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Here Clinical scene------
A 56 year-old man is admitted to the cardiac unit and has been diagnosed as abdominal aortic aneurysm. In light of this, an abdominal aortic aneurysm resection is being considered by his medical team.
- Describe the pharmacologic interventions that will most likely apply to this patient.?
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- I nend help with this question please SITUATION: Mr Chong was brought into Emergency Department (ED) last night by ambulance after collapsing at home. The ED Registered Nurse reported that Mr Chong was alert and orientated to person, time and place on admission. He has global aphasia, left gaze preference, right homonymous hemianopia (field cut), right facial droop, dysarthria, and right hemiplegia. CT angiography showed a left Middle Cerebral Artery (MCA) occlusion (Fig 1). 12-lead ECG showed Atrial Fibrillation (Fig 2). BACKGROUND Mr Chong has a past medical history of Coronary Artery Disease, Coronary Artery Bypass Grafting, Atrial Fibrillation and previous TIA (Transient Ischaemic Attack) three month ago. Mr Chong is retired and independent with activities of daily living. He speaks simple English. Mr Chong lives with his wife and two sons. ASSESSMENT His last Glasgow Coma Scale (GCS) is between 13-14 (disorientated and occasionally confused to time and place) and other vital…Use the information provided to fill out the table ( Anesthesia surgery log ) 1- They will use the information from the attached case https://www.clinvetpeqanim.com/index.php?pag=articulo&art=230 2- HR data = 100 -110-120-100-127-122-127-127-120-110-120-127. 3- RR data = 14-14-12-8-12-14-18-18-18-12-14-18. 4- temperature data = 100-101-99-99. 5-Choose the start and end time of anesthesia 6- Set the start and end time of surgery. 7- Choose time for intubation and extubation. 8- Set the oxygenation data must be between 97% 98-99-100-100-96-97-97-99-95-100-100% in a period of one hour. 9- EtCO2 = 35-38-30-22-40-32-35-38-45-45-40-45 10- sitstolica :97, 117, 110, 121, 120, 120, 106, 120, 132, 154, 120, 110 11-diastolic :69, 77, 50, 75, 70, 80, 71, 80, 87, 93, 80, 80 12-MAP :79-97-89-89 -87 -92-87-93-96- 96-92-87If a patient or loved one has made it very clear that they do not want any extraordinary life saving measures and have signed a DNR, do you feel there is any reason for a doctor or family member to ignore it and do whatever it takes to save their life if they can be saved? Please explain your answer.
- What will pose an ethical issue in these procedures are performed - organ donation ?Clinical reasoning Scenario: A 56 year-old man is admitted to the cardiac unit and has been diagnosed as abdominal aortic aneurysm. In light of this, an abdominal aortic aneurysm resection is being considered by his medical team. Identify your first three priorities for immediate care of this patient in the emergency unit Describe the pharmacologic interventions that will most likely apply to this patient.URN: 9833360 |PATIENT: HERMIONE GRANGER DOB: 15 APRIL 2016 | PAEDS SITUATION: Miss Hermione Granger, a 5-year old girl, was brought in by ambulance accompanied by her mother following a collision with a car whilst riding her bicycle. The collision was at low speed. The injuries she sustained include a suspected fracture of her left tibia and fibula, multiple grazes across her legs and feet, left hip, and shoulder. She has a 5cm laceration on her left elbow. Hermione was wearing her helmet but has sustained a small graze above her left eyebrow. ' BACKGROUND Miss Hermione Granger has no past medical and surgical histories. She lives at home with her parents and a younger brother. Miss Hermione Granger was born at 38 weeks gestation with no neonatal complications. Her immunisation is up to date. ASSESSMENT Her Glasgow Coma Scale (GCS) is 15, moving right upper and lower limbs with mild weakness, mild weakness in left upper limb and severe weakness in left lower limb. Both her…
- A nurse is assisting with the care of a client following an abdominal aortic aneurysm resection. List five (5) actions that will be required to care for this client during the first 4-hours of the postoperative period.Ralph , is 5 months post congestive heart failure (CHF), he is... Ralph , is 5 months post congestive heart failure (CHF), he is confined to a wheel chair due to advanced peripheral neuropathy and foot drop. His care is managed at home by a family nurse practitioner (FNP) who visits once a week and as necessary. On one of her visits, the FNP notes that Ralph has developed a Grade 3 sacral decubitus ulcer, lower extremity edema, and dyspnea while sitting. He is also confused and not oriented to person, place or time. Questions 1. 2. What risk factors for tissue break down are present? Explain in detail, the cellular changes that led to the sacral decubitus, now with necrotic dermal tissue. (Hint: the etiology and pathogenesis of the ulcer from injury to cellular death)The nurse is reviewing the postoperative prescriptions for a client who has just returned from surgery and notes that the surgeon has prescribed lepirudin. Which is this medication prescribed to prevent?
- URN: 9833360 |PATIENT: HERMIONE GRANGERDOB: 15 APRIL 2016 | PAEDS SITUATION:Miss Hermione Granger, a 5-year old girl, was brought in by ambulance accompanied by her mother following a collision with a car whilst riding her bicycle. The collision was at low speed. The injuries she sustained include a suspected fracture of her left tibia and fibula, multiple grazes across her legs and feet, left hip, and shoulder. She has a 5cm laceration on her left elbow. Hermione was wearing her helmet but has sustained a small graze above her left eyebrow. ' BACKGROUNDMiss Hermione Granger has no past medical and surgical histories. She lives at home with her parents and a younger brother. Miss Hermione Granger was born at 38 weeks gestation with no neonatal complications. Her immunisation is up to date. ASSESSMENTHer Glasgow Coma Scale (GCS) is 15, moving right upper and lower limbs with mild weakness, mild weakness in left upper limb and severe weakness in left lower limb. Both her pupils equal and…You are working in the POL this week and have been tasked with ordering new tourniquets. Answer the following questions. How many types of tourniquets are there? Which is appropriate for the POL? How many should you order to get you through the month? Now that you have ordered your tourniquets, you must conduct a quick course for the medical assistants on the proper use of the tourniquet you chose. Provide a 10-step course in how to use and clean the tourniquets (if applicable).A 58-year-old male patient with a history of hypertension and type 2 diabetes mellitus is admitted to the medical-surgical unit with a diagnosis of left-sided congestive heart failure (CHF). He is experiencing dyspnea, orthopnea, and bilateral ankle edema. His current medications include Metformin, Lisinopril, and Furosemide.Upon assessment, the nurse notes an S3 heart sound, jugular venous distention, and crackles halfway up both lung fields. The patient's blood pressure is 158/92 mmHg, heart rate is 102 bpm, respiratory rate is 22 breaths/min, and oxygen saturation is 89% on room air.Which of the following nursing interventions should be prioritized?A) Increase the rate of the intravenous (IV) Furosemide infusion.B) Assist the patient to a high Fowler’s position and administer supplemental oxygen.C) Initiate a sliding scale insulin protocol.D) Increase Lisinopril dosage as per sliding scale.