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A respiratory therapist must draw arterial blood from a patient before O2 therapy can be initiated.
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- Your patient is on the respiratory unit at the general hospital. He has been there now for 2 weeks, and his condition is worsening. His main complications are pneumonia, breathlessness, and anorexia. His condition is complicated further as he is diabetic, and his blood glucose levels are fluctuating. He is very weak and he most likely be admitted into the ICU after the change of shift. The doctors are monitoring his input and output, as well as daily electrolytes and blood counts. This morning the potassium level came back very low and potassium chloride (KCl) has been added to his IV. His right lung collapsed this afternoon, and he had a chest tube inserted which is connected to a suction machine. In preparing for the end of shift you need to calculate his 12-hour fluid balance. Here is the information that you will need to complete your task: My Vlad has a continuous IV of NS with 20 meq KCl infusing at 100mL/hr He took in a total of 4 x (6oz) glasses of water 4 oz jello at breakfast…At 11 p.m., a patient is admitted to the Emergency Department (ED) with a respiratory rate of 44 breaths/minute and SaO2 85%. They are anxious with audible wheezes. The patient is immediately given nebulised Salbutamol follow by oxygen via face mask and Hydrocortisone intravenously (i.v) Explain the reason for intravenous (JV) Hydrocortisone. . Provide two (2) nursing interventions with rationales to improve airway clearance and/or improve breathing patternPatient ML, a 63YO male, has been in and out of the hospital due to right lung abscess. Antibiotic regimens have already been exhausted and were futile. Right lung lobectomy is being contemplated. Which lung impression will be totally obliterated after lobectomy has been performed? An electrical linesman has sustained a blunt injury with hematoma formation on the chest wall after electrocution and falling off from suspension on a 12 feet line post. Upon physical examination at the ER, nurse noted diffculty of breathing secondary to inefficient rib elevation upon inspiration. Which of the following muscles are expected to be spared? Patient JZ, 68-year-old woman with uterine carcinoma, undergoes surgical resection. This cancer can spread directly to the labia majora in lymphatics that follow which of the following structures?
- How many beclomethasone inhalers should be dispensed to provide a 90-day supply? The recommended dose is 168 mcg BID. The commercial inhaler delivers 42 mcg per metered-dose and contained 200 inhalations.Respiratory tract damage may be caused by breathing heat or the products of combustion, being bummed by a female or an explosion. True or falseDiscuss why the Valsalva maneuver is not recommended during exercise. Discuss what happens to the body when the breath is held during exercise. Discuss potential solutions that can be taught to clients.
- For this discussion board will be talking about respiratory disorders. You will need to pick one disorder and describe the causes of the disorder or disease. In addition you will need to describe any possible treatment for the disease or disorder and type of preventive measures that could be available to prevent the condition. Please use as much detail as possible.At 11 p.m., a patient is admitted to the Emergency Department (ED) with a respiratory rate of 44 breaths/minute and SaO2 85%. They are anxious with audible wheezes. The patient is immediately given nebulised Salbutamol follow by oxygen via face mask and Hydrocortisone intravenously (I.V). 1. Explain the reason for Intravenous (I.V) HydrocortisoneEight-month-old Elvis is admitted for the first time witha diagnosis of acute bronchiolitis and is managed inside a mist tent. To prevent separation anxiety in Elvis, the nurse plans to: all of the above give Elvis his favorite stuffed animal wipe the tent's wall of moisture allow the mother to lift the tent's wall and help herself inside
- The patient is on non- rebreather mask and the vital parameters are: Temperature- 37.7 degree centigrade Heart rate - 128 beats/ minute Respiratory rate - 25 breaths/ minute Blood pressure - 100/60 mmHg And saturation - 92% The initial survey reveals a patent airway with no evidence of current obstruction. Breathing is tachypneic and regular, with accessory muscle use indicating increased effort. Circulation characterized by tachycardia and mild hypotension. There are 1+ distal pulses bilaterally, and the skin is warm and dry. At the ER, an ECG reveals sinus tachycardia of 129, which resolves without any prior medical management. Sinus at 98 beats per minute. Using the ABC prioritization, identify the life threatening injuries of the patient. Why? A-airway B-Breathing C-circulationThe patient is on non- rebreather mask and the vital parameters are: Temperature- 37.7 degree centigrade Heart rate - 128 beats/ minute Respiratory rate - 25 breaths/ minute Blood pressure - 100/60 mmHg And saturation - 92% The initial survey reveals a patent airway with no evidence of current obstruction. Breathing is tachypneic and regular, with accessory muscle use indicating increased effort. Circulation characterized by tachycardia and mild hypotension. There are 1+ distal pulses bilaterally, and the skin is warm and dry. At the ER, an ECG reveals sinus tachycardia of 129, which resolves without any prior medical management. Sinus at 98 beats per minute. Using the ABC, identify the life threatening injuries of the patient. Why?Because you are worried the patient is in shock, you lay the patient down on the floor and ask your partner to check a full set of vitals while you try to gather some more information. You call for advanced resources, strat to get the patient placed on a nonrebreather mask and the friend of the patient tells you while you are working that the patient is otherwise healthy. They were eating lunch and the symptoms started with her feeling a little short of breath and complaining of a scratchy voice. As you are placing the nonrebreather and doing a primary survey, the patient looks like this: The eyes are swollen and there is a rash to the skin diffusely that the patient nods to say is itchy. Your partner reports the blood pressure is 84/50, the pulse is 130, the respiratory rate is still 40. What do you think is the most likely cause of this patient's shock? Pulmonary embolism Spinal cord problem Infection Anaphylaxis
