical history, diagnostic studies, care plan, and client teaching of congestive heart failure.

The second factor for catheters is the sterile insertion. Lindsey Underwood writes in The effect of implementing Comprehensive Unit-Based Safety Program on Urinary catheter Use, techniques matters. Underwood emphasizes hand hygiene before the procedure, cleaning perineal area, identifying urinary meatus at this time especially if female, prepping kit, using sterile gloves, utilizing drapes, properly cleaning with betadine, and proper insertion. Underwood gives a few tips in her research including: using new kit if the first try is unsuccessful, do not test balloon before inflating because it can cause urethral damage upon insertion, using the smallest catheter as possible, and continuously assessing patient’s catheter. The third factor is care of a catheter.

The nurse coming on shift on the medical unit is taking a report on four patients. What patient does the nurse know is at the greatest risk of developing ESKD? A) A patient with a history of polycystic kidney disease B) A patient with diabetes mellitus and poorly controlled hypertension C) A patient who is morbidly obese with a history of vascular disorders D) A patient with severe chronic obstructive pulmonary disease Ans: B Feedback: Systemic diseases, such as diabetes mellitus (leading cause); hypertension; chronic glomerulonephritis; pyelonephritis; obstruction of the urinary tract; hereditary lesions, such as in polycystic kidney disease; vascular disorders; infections; medications; or toxic agents may cause ESKD. A patient with more than one of these risk factors is at the greatest risk for developing ESKD. Therefore, the patient with diabetes and hypertension is likely at highest risk for ESKD.

The first step towards stopping the chain of infection is to wash your hands properly, building up a lather for at least twenty seconds and rinsing and drying your hands. Furthermore, there are two vital sign changes that I, as a Certified Nursing Assistant, should be aware of. If a patient’s respirations and or pulse are thready and shallow, a nurse should be notified immediately. This could mean that oxygen saturation is being compromised, and

When Mr. C begins to arouse as a result of the anesthesia is wearing off, he started to grimace and his blood pressure shut up above the target level. By applying Kolcaba’s comfort theory I would chose to treat Mr. C’s blood pressure with medications designed only for blood pressure. Now since that I am accustomed to assessing comfort needs, I would recognized that Mr. C’s BP is high suggestive of increase in pain, and I would administer the Morphine as per doctors order. I would place a warming blanket for Mr. C, to ensure he achieve nomorthermia. This close monitoring and intervention of treatment such as for pain represent a comfort intervention that addresses a particular care and it is a relief form of comfort.

Base on the information of above, the nursing care can be as such: daily weight, intake and output chart to observe any fluid retention, oliguria due to hypotension and diarrhea, decreased intravascular volume, and/or impaired cardiac function. Insert IA line for hemodynamic monitoring keep SBP> 90, insert CVP line for medication, watch temperature for fever, heart rate to keep < 120, spo2 keep > 95 in room air, Oxygen therapy necessary and neurological assessment for mental status, pain score, and fluid restriction to 1.5 liters including IV fluid to minimize the risk of pulmonary edema. Avoid IM injection during therapy. Daily blood test for full blood count, fluid & electrolyte, liver function test, renal panel and PT/PTT. Patients should

This can bring about shortness of breath, leg swelling (called edema), and different issues. Furthermore, organs in your body may not get the oxygen and supplements they have to work legitimately. Heart failure is a perpetual (progressing) condition that creates after some time. It is typically created by fundamental conditions, for example, hypertension or coronary illness. These conditions harm your heart, making the heart muscle hardened or thick.

Oxygen humidification bottles, sputum suction bottles should be replaced daily cleaning and disinfection, ventilator pipeline cleaning and disinfection in accordance with the relevant provisions of the implementation. 4. Blu-ray box and warm box should be cleaned daily and replace the wet liquid, one person for use, after cleaning and disinfection. The same child needs long-term continuous use of warm box, should be replaced weekly. The temperature control accuracy within the warm box is ±0.8°C within the target value.

By watching tutorials videos, of course, that walk you through the various steps. Hands-on CPR, for example, can be done to anyone – with the exception of newborns – whose heart stops beating according to the American Heart Association. On the other hand, when performing “Compression-only” CPR, you’ll need to press down on the individual’s chest about two inches at the rate of 100 times per minute until help arrives. Cleaning and Sanitizing a Wound: When it comes to a wound, cleaning and sanitizing can make the difference of it healing properly or becoming infected with harmful bacteria. This meaning that learning how to irrigate an area that’s been affected and properly wrap it afterward will become extremely valuable.

2a - Patient will log her intake for 2 weeks and follow up with a nutritionist (Lifenurses, 2009) 2b - Patient will keep a log of her water intake to make sure she keeps well hydrated each day (Lifenurses, 2009). Evaluations: 1a - Goal met. Patient states a decrease in pain after work shift. 1b - Goal not met. Patient did not wear compression stockings.