11/3/16 1800 Instill 1 drop in both eyes at routine for dry eyes. Gave PRN Tylenol 325mg 2 tablets for complaints pain on right thumbnail rated 6/10. Patient states that she is having shortness of breathing when she was walked back from the dining room to her room. O89% by NC. Reported to nurse. Gave routine albuterol and ipratropium 0.5 mg nebulizer. Offered 1 cup of protein shake mixing with nectar powder. Encourage pt to drink it because she didn’t eat much at supper, will get hungry later. Drank 60%. HDoan WATC PN 2.…
2) Bradycardia (.5-1 mg IV every 3-5 min up to 3 mg, 6 mg max if given ET)…
In route, a nasal cannula was placed with oxygen at 4 L. His vital signs remained unchanged. The chest pressure remained the same at 9 out of 10. Nonenteric-coated aspirin 325 mg was given to chew along with sublingual nitroglycerin 0.4 mg and morphine 2 mg IV. The cardiac monitor remained in place during transport.…
Long term goal: After 5 days the client will maintain adequate cardiac output and cardiac index.…
5. Administer morphine sulfate 6 mg, IM, q 4 h PRN. Morphine sulfate is available as…
b. Explain what the medication is and does, as well as its potential side effects…
A nebulizer is used to administer aerosolized medication. A mist is seen when the medication…
The first priority is to perform a focused assessment to include the patient’s respiratory function, pain, mental status, and any medication the patient has taken. The patient’s airway and ability to breathe and maintain a patent airway becomes the first priority. By asking the patient the four questions of orientation the nurse can assess the patient’s mental status. The patient’s pain can also be assessed quickly by using a numerical value or the Wong-Baker Scale prior to the patient becoming unresponsive, as well as asking the patient for a brief history of her medical condition and any co-morbidities. For the patient’s airway and breathing, the patient should be placed on 15 liters of oxygen with a non-rebreather mask to allow for increased oxygenation and a pulse…
ER Physician assesses patient and orders Diazepam to be given. Diazepam was given at 16:05.…
Patient X is a 55 year old retired policeman who was constantly having cough during the…
Assess Severity Of Asthma (BTS) • Moderate asthma Increasing symptoms • PEF >50–75% best or predicted • No features of acute severe asthma • Acute severe asthma • -- PEF 33–50% best or predicted • -- respiratory rate ≥25/min • -- heart rate ≥110/min • -- inability to complete sentences in one breath Life-threatening asthma (BTS) • Any one of the following in a patient with severe asthma: • Altered conscious level, exhaustion • Arrhythmia, Hypotension • Cyanosis, Silent chest, Poor respiratory effort • PEF <33% best or predicted • PaO2 < 8 kPa • ’normal’ PaCO2 (4.6–6.0 kPa) • SpO2 < 92% GINA- Mild to moderate • Talk in sentences/phrases • Can lie down/ sit • Not agitated • RR increased • HR 100-120 • SPO2 90-95% • PEFR 50-75 Treatment of mild to moderate • Short acting B2 agonist • Ipratropium bromide • Controlled O2 to maintain SPO2 95% • Oral corticosteroids • Measure lung function after 1 hour- PEFR 60-80%, symptoms improved.…
Always be used to reduce a fever in a person with a temperature above 38 degrees…
Sessler, D. I. (2009). _Temperature monitoring and perioperative thermoregulation_. Retrieved , from July 14, 2014…
.09% NS is infused at 500 ml/hr for 2-3 hours, then .45% NS administered in order to increase the fluid volume back within normal range…
January 25th, 2018, Competency 2B.3: When my dyad partner and I were going through the charts of our first patient for the day, we saw that he was diagnosed COPD, and he was receiving tiotropium, a bronchodilator, and Advair, which is an anti-inflammatory inhaler. From this information, we had a good idea of what to expect from the respiratory assessment, and how we could make it easier for him if he had any issues throughout. We discussed things that could make it easier for him if necessary, such as giving him a table to lean on, breathing exercises, or taking it more slowly and giving him some time if he had momentary trouble taking deep breaths.…