Acute Respiratory Failure (ARF) A case of 55-year-old man developed acute, severe dyspnea at home after a hospital admission for pneumonia. In the Emergency Department he shows restlessness, signs of shock (cold clammy skin and diaphoresis) and severe hypoxemia. Vital Signs: RR: 33 cpm, HR; 122bpm, O2 Sat: 77% . 1. Based on the case given identify at least 3 symptoms that confirms the possible diagnosis of ARF. 2. Give 1 nursing diagnosis that is applicable to your client's presenting symptoms. 3. Write 1 IMMEDIATE nursing interventions that you will perform to your client upon receiving him in the ER.

Acute Respiratory Failure (ARF) A case of 55-year-old man developed acute, severe dyspnea at home after a hospital admission for pneumonia. In the Emergency Department he shows restlessness, signs of shock (cold clammy skin and diaphoresis) and severe hypoxemia. Vital Signs: RR: 33 cpm, HR; 122bpm, O2 Sat: 77% . 1. Based on the case given identify at least 3 symptoms that confirms the possible diagnosis of ARF. 2. Give 1 nursing diagnosis that is applicable to your client's presenting symptoms. 3. Write 1 IMMEDIATE nursing interventions that you will perform to your client upon receiving him in the ER.

An Illustrated Guide To Vet Med Term

4th Edition

ISBN:9781305465763

Author:ROMICH

Publisher:ROMICH

Chapter23: All The Rest

Section: Chapter Questions

Problem 1.7CS

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A case of 55-year-old man developed acute, severe dyspnea at home after a hospital admission for pneumonia. In the Emergency Department he shows restlessness, signs of shock (cold clammy skin and diaphoresis) and severe hypoxemia. Vital Signs: RR: 33 cpm, HR; 122bpm, O2 Sat: 77% . 1. Based on the case given identify at least 3 symptoms that confirms the possible diagnosis of ARF. 2. Give 1 nursing diagnosis that is applicable to your client's presenting symptoms. (NANDA based) 3. Write 1 IMMEDIATE nursing interventions that you will perform to your client upon receiving him in the ER.
What would be the complete Nursing Diagnosis of Impaired Comfort to the given case scenario? Scenario: Patient X, a 79-year-old male and retired construction worker from Cebu, was taken to the hospitalon September 3 due to a two-week progression of episodic shortness of breath. The patient was in good health until two weeks ago, when he discovered he was having trouble catching his breath while walking. He was used to walking 3 kilometers without stopping, but now he was out of breath after only 100 meters. The patient's symptoms were worsening, and he had been complaining of shortness of breath while lying down for the past three days. He had always slept with one pillow, but now he needed two. In addition, the patient reported an 8 to 10 pound weight gain in the previous 6 weeks. He had pitting edema from the feet to the knees on both sides. The patient was diagnosed with Class III Heart Failure by the doctor. The patient had been referred to Hospital two years prior with a…
CONCEPT MAPPINGCreate a CONCEPT MAP or DIAGRAM from among the following high-risk conditions. Choose only one (1) condition from among the list below:1. Apnea of Prematurity2. Respiratory Distress Syndrome3. Meconium Aspiration Syndrome The components should include the following: 1) predisposing and/or precipitating factors; 2) a simple pathophysiology; 3) clinical manifestations; 4) diagnostic procedure (if applicable); 5) medical/surgical management; 6) nursing interventions and nursing diagnosis.
Case scenario:Client ERIC RAYMOND, 12 years old from CAA HOUSING, MANUYO DOS, Las Pinas City, was admitted in the hospital due to high grade fever for 4 days.Vital signs taken are as follows: BP 110/60, RR is 14, PR is 78 and Temp is 38.5. high grade feverWeight is 45kgs.Eric Raymond is known to have allergic reactions to eggs and seafoods but no known allergies to any medication.CBC / Platelet counts were requested laboratory test was done.Client Eric Raymond was admitted under the care of Dr. Rod Buenavista.Admitting diagnosis is Dengue Fever.Dr. Buenavista ordered the following.Start IVF of 1L of D5.09 NaCl to be infused for 8 hours. IVF started at 9amGive Acetaminophen 500mg q 4hrs.Repeat Platelet count after 8 hoursCBC and Platelet Result: (attached picture)Computation 1 : Compute for the gtts/min (Drop factor is 15) Computation 2 : Compute for ml/hrComputation 3 : It is now 2:00PM how many should have been infused to the client?
