His respiratory rate is 28 breaths/min and the pulse geometer reading is at 88% room air, so the physician ordered 2 to 4 L of oxygen per nasal canella titrated to keep Sass greater than 90%. The patient responded to 2 L of oxygen per nasal canella with a Sass of 92%. The patient has diarrhea. His blood glucose level is elevated at 160 MGM/del. The white blood count is 15,000 and the Creative protein, a marker for inflammation, is elevated. The patient is being treated with broad-spectrum antibiotics and morphogenesis (Lollopped) beginning at 2 meg/min and titrated to keep systolic blood pressure greater than 00 mm Hag.
A subclasses triple lumen catheter was inserted and verified by chest x-ray for correct placement. An arterial line was placed in the right radial artery to closely monitor the patient’s blood pressure during the usage of the possessor therapy. (Learning Objectives 6 and 7) a. What predisposed the patient to develop septic shock? B. What potential findings would suggest that the patient’s septic shock is worsening from the point of admission? C.
The morphogenesis concentration is 16 MGM in 250 ml of normal saline (INS). Explain how the nurse should administer the medication.
What nursing implications are related to the usage of a evocative medication? D. Explain why the effectiveness of a evocative medication decreases as the septic shock worsens. What treatment should the nurse anticipate to be obtained to help the patient? E. Explain the importance for nutritional support for this patient and which type of nutritional support should be provided f. What are your priority interventions? Nursing/ Medical ( 3-4) 2. Carols Adams was involved in a motor vehicle accident and suffered blunt trauma to his abdomen. Upon presentation to the emergency department, his ITIL signs are as follows: temperature, 100. IF; heart rate, 120 BPML; respiratory rate, 20 breaths/min; and blood pressure, 90/54 mm Hag. His abdomen is firm, with bruising around the umbilicus. He is alert and oriented, but complains of dizziness when changing positions. The patient is admitted for management of suspected hypoglycemic shock. The following orders are written for the patient: Place two large-bore Avis and infuse 0. 9% INS at 125 ml_/hrs/line Obtain complete blood count, serum electrolytes Oxygen at 2 L/min via nasal canella Type and cross for 4 units of blood Flat plate of the abdomen STATS Learning Objectives 1, 4, and) a.
Describe the pathologically sequence of events seen with hypoglycemic shock. B. What are the major goals of medical management in this patient? C. What is the rationale for placing two large-bore Avis? D. What are advantages of using 0. 9% INS in this patient? E. What is the rationale for placing the patient in a modified Turbulence position? Case Study, Chapter 13, Fluid and Electrolytes: Balance and Disturbance 1. Mrs.. Dean is 75-year-old woman admitted to the hospital for a small bowel obstruction. Her medical history includes hypertension. Mrs.. Dean is NP. She as a instigators (ENG) tube to low continuous suction.
She has an IV of 0. 9% INS at 83 ml/hrs. Current medications include fireside 20 MGM daily and hydrophone 0. 2 MGM every 4 hours, as needed for pain. The morning electrolytes reveal serum potassium of 3. 2 meg/L. A. What are possible causes of a low potassium level? B. What action should the nurse take in relation to the serum potassium level? C. What clinical manifestations might the nurse assess in Mrs.. Dean? 2. Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting.
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