Pathophysiology Question (85 Points)
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. A 5-cm stab wound to his right lower chest and a 7.5-cm stab wound to his …show more content…
Monitor the heart rate and pattern Mr. Roberts has already developed sinus tachycardia with short runs of ventricular tachycardia, ST-segment elevation, T-wave inversion, and the development of Q waves over most of the anterior V leads on his electrocardiogram. The ST-segment elevation and the T-wave inversion indicate a possible Myocardial Infarction The low serum levels of potassium due to fluid shifting back to the intracellular compartments, the myocardium excitability increases resulting in tachycardia and abnormal EKG patterns Monitor fluid status Weight the patient daily This is the most accurate way to determine if the patient is retaining or losing fluid Strictly record Intake and Output Patient may develop dehydration due to all the water shifting to the interstitial spaces Maintain vascular volume Administer either D5W or hypertonic saline solution in order to pull fluids back into the vascular compartment. With lactic acidosis, lactated-ringers may be contraindicated. Monitor blood
Knife Round Monologue
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Analyzing The Death Of Otzi The Iceman '
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Asthmatic Episode Analysis
716 Words | 3 PagesI would also perform a urine test to test for any high levels of proteins lost from the kidney. Part 5 A V/Q scan would show blood flow obstruction (embolism) and the use of the radioactive material would be used to examine the airflow in images. The airflow will be normal but the blood flow will be blocked, this is the V/Q mismatch.
Puffer Fish Dinner Case Study
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Response To Opiates Analysis
556 Words | 3 PagesSo 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
Sepsis Bundle On Mortality Rates: A Case Study
642 Words | 3 PagesThe Effects of Sepsis Bundle on Mortality Rates: Background and Significance Historians in the medical field such as Hippocrates and Pasture have referenced symptomologies associated with sepsis of today (Angus & Van der Poll, 2013). Sepsis received its official definition of severe sepsis and septic shock in 1992; with terminology being based on the accompanying disease processes present (Angus & Van der Poll, 2013). The definition of severe sepsis indicates the presence of organ dysfunction along with sepsis. Additionally, septic shock is related to the presence of hypotension not responding to fluid resuscitation (Cawcutt, & Peters, 2014). A diagnosis of severe sepsis or sepsis shock has an increased risk of patient mortality, length of stay, and a higher probability of long-term disability (Cawcutt & Peters, 2014; Whittaker, et al. 2015).
Little Mary Phagan
1001 Words | 5 PagesThe most serious injury of her face was her scalp was slashed open that was a little bit above the left
Perfusion Case Study
1638 Words | 7 PagesPerfusion : Perfusion is the process of a body delivering blood to a capillary bed in itsbiological tissue. The word is derived from the French verb "perfuser" meaning to "pour over or through"[3]. Tests verifying that adequate perfusion exists are a part of a patient's assessment process that are performed by medical or emergency personnel. The most common methods include evaluating a body's skin color, temperature, condition and capillary refill.
Autonomic Nervous System Case Study
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Severe Brain Trauma
266 Words | 2 PagesOnce she was in the care of Metropolitan Hospital she remained in a coma for 12 days. She suffered from severe hypothermia, severe brain damage, hemorrhagic shock, and loss of 75–80 per cent of her blood from five deep stab wounds and a gash on one of her thighs, and internal bleeding. Her skull had been fractured so badly that her left eye was removed. Her eye socket had been fractured in 21 places, and she had other facial fractures as well.
Forensic Science Case Study
665 Words | 3 PagesIn this case, the victim was found south of where he was initially kidnapped from a few yards away from the road, hidden in the weeds. The pathologist found hemorrhaging on the top of the skull, which was assumed to be from being tossed around in the trunk of Joubert’s car. He also found a total of eleven stab wounds on Eberle’s body. Eight of the stab wounds penetrated the skin, but three of those were less deep. Nine of those eleven stab wounds happened before death.
The Kawasaki Backpack Blower Incident
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Heathcliff Cruz Case Brief
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Hyperkalemia Research Paper Outline
1141 Words | 5 PagesHyperkalemia What is hyperkalemia? Hyperkalemia is the medical term for high serum potassium levels. This is often caused by kidney disease, high dietary potassium intake, increased cell breakdown, insulin insufficiency, and use of certain medications (eg, NSAIDs, beta-blockers). Rapid elevations in potassium or very high potassium levels may produce symptoms such as muscle weakness, paralysis, cardiac arrhythmias, and even death.
Left Ventricle Dysfunction Case Study
1035 Words | 5 PagesBut the blood flow improves when the body is at rest which would cause nocturia. When he goes for an echocardiogram, he was diagnosed with left ventricular hypertrophy. This is due to the heart remodeling mechanism, where the muscle thickens and was triggered by heart when there is an increased in the workload of the left ventricle.[1] There are a few factors that could contribute to the development of Mr. Rowan’s symptoms. First is the age-related decrease in myocardial and vascular responsiveness to β-adrenergic stimulation that further impairs the ability of the cardiovascular system to respond to increased
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