Case scenario:Client ERIC RAYMOND, 12 years old from CAA HOUSING, MANUYO DOS, Las Pinas City, was admitted in the hospital due to high grade fever for 4 days.Vital signs taken are as follows: BP 110/60, RR is 14, PR is 78 and Temp is 38.5. high grade feverWeight is 45kgs.Eric Raymond is known to have allergic reactions to eggs and seafoods but no known allergies to any medication.CBC / Platelet counts were requested laboratory test was done.Client Eric Raymond was admitted under the care of Dr. Rod Buenavista.Admitting diagnosis is Dengue Fever.Dr. Buenavista ordered the following.Start IVF of 1L of D5.09 NaCl to be infused for 8 hours. IVF started at 9amGive Acetaminophen 500mg q 4hrs.Repeat Platelet count after 8 hoursCBC and Platelet Result: (attached picture)Check Record vital signs* Normal Abnormal Blood Pressure: 110/60 Temperature: 38.2 C Respiratory Rate: 14 breaths per min Pulse Rate: 78 beats per min Check your lab results * High…
Which of the following medications can be used to manage intractable hiccups chlorpromazine propranolol prazosin citalopram
CONCEPT MAPPINGCreate a CONCEPT MAP or DIAGRAM from among the following high-risk conditions. Choose THREE (3) conditionS from among the list below:1. Respiratory Distress Syndrome2. Meconium Aspiration Syndrome3. Sepsis4. Necrotizing Enterocolitis5. Persistent Pulmonary Hypertension in Newborns6. Retinopathy of prematurity7. Intraventricular Hemorrhage8. Intracranial Hemorrhage The components should include the following: 1) predisposing and/or precipitating factors; 2) a simple pathophysiology; 3) clinical manifestations; 4) diagnostic procedure (if applicable); 5) medical/surgical management; 6) nursing interventions and nursing diagnosis.
A 12-weeks pregnant woman complains of inability to focus, fatigue, and shortness of breath. On a physical examination, she looks pale and weak. Laboratory results are as follows: Reticulocyte count: 1%, Hematocrit: 27%; Hemoglobin: 6.5 g/dL; MCV: 105 fL, MCHC: 32%. If the patient's transfusion reactions history suggests anaphylactic reactions, which blood component should be given? Justify your answer.
Patient is a 78 y/o male with a history of COPD & HTN. He smokes 1 – 2 packs/day & requires oxygen athome. He presents to the ER with increased SOA (shortness of air), fever, and worsened cough withthick sputum production. The physician in the ER diagnosis him with pneumonia and starts him onprednisone and clarithromycin, an antibiotic AllergiesPenicillin (hives,shortness of air,swollen tongue andthroat)Current MedicationsTiotropium (Spiriva®) inhaler I puff PO once dailyTheophylline (Theo-DUR) 300mg PO BIDLisinopril 10 mg PO dailyAlbuterol MDI (Proventil®) 2 puffs q 2-4 hours as needed for SOAPrednisone 50 mg daily x 7 daysClarithromycin (Biaxin) 500mg PO BID x 7 daysPMH COPDHTN 1.using Clinical Pharmacology (Reports->Drug Interaction Reports) as a reference, discuss the druginteraction between theophylline and clarithromycin.2. What are the common side effects of theophylline?3. What is the mechanism of action of tiotropium (Spiriva®)?4. What are long-term complications /…
A 35 year alcoholic male who had a heart surgery before was admitted with a three week history of fever and gum infection which leads to poor appetite since he cannot eat properly. On physical examination, his body temperature is at 39 degrees celsius. Pulse is 96 beats per minute, respiratory rate is 20 breaths per minute, and BP is 120/80 mm. There are many missing teeth with gingivitis and dental caries which gives off an unpleasant breath odor every time he speaks. He has with him a pack of sugar candies that he brought secretly. What type of infection is suggested by his foul breath? What group of organisms could be responsible for this patient's condition? What complications are associated with this infection?v
NEONATAL INTENSIVE CARE UNIT (NICU) CASE STUDY NUMBER 2: Hyperbilirubinemia CLIENT PROFILE: Patient was a l-week-old infant in the level 2 NICU born at 37 weeks. This infant was initially born with indirect hyperbilirubinemia but now also has increasingly elevated level of direct bilirubin (see measurements in table below). Neonatologist requested conjugated and unconjugated bilirubin test due to increasing elevated level of direct bilirubin. Conjugated bilirubin test is not routinely performed in our hospital laboratory and needs to be send out. 3/6/18 3/7/18 3/9/18 3/10/18 3/12/18 Ref Range Bilirubin 1.0-10.5 9.2 8.7 10.8 10.2 8.6 total, neonatal mg/dL Bilirubin direct, neonatal 0.0 - 0.6 mg/dL 0.5 0.7 1.8 1.8 2.1 Pre-Assessment: 1. What's the difference between conjugated bilirubin and direct bilirubin? Assessment: (Information gathering through history, physical examination and testing) 2. When does conjugated bilirubin need to be assessed? 3. What are the clinical manifestations…
A patient of 50 years old suffers from chronic obstructive bronchitis. Recently, after hypothermia, the patient had a cough with purulent sputum, dyspnea, weakness. On examination: acrocyanosis, blood pressure 140/90, heart rate 100 beats per minute (normally 60-90), rospiration is frequent and suporficial. Al auscultatlon: thoro aro wet whoozing in the lower lobe of the right lung. Questions: 6. What signs of adaptive reactions are thero in the pationt? 7. What olher adaptive reactions are typical for this type of TPP?