thinks the patient has the flu because she has had a fever‚ nausea‚ diarrhea and diaphoresis that have progressively gotten worse over the past 24 hours. Vitals: Temp: 104.5 BP: 144/68 Pulse: 158 EKG: Sinus Tachycardia O2 : 96% Assessment: patient appears to be restless Neuro: pupils are equal round and reactive to light; tremors are noted Integumentary: Skin is warm and moist‚ face is flushed‚ and mucus membranes
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Congestive Heart Failure Congestive heart failure is an older name for heart failure. Congestive heart failure takes place when the heart is unable to maintain an adequate circulation of blood in the bodily tissues or to pump out the venous blood returned to it by the veins (Merriam-Webster). The heart is split into two distinct pumping structures‚ the right side of the heart and the left side of the heart. Appropriate cardiac performance involves each ventricle to extract even quantities of blood
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movement. If adequate o2 therapy if not BVM. Assess‚ intervene‚ reassess. c. Circulation-pulse; assess if there is a pulse or no pulse if no pulse in wrist (80mmHg) go to brachial (70mmHg) then carotid (60mmHg) determine the regularity and strength(EKG)‚ possible major bleeding; control any arterial bleeding or venous bleeding by placing gloved hand and then getting pressure dressing‚ skin color: assessing color‚ temperature and condition‚ capillary refill (immediate2sec).assess‚ intervene‚ reassess
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thoughts would be to order an ABG to test for acidosis and see if there is an electrolyte imbalance‚ then a possible scan of the brain. An EKG test would also be ordered to see how the heart has dealt with the stress. Giving him Narcan would help block the receptor sites to stop the action of the OD. What ended up being ordered is the ABG‚ a CT of the brain‚ EKG‚ NG tube‚ Catheter‚ Glasgow Coma Scale‚ Chest X-ray and the lab drew blood. The ABG showed severe metabolic and respiratory
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Blood cultures and antibiotic sensitivities for sepsis pulse oximeter-to rapidly measure the oxygenation of her hemoglobin saturation 95 to 99 percent expected. continuous cardiac monitoring via electrocardiogram(EKG)-to examine rhythm and rate-expect normal sinus rhythm and rate 80-100 beats per minute. Thermometer-measure the core temperature which should be 37 c if above 38 c or below 36 c if hypothermic bladder
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activity of the heart can be detected on the body’s surface and recorded with an instrument called an electrocardiograph. A graphic record of heart activity is called an electrocardiogram. An electrocardiogram is also called an EKG or ECG. Sometimes the test is called a 12-lead EKG or 12-lead ECG. This is because the heart’s electrical activity most often is recorded from 12 different places on the body at the same time. A healthcare provider may recommend an electrocardiogram if a person has signs
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They utilize teamwork and have advanced assessment skills. The staff did a great job of explaining the steps of the process‚ medications‚ equipment and showing up practice EKG strips. During my experience fortunately non of the patient’s had experience any life-threatening difficulty but Liz did a great job of providing us with “what-if” scenarios that made us apply much of the knowledge we had learned in lecture. In the
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DISCHARGE SUMMARY Patient name: Emma Parker Hospial No: 11259 Admitted: 09/25/13 Discharged: 10/01/13 Consultations: Carol Dodd‚ M.D‚ Orthopedics Saul Thompson‚ M.D.‚ Cardiology Procedure: Open reduction‚ internal fixation of right hip. Complication: Elevated cardiac enzymes postop. Admitting Diagnosis: Acute intertrochanteric fracture of right hip. ENTERING STATEMENT: This 69-year-old black female patient was brought to the ER after she sustain an injury to her
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NUR 317 - Cardiac Exam Study Guide Define the following terms. Describe patient symptoms and conditions that could cause alterations in: Cardiac Output Volume of blood flowing through systemic or pulmonary circuit expressed in liters per min Normal= 5 L/min (resting adult) HRXSV= CO Factors: preload‚ afterload‚ myocardial contractility‚ heart rate As heart rate increases‚ this allows less time for diastole and the heart often cannot fill adequately. Therefore‚ a very rapid heart will often have
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ADN 253 FINAL STUDY GUIDE 1. Describe the pathophysiology‚ assessment‚ signs and symptoms‚ nursing diagnosis‚ medical and nursing interventions for the patient with MODS. Pathophysiology • Progressive impairment of 2 or more organ systems • Caused by immune system’s uncontrolled inflammatory response to a severe illness or injury o Inflammatory response: cytokines and chemokines out of control ▪ Peripheral vasodilation = hypotension ▪ Capillary
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