Impaired Gas Exchange r/t Behaviors: Oxygen Saturation that falls as low as 91% on room air at rest and after exertion After two to three minutes on Nasal Cannula of 2 Liters‚ Oxygern Saturation rises to 97 or 98% Pt is out of breath and physically tired after getting up to the bathroom and shower Rhonchi auscultated in the right middle and lower lobes Desired Outcomes: The patient’s oxygen saturation will be kept above 96% throughout the entire shift The patient will be able to tolerate
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Differences in competences between associate degree prepared nurse versus the baccalaureate prepared nurse. Maureen N Iwuoha Grand Canyon University: September 5‚ 2014 Differences in competences between associate degree prepared nurse versus baccalaureate prepared nurse. Competency is the measured degree of performance that integrates skills‚ ability‚ judgment and knowledge as defined by the American nurses association‚ in other words competency is the ability of an individual
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hypertension evaluation. He has been hypertensive for a couple of years‚ but not complying with the dietary changes and lifestyle recommended. He is morbidly obsessed‚ weighed 359 and height 5 11 inches‚ and had a portable oxygen at three liters via a nasal cannula. Mr. J.P is married with two children living in a suburban neighborhood‚ now disabled‚ and under SSI. Although‚ his two siblings ages 40 and 43 are healthy‚ alive‚ and well‚ but both parents are hypertensive and diabetics ages 68 and 72. Unfortunately
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Chapter 3 – Medical Record | History of Present Illness | Patient is a 35 year old male complaining of nausea‚ pyrosis‚ indigestion‚ and melena stool. Patient stated that he has been experiencing abdominal pain that wakes him in the middle of night for over a month. He stated that he normally can drink a glass of milk or baking soda water to relive the pain‚ but this has no longer been effective. | Past Medical History | Patient is a smoker who drinks daily and suffering from obesity.
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Primary nursing responsibilities are to maintain a patent airway‚ keep the inner cannula clean‚ prevent skin breakdown in the surrounding area‚ and provide a comfortable means of communication for the patient. In order to maintain a patent airway‚ it is always important to have a sterile packaged hemostat‚ as well as an extra tracheostomy set available at the bedside in case of dislodging of the outer cannula. Patients must also be regularly assessed for excess secretions and suction as often
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February 26‚ 2013 Journal Summary Inhibition of amygdaloid dopamine D2 receptors impairs emotional learning measured with fear-potentiated startle Name: Jerrelei Jumalon Student no. 11133317 Psychology 120-03 (4) Instructors Name: Dr. Quentin Greba The brain research report “Inhibition of Amygdaloid Dopamine D2 Receptors Impairs Emotional Learning Measured with Fear-potentiated Startle volume 899” by the authors Quentin Greba‚ Anna Gifkins and Larry Kokkinidis was published in the
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OPERATIVE REPORT Patient Name: Olivia Carpenter DOB: 01/15 Sex: F Age: 40 Patient ID: 110901 Admitting Physician: Dr. Leon Medina‚ MD Internal Medicine Date of Admission: 11/12/13 Date of Procedure: 11/13/13 Surgeon: Dr. Bernard Kester Assistant: Jason Wagner PA-C Preoperative Diagnosis: 1) History of breast intertriginous skin irritations. 2) Abdominal wall contour irregularities. Postoperative Diagnosis: same. Operative procedures: 1) Bilateral Reduction mammoplasty
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with the same hand. If you are in the vein‚ blood will flow into the tube immediately. 11. Allow tube to fill. (If you are obtaining multiple specimens--2‚ 3‚ or more tubes--remove tube from rear cannula without moving needle in the arm. Slide the next tube on the rear cannula. Repeat the process as many times as necessary.) 12. Release the tourniquet and pick up the sterile piece of cotton. 13. Place cotton gently on puncture and withdraw the
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A Fault in Our Stars Sequel It’s almost been two months since Augustus died. I feel pain everytime I think of him‚ like I’ve taken out my cannula and have no oxygen‚ I can’t breath‚ like I’m slowly slipping away into nothingness. My need to see him is growing‚ with every tear stained moment‚ my want to hear his sexy tone of voice‚ or to see his crooked smile one last time is worsening. Oh‚ what I wouldn’t do to see my star crossed lover one last time. He gave me a forever within the numbered
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C: CIRCULATION PLAN * Prevention of fluid and electrolyte imbalance‚ dehydration and sepsis (IV fluids) *Jean is vomiting* (check vomitus for blood) * Fluid balance chart * The insertion of IV cannula * Remains Nil by Mouth-insertion of NG tube * Central Pulse - rate‚ volume & regularity * Pulse rate on admission – 98 beats/min * Peripheral pulses * Blood pressure * *Respiratory rate* * Capillary refill (teach importance of removal of nail polish/make up –
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