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.

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. Judith Clayton states in her research, Indwelling

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)

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

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. In my current setting, we do not have a respiratory therapist (RT)

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

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. The harmed muscle either can't unwind appropriately to let the pumping assemblies of the heart, the ventricles, load with enough blood, or it can't contract legitimately to give the ventricles a chance to pump sufficiently out blood.

3. 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.

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.

The capillary nail refill test is a quick test done on the nail bed. It is used to monitor dehydration and the amount of blood flow to tissue. If there is good blood flow to the nail bed, a pink color should return in less than 2 seconds after pressure is removed. There are a few important factors that can reduce the chances of a complication with diabetes Keep your blood pressure and cholesterol under control, don 't smoke, keep close watch on feet. It is important to keep close watch on the blood sugar, and proper administration of medications.

Nursing assistants need to know many things when taking care of someone with COPD. Nursing assistants legally need to know about advanced directives, and living wills. They need to know these things because COPD is chronic and the person under our care may die from the disease. Nursing assistants need to know what the persons wishes are if they do pass.