Justin is the registered nurse that has been given the handover for Kelly Malone’s postoperative care in the surgical unit. Kelly Malone is a 49 female patient who has had a septoplasty and a right ethmoidectomy. Justin is working with Kelly to identify Kelly’s needs in order for Kelly to be discharged from the hospital. Kelly’s postoperative observations were a temperature of 36.2 degrees celsius; heart rate of 68 beats per minute; respiratory rate of 18 breaths per minute, blood pressure of 111 systolic over 73 diastolic millimetres of mercury; oxygen saturation at 93 percent of room air and a self-rated pain score of two out of ten. Kelly has a history of ‘not being able to breathe well through her nose’ and a history of disturbed sleep.
Background Information: Patient R.S. is a 78-year-old male with a background in accounting; his career prior to retirement 13 years ago as an accountant. R.S. was diagnosed with COPD, community acquired pneumonia, impaired gas exchange, TURP and shortness of breath. R.S. appeared to be worn out and exhausted, he was wearing the hospital gown, had a Foley catheter in, two PICC lines bilaterally in the antecubital area, air compression legs wraps bilaterally, and heart monitor and was also wearing oxygen. He was very friendly and cooperative with having to have his vitals taken, medication given, and bed bath done. R.S. spoke in a low, happy voice.
The key point of establishing an evidence clinical practice guideline is for patient well-being and complication preventions. Many patients have suffered of respiratory insufficient, in order to keep these patients alive there must be some types of interventions that supposed to be done to save these patients life. In this case, any patient who had a problem with their respiratory system, or who have a blockage into their airway, they have to be intubated and place them into a mechanical ventilator to protect their vital organ from hypoxia. UMH had set up some health care practice guidelines to any patient who has to go under this procedure at its facility to nurses, physician, and respiratory therapists to protect these patients from any uncertain
Module title: Principles of assessment and management of the acutely ill adult Module Leader: Briege King word limit: 500 student 's name: Hema Elizabeth Philip This particular case study shows the assessment and management of an acutely ill adult who presented to the emergency department. This will explain pathophysiological cause of the illness, the assessment and the treatment given to the patient consent received from the patient and my manager as I am discussing the patients information. I am using mrs.Smith as patients name as I do not want to reveal the patients original name due to the confidentiality(an bord altranais 2012). Mrs.Smith 80 years old female brought by ambulance with complaints of increased shortness of
4.1: Outline the features of good practice in caring for older people, including specific techniques or adaptations relating to their age. For Michael the first key step is to seek his consent on the decision about moving to a home care facility because at the moment he is competent to make a rational decision. Good practice should ensure that the person is competent to take the decision.
So now that he was unable to get IV access, he had to obtain an intraosseous infusion (IO). Upon insertion of the IO, you could hear the drill perforate through the tibia. Through the access, Narcan was administered. The advance support provider then took over to establish an advanced airway. He was asking for certain equipment and I can remember feeling my adrenaline pump through my veins, it was really a mix of
Social and psychological needs for the elderly are no different from people my age, the quest of normal aging is formalized by the activity theory which applies to this completing this assignment. When older people maintain activities they become less isolated and find substitutes for work, friends and family that has passed. Once older people are engage and obtain social networks, social approval, and high self-esteem this enhances their well-being.
SEPSIS/SEPTIC SHOCK - 2013 Brittney Bonsall Xavier University July 27, 2015 Pathophysiology questions (50 points) Adv Nursing questions (85 points) Pharmacology (30 points) CASE PRESENTATION Emergency Department Mr. Roberts, a 72-year-old man, arrived in the emergency department unconscious, with stab wounds to the upper-right abdomen and lower-right chest that were sustained in his home while fighting off a burglar. The paramedics secured two large-bore intravenous (IV) catheters in his right and left antecubital spaces and infused Lactated Ringer’s (LR) solution wide open in both sites. An endotracheal tube was inserted, and ventilation with a resuscitation bag with 100% oxygen was begun. Pressure dressings to both wounds were secured.
Due to the severity of his injuries, and experience discomfort as he tries to eat, or he might not be conscious to eat, and this could affect his nutrient needs and lead to malnutrition and other problems if his health care team don’t try other means of feeding, like Enteral Nutrition and Parenteral Nutrition (DeBrune and Pinna
The anaesthetist removed the ETT and proceeded to place a tight fitted mask on patients face. (REF)She then alerted the team that there was a problem with the patient airway (REF). The mask did not mist up – indicating of no air movement return, there was no carbon dioxide trace on the capnography and the patient oxygen saturation dropped steadily from 100% to 90%. He instigated vigorous jaw thrust to improve oxygenation, and using continuous positive airway pressure(CPAP) to deliver 100% oxygen flow through the breathing bag attached to the anaesthetic machine but all this effort was not having any effect on the ventilation. He then asked my mentor the Operating Department Practitioner (ODP) to administer 50mg/5ml of intravenous Propofol.
When the patient, known as “Louis Williams”, was wheeled in; she was unresponsive and not conscious. Williams was not getting enough oxygen to her body, so Gawande’s unit had to perform tracheostomy. Her oxygen levels were fairly low, and the whole unit was attempting to work quickly and efficiently to get her oxygen levels back up to the normal levels. Gawande especially was working at an exceptionally fast rate.
After dispensing, monitoring, and providing a following evaluation of the medication risk, this gives the physician an accurate representation of how the patient is doing in response to the medication that was prescribed. The alarming facts in Lewis’s case are there were reduced bodily functions such as urination, no bowel sounds, no blood pressure, high respiratory pulse, and initial dehydration that continued throughout. All of these signs should have notified a nurse or medical provider that something was seriously wrong with this child. The patient’s safety in Lewis’s case would have benefited from acknowledging anyone of these significant vitals signs that were not normal signs of a healthy young boy. Patient safety comes from consistent patient observation using vital signs patient monitor equipment, individual patient condition assessments, mandatory daily check-ups and check-ins from a physician, especially with inpatients after any procedure to monitor reactions from prescribed medication, or to monitor any developing progressive conditions before they become an unnecessary