Fundamentals Of Nursing
Fundamentals Of Nursing
9th Edition
ISBN: 9781496362179
Author: Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher: Wolters Kluwer,
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Chapter 43, Problem 5RP
Summary Introduction

To identify:

The essential information that should be documented in the patient’s electronic record to support safe patient care.

Case summary:

Ms. A is a 49-year-old female patient who is an attorney and recently suffered from a major cerebral hemorrhage. As a lawyer, she had an advanced directive prepared that states that she should not give life-support when she is in comatose. According to the physicians and nurses, there is no sign of improvement in the patient. On the contrary, one neurosurgeon suggests that there are some signs of improvement in the patient. The patient’s family arrives and has a two-point of discussion.

Summary Introduction

To discuss:

Any other ways to respond and approach the situation.

Case summary:

Ms. A is a 49-year-old female patient who is an attorney and recently suffered from a major cerebral hemorrhage. As a lawyer, she had an advanced directive prepared that states that she should not give life-support when she is in comatose. According to the physicians and nurses, there is no sign of improvement in the patient. On the contrary, one neurosurgeon suggests that there are some signs of improvement in the patient. The patient’s family arrives and has a two-point of discussion.

Summary Introduction

To discuss:

The action of the nursing student to ensure a successful outcome.

Case summary:

Ms. A is an 49-year-old female patient who is an attorney and recently suffered from a major cerebral hemorrhage. As a lawyer, she had an advanced directive prepared that states that she should not give life-support when she is in comatose. According to the physicians and nurses, there is no sign of improvement in the patient. On the contrary, one neurosurgeon suggests that there are some signs of improvement in the patient. The patient’s family arrives and has a two-point of discussion.

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CATH LAB FUNDAMENTALS I WORKSHEET #6 Patient #1 AO 199/110 M CaO2 ml/L LV 199/24 CvO2 ml/L RA M 16 C.O. L/Min RV 41/16 S.V. ml/beat PA 41/25 M C.I. L/Min/M2 PAW M 24 S.I. ml/beat/M2 Hgb 15.1 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 71% P.V.R Dynes/sec/cm³ AO Sat 96% BSA M² HR 61 BPM 02 Cons. Ht 216 ml/min 4_ft_11_in Wt. _171_lbs Patient #2 AO 101/62 M CaO2 ml/L LV 101/12 CvO2 ml/L RA M 5 C.O. L/Min RV 20/5 S.V. ml/beat PA 20/10 M C.I. L/Min/M2 PAW M 12 S.I. ml/beat/M2 Hgb S.V.R Dynes/sec/cm³ Hct 43% T.P.R Dynes/sec/cm³ PA Sat 75% P.V.R Dynes/sec/cm³ AO Sat 97% BSA M² HR 68 BPM O2 Cons. 235 ml/min Ht _5_ft_5 in Wt. 145 lbs
CATH LAB FUNDAMENTALS I WORKSHEET #5 Patient #1 AO 112/63 M CaO2 ml/L LV 112/12 CvO2 ml/L RA M 8 C.O. L/Min RV 25/8 S.V. ml/beat PA 25/13 M C.I. L/Min/M2 PAW M 13 S.I. ml/beat/M2 Hgb 14.8 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 76% P.V.R Dynes/sec/cm³ AO Sat 96% BSA M² HR 82 BPM O2 Cons. 241 ml/min Ht _5_ft_9_in Wt. _180 lbs Patient #2 AO 140/82 M CaO2 ml/L LV 140/15 CvO2 ml/L RA M 12 C.O. L/Min RV 31/12 S.V. ml/beat PA 31/15 M C.I. L/Min/M2 PAW M 15 S.I. ml/beat/M2 Hgb 13.6 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 74% P.V.R Dynes/sec/cm³ AO Sat 93% BSA M² HR 71 BPM 02 Cons. 290 ml/min Ht _5_ft_0 in Wt. 188 lbs
CATH LAB FUNDAMENTALS I WORKSHEET #6 Patient #1 AO 199/110 M CaO2 ml/L LV 199/24 CvO2 ml/L RA M 16 C.O. L/Min RV 41/16 S.V. ml/beat PA 41/25 M C.I. L/Min/M2 PAW M 24 S.I. ml/beat/M2 Hgb 15.1 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 71% P.V.R Dynes/sec/cm³ AO Sat 96% BSA M² HR 61 BPM 02 Cons. Ht 216 ml/min 4_ft_11_in Wt. _171_lbs Patient #2 AO 101/62 M CaO2 ml/L LV 101/12 CvO2 ml/L RA M 5 C.O. L/Min RV 20/5 S.V. ml/beat PA 20/10 M C.I. L/Min/M2 PAW M 12 S.I. ml/beat/M2 Hgb S.V.R Dynes/sec/cm³ Hct 43% T.P.R Dynes/sec/cm³ PA Sat 75% P.V.R Dynes/sec/cm³ AO Sat 97% BSA M² HR 68 BPM O2 Cons. 235 ml/min Ht _5_ft_5 in Wt. 145 lbs
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