Pb 840 Ventilator Case Study
Today, I learned about three different modes in the PB-840 ventilator. I learned about the different between volume control, pressure control, and SIMV. Also, I review with my instruction the settings and alarms for the mechanical ventilator. During the say, my RT didn’t have many patients to take care. Therefore, another RT decided to give me a case study about a patient that needs mechanical ventilation. He told me that I have to decide what kind of mode and settings to choose for that specific patient. It was really helpful because I learned two formulas that can help me determinate the desired minute ventilation and PCO2. Today, it was not a busy day but it was a good day to review.
Kelly Malone Case Summary
242 Words | 1 PagesJustin 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.
Ronald Bates Case Study
1748 Words | 7 PagesAssessment 2 Short Essay Question -01 Discuss Mr. Ronald bates systemic assessment and priorities of management Mr. Ronald bates presented to the emergency department with shortness of breath (Respiratory rate- 24 breaths/min) and general discomfort (pain score- 4/10) and it was started in the morning and worsens when doing activities. The above presenting complaints lead to a possible cardiac event, so that this presentation would be triaged as category 2. Therefore, medical officer would be notified regrading patient presentation and put Mr. bates to semi fowler’s position in the Emergency bed if this position is comfortable for him. Further primary systemic assessment of the patient starts with an order with an assessment of
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
Annette Nursing Case
1676 Words | 7 PagesAnnette’s reason for admittance at the hospital is an overall weakness, flu-like symptoms, and difficulty with breathing (Prizio, n.d.). She is diagnosed with diabetic acidosis, left upper lobe pneumonia, and a bacterial infection (Prizio, n.d.). Unfortunately, her condition becomes worse. Annette’s right lung collapses, her heart rate is irregular, and she has an episode of unresponsiveness that leads to mechanical ventilation (Prizio, n.d.). Annette has challenges weaning off the mechanical ventilation, which resulted in the placement of a tracheostomy and percutaneous endoscopic gastrostomy tube (Prizio, n.d.).
Targeted Temperature Management Case Study
1588 Words | 7 PagesArterial line kit for continuous hemodynamic monitoring b. Central venous catheter for drug administration c. Ice packs d. Cooling blanket and cooling machine filled with filtered water e. Rectal temperature probe for continuous temperature monitoring f. Sedation/ Neuromuscular blockade g. Mechanical ventilator without heated humidification N5. Baseline nursing assessment6,7,8,9 a. Baseline neurological assessment, including GCS and pupil assessment b. Baseline vital signs (heart rate, blood pressure, SpO2, ETCO2, EEG and cardiac rhythm assessment) c. Baseline skin assessment d. Baseline body temperature e. Baseline blood work: Potassium, Magnesium, Phosphate, Calcium, Glucose, ABG, PTT, INR, platelets, Amylase, AST, ALT, Bilirubin, Alkaline Phosphatase N6.
Synchronized Intermittent Mandatory Simulation
1666 Words | 7 PagesSynchronized Intermittent Mandatory Ventilation (SIMV) mode: SIMV is considered a weaning mode, and the patient is placed on this mode when he or she shows evidence of improvement. In SIMV, the machine delivers a set rate, and the patient is allowed to breathe spontaneously. The patient has more freedom, which means that when he takes a breath, the machine allows him/her to take a breath of his/her own tidal volume. Even though the tidal volume is set in the control panel, it does not kick in the tidal volume because the ventilator senses an inspiratory effort by the patient. Conversely, if the machine does not sense an inspiratory effort by the patient, it will deliver the tidal volume set in the machine’s control panel.
Duo Positive Airway Pressure: A Case Study
517 Words | 3 PagesFor patients with acute exacerbation of COPD to not be intubated. For patients with congestive heart failure, pulmonary edema, and obstructive sleep apnea. Restrictive thoracic disorders and neuromuscular diseases. Cystic fibrosis patients who have acute exacerbation. Hypoxemic respiratory failure and acute respiratory distress syndrome.
