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What are 3 interventions with rationale for a patient with imbalanced nutrition due to lung cancer.
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- What are 3 interventions with rationale for a patient with impaired gas exchange, acute pain, and imbalanced nutrition due to lung cancer.CASE STUDY SCENARIO Mr. Zane is a 65 –year-old African Canadian male from Brampton, Ontario, Canada. He came to the Emergency Department with his wife of 30 years. Mr. Zane was sent to the Emergency Department by his primary healthcare provider because “he has not been feeling well” for the past few days. He describes a fullness in his head and chest without any associated symptoms. His medical history is pertinent only for primary hypertension, and he states that he ran out of his medication two weeks before he started experiencing symptoms. Physical examination reveals an anxious man with a BP of 230/130 mm Hg and a heart rate of 108 beats per minute. Respirations are elevated at 22 breaths per minute. No papilledema is seen on funduscopic examination. Lungs have bilateral crackles, one quarter up from the bases. Cardiac examination reveals a regular tachycardic rhythm with normal S1 and S2. Jugular venous pressure is normal but demonstrates sustained fullness with abdominal…Identify appropriate indications for anticoagulation as define by the latest CHEST recommendations. INR goal range of 2-3 for all indications, except 2.5-3.5 for MVR and APS with recurrent thrombosis on warfarin. INR goal of 2-3 for all indications except 2.5-3.5 for MVR INR goal range of 2-3 for all indications except 2.5-3.5 for Factor V Leiden. INR goal range of 2-3 for all indications except 2.5-3.5 for AVR and APS with recurrent thrombosis on warfarin
- FATIGUE CASE STUDY is a 34-year-old mother of two children: a 10-year-old and a lively 6-year-old. Her husband is very supportive. J. was diagnosed with colon cancer 4 years ago and was treated with resection, colostomy, and radiation treatments. Unfortunately an abdominal CT scan performed 1 year ago revealed liver metastases. Chemotherapy failed to help, and J. knows that her time is limited. She is determined to be at home for as long as possible. Problems with pain and nausea are under reasonable control. The clinician visits J. at home one afternoon. Her husband has taken the children out to a movie and J. begins by saying that she is feeling “exhausted.” She adds that she has not been sleeping at night or, rather, has to wake up to take her pain medication every 4 hours. WHAT ARE YOUR PHYSICAL FINDINGS? WHY DOES J HAVE FATIGUE? WHAT ARE THE INFLUENCING FACTORS? WHAT ARE YOUR NURSING PROBLEMS AND WHAT WOULD YOU DO TO HELP CORRECT J’S SIGNS OF FATIGUE? MEDS? INTERVENTIONS? WHAT…Please need help with this question .Orders arrived at the same time on the following patients: Halann Burger: UA with C&S Suzie Que: Theophylline peak and trough, oral dose - slow release prep, 3.75 hours ago Phishan Chipps: CBC STAT Schweet Cheeks: Fasting glucose How will you prioritize the patients listed above and why
- b. What is her CrCl? 4. J.C., a 70 year old male (5'8", 100 kg) is to begin Vancomycin (along with Zosyn and Levaquin) for broad-spectrum coverage for pneumonia (moderate infection with goal AUC 500-600). WBC=13.8, SCr=0.9 mg/dL. Using AUC dosing, please come up with a dosing regimen that is appropriate for JC. a. What is the dosing weight? CrCl ? b. What LD & MD & interval would you recommend? c. When should you order a vancomycin trough for J.C? Now, lets adjust his dose Assume his initial dose was 1750mg g 12h scheduled at 0900 & 2100. Assume his doses were given on time. The hospital policy required an infusion time of 2hr. The peak was 45ug/ml drawn after the 4th dose at 1230, 3.5hr after the start of the infusion. The trough level was 21ug/ml drawn at 2030, 11.5hr after the 4th dose. How would you adjust the dose? a. Calculate the patient specific k b. Calculate Cmax & Cmin c. Calculate the AUC d. Calculate patient specific Vd e. Calculate new dosing interval f. Calculate new…不 K- 4. 1 2 https://allsaintsuniversity.instructure.com/courses/1437/external_tools/retrieve?display-full_width&url=https%3A%2F%2Fallsaintsuniver... ☆✩ 31 4. 5 6 7 01:07:11 Time Remaining > 3 1 point Two key components the RN must observe in the responding stage of stage model is goal and patient response outcome and patient response and outcome and nurse intervention Previous Finish update Return Next -00 NexCASE STUDY SCENARIO Mr. Zane is a 65 –year-old African Canadian male from Brampton, Ontario, Canada. He came to the Emergency Department with his wife of 30 years. Mr. Zane was sent to the Emergency Department by his primary healthcare provider because “he has not been feeling well” for the past few days. He describes a fullness in his head and chest without any associated symptoms. His medical history is pertinent only for primary hypertension, and he states that he ran out of his medication two weeks before he started experiencing symptoms. Physical examination reveals an anxious man with a BP of 230/130 mm Hg and a heart rate of 108 beats per minute. Respirations are elevated at 22 breaths per minute. No papilledema is seen on funduscopic examination. Lungs have bilateral crackles, one quarter up from the bases. Cardiac examination reveals a regular tachycardic rhythm with normal S1 and S2. Jugular venous pressure is normal but demonstrates sustained fullness with abdominal…
