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Suctioning for patients with Tracheostomy tubes:
If on Ventilator (do what?)______ , if not on ventilator_____________ client. Give 2-3 breaths with an____________ connected to 100% O2 or ask client to take deep breaths. Holding catheter near the top advance until______________ (without suction). Pull back 1 cm. Apply suction. Rotate as you withdraw. Never apply suction more than_________ sec. Rinse catheter in sterile saline or sterile water.
-fill in the blanks-
Step by step
Solved in 2 steps
- Moments later the monitor shows the following rhythm and the patient is not breathing: and is pulseless. What is the rhythm? What are your next steps? NOTE:PLEASE GIVE THE ANSWER WITHIN 2 HOURS THANK YOUList 2 indication for placement of chest tube Identify at least 4 nursing considerations related to closed water seal chest drainage system.Vitals Signs The patient is on non- rebreather mask and the vital parameters are: Temperature- 37.7 degree centigrade Heart rate - 128 beats/ minute Respiratory rate - 25 breaths/ minute Blood pressure - 100/60 mmHg And saturation - 92% The initial survey reveals a patent airway with no evidence of current obstruction. Breathing is tachypneic and regular, with accessory muscle use indicating increased effort. Circulation characterized by tachycardia and mild hypotension. There are 1+ distal pulses bilaterally, and the skin is warm and dry. At the ER, an ECG reveals sinus tachycardia of 129, which resolves without any prior medical management. Sinus at 98 beats per minute. Identify the life-threatening injuries of the patient using the ABC prioritization. Why?
- For each of the following Patient Profiles, determine the most appropriate triage category (red, yellow, green, or black), and why. 4. amputation of left arm - talking to you, attempting to stop the bleeding - respirations : 25/min - radial pulse : present 5. impaled object, very pale and sweaty - tells you she feel sick - respirations : 27/min - radial pulse : presentGive atleast 3 potential barriers on obtaining Chest X-ray AP-L viewVitals Signs On a non-rebreather mask, the heart rate was 128, the blood pressure was 100/60, respiratory rate was 25, temperature was 37.7°C, and SpO2 was 92 percent. The initial survey reveals a patent airway with no evidence of current obstruction. Breathing is tachypneic and regular, with accessory muscle use indicating increased effort. Circulation characterized by tachycardia and mild hypotension. There are 1+ distal pulses bilaterally, and the skin is warm and dry. At the ER, an ECG reveals sinus tachycardia of 129, which resolves without any prior medical management. Sinus at 98 beats per minute. Determine/Identify the life threatening injuries of the patient using ABC and why? A-airway B-Breathing C-circulation
- Case r/t Thorax and Lungs examination Adela, a market vendor, visits the clinic with a chief complaint of body malaise. She tells the physician, "I just don't feel good." Her vital signs are the following: T 39°C; respirations 25 and shallow; HR 100 bpm; BP 126/87. Past history indicates that she has been a pack-a-day smoker for 20 years. During the patient interview, she states that she has a family history is COPD and her father had lung cancer. what would be important when considering further assessment on this patient ?Case r/t Thorax and Lungs examination Adela, a market vendor, visits the clinic with a chief complaint of body malaise. She tells the physician, "I just don't feel good." Her vital signs are the following: T 39°C; respirations 25 and shallow; HR 100 bpm; BP 126/87. Past history indicates that she has been a pack-a-day smoker for 20 years. During the patient interview, she states that she has a family history is COPD and her father had lung cancer. Adela is being evaluated for COPD B. Develop a teaching plan for herDescribe the parts of Mechanical Ventilator. (GALILEO Ventilator) Support arm Inspiratory port with filter Active humidifier Inspiratory line with watertrap Y-piece Expiratory line with watertrap Expiratory port Flexible connector Proximal flow-pressure sensor Nebuliser Please include your references. Thank you
- A nurse is caring for a client who presented to the emergency department with an acute asthma exacerbation. The respiratory rate is 36 breaths/min, and a pulse oximeter is 85% on room air with accessory muscle use to breathe. The nurse placed the client on oxygen 4 liters nasal cannula. The arterial blood gas (ABG) is as follows: pH: 7.28, PaCO2: 50 mm Hg, PaO2: 75 mm Hg, and HCO3: 26 mEq/L. Which of the following treatments is the nurse's highest priority? A) Administer bronchodilators B) Administer sodium bicarbonate Administer methylprednisolone (D) Perform a chest x-rayGive at least 3 potential barriers on obtaining chest x-ray AP-L viewYou are assisting the care of a pcardiac arrest patient. Your partner is BVM. You can see there is no chest rise in ventilations. Which of the following should you chose next to improve the situation? A) Attatch oxygen flow to the BVM B) Evaluate the patient for Pnemothorax C) Evaluate the patient for airway obstruction D) Assist partner to maintain a seal on the BVM