successful collaboration as I present a case from my own experience‚ Crissalyn. Case Presentation Crissalyn was a twenty-four week gestation‚ multiple birth with many complications. She was delivered via emergency cesarean section due to fetal distress secondary to maternal hypertension. She and her twin sister were admitted to our unit for supportive care following resuscitation immediately after delivery. Crissalyn was intubated and placed on mechanical ventilation. She required medications to
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Examples of lung diseases are: * Asthma‚ chronic bronchitis‚ and emphysema * Infections‚ such as influenza and pneumonia * Lung cancer * Sarcoidosis and pulmonary fibrosis * Pulmonary hypertension * Acute Respiratory Distress Syndrome (ARDS) The Effect of Cigarette Smoke on the lungs Cigarette smoke has a negative effect on the body entirely. It affects the various systems and the organs associated with them. However‚ the focus lies on the respiratory system; the
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man who traveled extensively in South-East Asia before being admitted to a hospital in Hanoi on February 26‚ 2003. He was admitted with a high fever‚ dry cough‚ muscle aches and sore throat. He subsequently developed symptoms of adult respiratory distress syndrome which required ventilatory support‚ and severe thrombocytopenia. (Pan American Health Organization‚ 2008-2009) The incubation
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Chapter 11 ARDS INTRODUCTION Acute respiratory distress syndrome (ARDS) - lung inflammation seen at the level of the alveolar capillary membrane with increased vascular permeability. ARDS results in: bilateral pulmonary edema and atelectasis despite no evidence of left heart failure (e.g.‚ normal pulmonary capillary wedge pressure (PCWP). ARDS is present when the ALI results in such severe hypoxia that at the PaO2/FIO2 ratio is 200 mm Hg or less. Approximately 10% to 15% of intensive care
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be expected to know my dosage calculations and all of my medication fact. We went through patient assignment board to receive report from the morning nurse. My first patient was on a ventilator‚ in congestive heart failure and acute respiratory distress syndrome. We went into the room and my preceptor told me to get started‚ I froze. Then ‚ suddenly it came to me‚ we always assess first and I did my head to toe assessment‚ I remembered this from one of my first nursing classes‚ Health Assessment
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(Chlorpazine®) 12.5 mg IM D) Ciprofloxacin (Cipro®) 500 mg PO Category: Respiratory (4) An obese 33-year-old female presents with sudden onset of left-sided chest pain and shortness of breath. She is diaphoretic‚ pale‚ and in acute respiratory distress. There is no history of trauma‚ fever‚ nausea or vomiting. Medical Hx is unremarkable. Current Meds: Birth Control Pills. VS: BP = 100/60‚ HR = 118‚ RR = 36. ABG’s are done which show: pH 7.27‚ PaCO2 53‚ PaO2 61 and HC03 26. These
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Practice Examination For HESI exit Part One You will have two hours and 30 minutes to complete Part One. 1. Which of the following describes a preterm neonate? A. A neonate weighing less than 2‚500 g (5 lb‚ 8 oz). B. A low-birth-weight neonate. C. A neonate born at less than 37 weeks ’ gestation regardless of weight. D. A neonate diagnosed with intrauterine growth retardation. 2. A client with type 1 (insulin-dependent) diabetes mellitus has just learned she ’s pregnant. The nurse is teaching her
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The Premarital Communication Roots of Marital Distress and Divorce: The First Five Years of Marriage Introduction Due to the high amount of marriages that end in divorce‚ there has been an increase in the study of marital distress. From these studies many theories have been made on how couples can maintain a happy and healthy relationship from before marriage and into the early years of marriage. While there have been studies of why people marry and divorce‚ "we know very little about how
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Case Study A 45 year old male was admitted to ICU following an exploratory laparotomy which showed a ruptured appendix and peritonitis. The procedure began as a laparoscopic cholecystectomy but the initial finding was pus throughout the peritoneal cavity and a normal gallbladder. An open exploratory laparotomy where a ruptured appendix was discovered which was removed and a washout was performed. The patient had a two day history of abdominal pain prior to his admission through A&E. He had no
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Case Study: Pneumonia and Pressure Ulcer Prevention in an Elderly MICU Patient June 6‚ 2012 Case Study: Pneumonia and Sepsis in an Elderly MICU Patient L.M. is a 75-year-old female who suffers from severe dementia and lives in a SNF. She was diagnosed with lung cancer in 2005 and as a result had a right upper and middle lobectomy. She also has a history of severe emphysema. L.M. has had several pneumonic infections and has an allergy to Pneumovax. She has a recurrent
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