Consideration | Nursing Responsibility | Rationale | Generic Name:AcetylcysteineBrand Name:(Fluimucil)Classification:MucolyticAntidote | Dosage:200mgFrequency:Route:Oral (diluted in ½ glass of water) | Splits links in the mucoprotein contained in respiratory mucus secretion‚ decreasing the viscosity of the mucus. | Mucolytic adjuvant theraphy for abnormal‚ viscid or inspissated mucus secretion in acute and chronic bronchopulmonary disease (pneumonia‚ asthmatic bronchitis) | * Nausea * Stomatitis
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trauma. II. Pathophysiology Injuries to the chest are often life-threatening and result in one or more of the following pathologic mechanisms: * Hypoxemia from disruption of the airway; injury to the lung parenchyma‚ rib cage‚ and respiratory musculature; massive hemorrhage; collapsed lungs; and pneumothorax * Hypovolemia from massive
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temperature of 40°C and very irritable. These are all common signs and symptoms of croup. The National Institute for Health and Care Excellence (2012) defines croup as “a common childhood disease”. It affects the trachea‚ bronchi and larynx‚ causing respiratory distress and a bark like cough accompanied by a stridor commonly on inspiration. All of these factors are present due to an upper air way obstruction.
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The two pertinent nutrition problems that Joe has is to increase his protein needs to aid in the wound healing process and to increase his fluid needs since fluids are lost in burn wounds (Namdar T. et al‚ 2010). The two main proteins that Joe needs are glutamine and arginine because they are the two main essential amino acids that assist burn victims in recovery (Wolfe R.). Based on those pertinent nutritional problems‚ Joe has inadequate protein intake (NI-52.1) related to protein losses as evidence
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daily decision making(Kollef and Schuster‚1994). Classification of scoring systems: (modified after Roberts and Zimmerman‚1995) 1-Disease-specific severity systems e.g.: *Acute myocardial infarction *Acute pancreatitis *Adult respiratory distress syndrome(ARDS) *Liver cirrhosis 2-System-specific severity system e.g.: Glasgow Coma Scale Score(GCS) 3-General severity scoring systems e.g.: *Therapeutic intervention scoring system(TISS) *Acute Physiology and Chronic
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ADVISORY: Notes from the 2010 FLCC Critical Care Transport Paramedic class as was recorded solely by Marcus LaBarbera- NYS Paramedic. I do not apologize for any spelling or grammar errors‚ lack of completeness‚ or recording errors. These are primarily personal notes but I am offering them to the community as an additional study resource. I will take no responsibility for persons who fail any quiz or test as a result of this document. Always consult the text books recommended specifically by
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responding. Clinical signs when a horse is showing the pain of colic- elevated body temperature: most commonly associated with medically managed colic such as enteritis‚ colitis‚ peritonitis‚ and intestinal rupture‚ elevated heart rate‚ elevated respiratory rate‚ increased capillary refill time and a change in mucous membrane (gum) color‚ change in the degree of gut sounds or different types of sounds‚ pawing at the ground‚ increased attention toward the abdomen‚ including flank watching‚ nipping‚
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II. HISTORY OF PRESENT ILLNESS Three days prior to admission‚ the patient suffered from fever‚ cough‚ and colds. He didn’t receive any medications or even consulted a physician. One day prior to admission‚ he suffered difficulty of breathing which triggered his parents to bring him to the hospital. They went first in the OPD and he was assessed with (+) head hobbing‚ (+) nasal flaring‚ and (+) rales. He was admitted at the PICU ward for further evaluation. Through the diagnosis
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Leading and managing is a vast process in nursing. "Leadership is the process of engaged decision making linked with actions taken in the face of complex‚ unchartered or perilous circumstances present in clinical situations for which no standardized solution exists" (Bleich‚ M.R.‚ 2011) Description: I would like to share an incident in my nursing experience where one of my colleagues played a leadership role. I was working in the cardio thoracic and vascular surgery intensive care unit (ICU)
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Waveform capnography to today’s paramedic is what it felt like with the invention of the washing machine becoming available to generations of people who grew up using a wash board. Now that people have a machine to do the work for them‚ they cannot imagine going back to hand washing. The same holds true for capnography. Now having real-time feedback of patient conditions‚ providers cannot conceive going back to the delayed readings of pulse oximetry. The hope for medical professionals is that “60
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