Registered Nurse Simulation Reflection
566 Words | 3 PagesIn the beginning of the simulation, my patient was short of breath and verbalized being in extreme pain. My initial intention was to obtain vital signs for a baseline assessment. However being under pressure from the remarks of intense pain, I lost
Assisted Suicide Case Summary
290 Words | 2 PagesGentry and Kellie Moran, LCSWA. The both share the disposition that the patient should be reevaluated in the morning. TACT will contact the patient wife, Caroline, for further information on the patient behaviors. The patient was made aware that he is under IVC and the conditions of that
Dyssynchrony Case Summary
1209 Words | 5 PagesMr. A is admitted to the critical care unit post bowel resection, splenectomy, acute respiratory distress syndrome (ARDS) and patient-ventilator dyssynchrony (PVD). He is an eighteen-year-old African American man who is placed on an IV infusion of Norcuron and Ativan. The major outcomes expected for Mr. A would be for him to be able to wean of the ventilator, be hemodynamically stable, heal adequately, tolerate his diet, have adequate bowel elimination, and be able to adjust to his life with optimal functioning. The problems that are to be manage include, being on the ventilator, being sedated, having an elevated temperature, having a low hemoglobin, post surgical bowel resection, splenectomy, hypoxia and diet intolerance.
Ventilator Associated Phenomenon: A Case Study
1667 Words | 7 PagesThe articles were peer- reviewed and evidance based practice. 3. Finding of the literatures review Ventilator associated pnuemonia and ventilator bundle approach is important aspect in patient safety. Implementation of this bundle has shown to improve less infection of hospital accquired infection among patient with ventilator. One group of authors.(McCarthy,Santiago and Lau, 2008) had done descriptive quantitative research via systematic review of literature using eletronic databased search from 1997 to 2007 and the researchers describes the ventilator bundle interventions had reduced the risk of VAP.
Hepatic Ischema Case Study
455 Words | 2 PagesThe nursing staff could wean the patients’ nitroglycerin drip as well as morphine and versed (drugs used for pain management and a sedative), overnight. After his initial morning assessment by respiratory, nursing, and his physician, respiratory was given the order to assess weaning parameters and perform a spontaneous breathing trial for possible extubation. The patient was breathing over the rate with adequate volumes, with a RSBI of 52. At this time, we placed the patient on pressure support with minimal settings to see what he could do on his own, Pressure Support settings of 10/5, 21% FiO2. This patient well exceeded normal limits and the physician placed the order for extubation.
Anaesthetists: A Literature Review
2486 Words | 10 Pages37% of patients had at least one episode of respiratory rate below 8 breaths per minute. But most of the time it was of very brief duration, and could be reversed by verbal command, light stimulation or by decreasing the target. As the authors identified, failure of sedation was a real possibility, for this reason a controlled environment is critical and skilled
Rehabilitation Nursing: A Case Study
1805 Words | 8 PagesThe physical therapist assistant (PTA) was the first clinician scheduled to work with the client. PTA got the client up to ambulate the halls and was constantly monitoring his effort, but aware enough not to over-exert. The client ambulated from his room to the back hallway, where he took several more steps before returning to his room. Student nurse Kelvin placed a pulse ox on the patient immediately after returning to his room. He recorded the pulse ox reading, and placed the client back on two liters of oxygen via nasal cannula.
Ventilator Support Literature Review
496 Words | 2 PagesThe Richmond Agitation-Sedation Scale and Critical-Care Pain Observation Tool are two of the more widely used scales for patient assessment in the ICU. Of particular difficulty is the assessment and quantification of dyspnea in the ventilated and sedated ICU patient. Dyspnea is well recognized as an area of under treatment in the ICU and the current state of medical science leaves us lacking in more complete understanding. The intensive care respiratory distress observation scale (IC-RDOS) was created to address this area of symptom management. It is a simple tool to use bedside with an online calculator and, to the best of our knowledge, the only scale available to evaluate dyspnea in the intubated patient.
More about Pb 840 Ventilator Case Study
Kelly Malone Case Summary
242 Words | 1 PagesRonald Bates Case Study
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