Already have an account? Get multiple benefits of using own account!
Login in your account..!
Remember me
Don't have an account? Create your account in less than a minutes,
Forgot password? how can I recover my password now!
Enter right registered email to receive password!
You are a new graduate nurse on your second rotation in a 40-bed acute surgical ward specialising in cardiothoracic-surgery. It is 1800hrs on your afternoon shift and you have been allocated the care of a 70-year-old male who has been transferred to your ward 6 hours ago from the Intensive Care Unit (ICU). The patient has been recovering in the ICU for 2 days following heart bypass surgery.
Past Medical History: NIDDM, IHD, HT, Obesity
You introduce yourself to the patient and begin your observations. You note that the patient is cool to touch and clammy (Temp 35.9). The patient's radial pulse is 140. Blood pressure is 95/70 and respiratory rate is 28 breaths a minute. The patient has an IV cannula in the right hand that has IV fluids (Hartmann's Solution) running through an IV pump at 65mL hour. The patient has an IDC in place and the urine output for the last 4 hours is 20mL .
Other Clinical Signs: SpO2 95% on nasal prongs at 4L/min
Lab Results: ABG
UEC's
FBC
pH 7.33
Na 140 mmol/L
Hb 90 g/L
Pa02 75 mmHg
K 4.7 mmol/L
WCC 7.0 x 109/L
PaC02 35 mmHg
Cl 100 mmol/L
PLT 300 x 109/L
HC03 18 mmol/L
Urea 15 mmol/L
Creat 115 μmol/L
Questions
1. Based on the information given in the (above) case study start by prioritising and justifying your immediate care of this patient?
2. You also need to interpret both clinical and lab results, and
3. What physiological processes may be responsible for the abnormal clinical or lab results?
Overtaking Rules - Traffic Congestion Overtaking needs an appropriate consideration and efficiency because the driver will use the other lane and increase the speed. The negli
ALTERNATIVES Officially digital money or electronic is a representation, or a system of credits and debits, used (but not restricted to this) to swap value, within a different
a) (i) Describe what do you understand by the term "Contingency Event" within the context of MACSS using a suitable example to support your answer. (ii) Show the five main poten
What is Environmental Law? This is the area of law that seeks to direct human impact on the environment. The "environment" refers to all of the aspects of the natural environme
Most U.S. supreme court cases involve issues which affect a lot of people true or false
Most important effects on farming?
Question 1 Why is the Harrod Model called a 'razor-edge' model? Question 2 Enumerate the reasons and events that validate balanced growth and the big push Questio
What career could one study with these subjects
(a) Briefly explain five causes of depression. (b) What are the signs and symptoms of depression? (c) Is biological therapy better than psychological therapy to treat depr
applicability of operating cycle in the growth of vegetables
Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!
whatsapp: +1-415-670-9521
Phone: +1-415-670-9521
Email: [email protected]
All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd