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describe fully explain and Analyse the impact of current monitoring and treatment of long-term conditions CF and CHD
2 pages of cf and two pages of chd please thanks
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- Give a rationale for each nursing diagnosis listed below in regards to the scenario attached Jack Soo Park, a 78-year-old man receiving intravenous (IV) therapy with antibiotics, states, “I’m having trouble breathing. “ Vital signs include 156/88, Pulse 105, Respiratory Rate 30, Temperature 98.4F, and O2 Sat of 94% on 2LNC. It just started a little while ago. Physical examination reveals a bounding pulse; distended neck veins; shallow, rapid respirations; and crackles and wheezes in the lungs. Excess fluid volume is suspected. Further checking reveals an IV fluid-administration error that has resulted in overhydration. Nursing Diagnoses -Impaired gas exchange related to disease condition as evidenced by lung sounds. -Risk for excess fluid volume related to overhydration as evidenced by observation. -Risk for electrolyte imbalance related to excess fluid as evidenced by observation. -Risk for blood pressure instability related to reduced cardiac output as evidence for fluid volume…Concept Map which consists of: 1 nursing diagnosis 1 Goal 3 Nursing interventions with rationale evaluation Completed medication cards Mr. S.B. has been a smoker for 20 years. He has noticed increased shortness of breath (SOB) for the past week and is complaining of a productive cough with thick whitish phlegm. VSS 99.9F, 92HR, 32R, and 152/90. Pulse oximetry is 90% on room air. Medications: Prednisone 10mg orally dailyProventil MDI 180mcg. 2 puffs inhaled every 6 hoursBriefly describe why the GCS is more appropriate for TBI assessment in intensive care and other acute care settings, as opposed to inpatient rehabilitation and outpatient rehabilitation settings where the RLA is more appropriate for assessment.
- Analyse the impact of current monitoring and treatment of long-term conditions CF and CHDMention at least five (5) standards and guidelines ONC, NHIN, RHIOs, HIEs, SNOs, RECs, ACOs, and CCHIT establish for EHRs.For each of the following Patient Profiles, determine the most appropriate triage category (red, yellow, green, or black), and why. patient profiles: 1. C/O severe abdominal pain/Arm Lac - conscious - respirations : 16/min - radial pulse : present 2. asthma attack: audible wheezing - tells you his having an asthma attack - respirations : 28/min - radial pulse : present 3. pinned by beam now removed, no feelings in legs - tells you she can't feel her legs - respirations : 18/min - radial pulse : present 4. no obvious injuries - does not respond to commands - respirations : 16/min - radial pulse : present 5. multiple lacerations from glass - tells you he is going to throw up - respirations : 26/min - radial pulse : rapid and thready
- A nurse is caring for a preschooler on the pediatric unit. Exhibit 1 Provider Prescriptions Day 1, 2350: Admit for observation. Obtain vital signs every 4 hr and PRN. Administer oxygen 2 L/min via nasal cannula to maintain oxygen saturation above 95%. Initiate saline lock. Administer ceftriaxone 250 mg IV every 12 hr. Administer acetaminophen oral suspension 240 mg every 4 hr PRN for temperature greater than 38° C (100.4° F). Place on regular diet and encourage oral fluids of preschooler's choice. Monitor intake and output every 8 hr. Exhibit 2 Assessment Day 2, 0030: Preschooler lying on bed, awake and alert. Breath sounds with wheezing auscultated on expiration on the right side. Nonproductive cough with no retractions or nasal flaring observed. Abdomen soft and nondistended, bowel sounds active in all four quadrants. Preschooler reports headache and pain in abdomen. Rates pain in abdomen as a 2 on a 0 to 10 FACES pain scale. Exhibit 3 Vital Signs Day 2, 0030: Temperature 38.1°…Nurse is preparing to administer amoxicilin 30mg /kg/day, devided equaly every 12hr who weights 32 lbs. Available 200mg/5ml. How many ml should nurse administer?Please explain to the understanding of the NSQHS Recognising and Responding to Acute Deterioration Standard. Please provide a detailed example from nursing clinical placement of your application of this standard to your practice (please presente example using the STAR format).
- State and explain the rationale for differences in "Non-invasive monitoring" for adult vs pediatric. [Non-invasive monitoring may include noninvasive BP measurement, pulse oximetry, capnography, and nasopharyngeal and bladder temperature]A 60-year-old male with a known history of chronic obstructive pulmonary disease (COPD) presents to the ED with increased shortness of breath, productive cough, and wheezing. His vital signs are: BP 150/90 mmHg, HR 110 bpm, RR 26 breaths/min, SpO2 88% on room air. What is the first-line nursing management? The first-line nursing management for a COPD exacerbation is to administer ________.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 pattern