Mrs. Levochenko, 50yo female, with no known drug allergies, admitted 2 days ago following fall from a horse, fractured to right tibia and fibula, internally surgically fixed. Most recent vitals suggest Mrs. Levochenko is currently tachypnea, respiratory rate of 26, (breaths per minute) Visible difficulty breathing leans forward and clutches at abdomen. Mrs. Levochenko is tachycardic, 110bpm (beats per minute) and hypoxic with an oxygen saturation of 92% on room air. Mrs. Levochenko has a distended abdomen and has decreased her oral intake post operatively.
Mrs. Levochenko is currently a smoker, 15 a day for 30 years. Recently reported feeling short of breath (SOB) and described as “working hard to get the air in.” Mrs. Levochenko also states worsening throughout the day, still feels nauseous despite medication and has decreased her eating and has no thirst, complaining that she feels full.
Part B
Mrs. Levochenko’s heart rate (HR) is currently at 110 bpm, above normal
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(Considine, 2005. P265.) in a study conducted by Schein, Hazday, Pena, Ruben and Sprung in 1990 it was discovered that, prior to cardiac arrest, 53% of patients had documented respiratory dysfunction. Similar in several other studies, respiratory dysfunction has been shown to be the most common reason for ICU admission (Rubins & Moskowitz 1988, Ridley & Purdie 1992) accounting for up to half (48%) of unexpected admissions to ICU (McGloin Adam & Singer 1999). One-fifth (20%) of patients requiring unexpected readmission to ICU were readmitted because of respiratory dysfunction. These studies provide a strong grounding for evidence to support the relationship between respiratory dysfunction and adverse
This is a case study on a 76 year old man.Mr Alan Chari(pseudonym used to protect the identity of a patient),was admitted over night in my department.He is a divorcee who stays with son.He is a retired teacher and his son is permanently employed by a local company as an electrician.He is independent with activities of daily livings but is occasionally limited by his ill health.He used to be a heavy smoker .After realising the burden COPD has on general New Zealand population ,affecting about15% of the adult population over the age of 45 years according to asthmanz( 2010) ,l took this case study to gain in-depth understanding.
Task analysis is the process of obtaining information about a job by determining the duties, tasks, and activities involved and the knowledge, skills, and abilities required in performing each task. There can be broken down into six
What are the uses of drugs used to treat lower respiratory tract disorders: sympathomimetics, anticholinergics, inhaled steroids, lung surfactants, and mast cell stabilizers?
One afternoon a 67 year-old man presented to the emergency department of a small, rural hospital complaining of severe left leg and hip pain following a fall at home. The patient had no past history of falls. He had a history of impaired glucose intolerance, prostate cancer, hypercholesterolemia and hyperlipidemia. The patient’s current medications were atorvastatin and oxycodone for chronic back pain. The patient stated his pain was ten out of ten on a scale of one to ten with ten being the worst. The left leg appeared shorter than the right, edema was present in the calf, as was ecchymosis and he had limited range of motion. After an evaluation in triage by a registered nurse and a subsequent examination by the emergency department physician, a plan was established to sedate the patient using moderation sedation protocol and perform a manual reduction of the hip.
The following case study is of a 37-year old Hispanic male weighing 145 lbs and 70 inches tall found unconscious by his girlfriend. According to her he was unconscious for about 15 hours and she was concerned because he would not wake or respond and was breathing shallow and slow. She then called 9-1-1. The patient entered the ER by emergency vehicle and on my initial assessment Pt had an altered mental status, was very unresponsive showing symptoms of a possible drug overdose. The girlfriend told the physician the Pt had taken 75 mg of methadone and an unknown amount of Xanex and other amounts of Benzodiazepines. On assessment, the doctor noticed his altered mental status and unconscious status. He had a gag
The effectiveness of Family Support Caregiver in improving the Functional Status of Client with Pulmonary Diseases.
COPD is a multidimensional illness, with a few systemic signs and relationship with various comorbid maladies. The undoubtedly connect amongst COPD and these extrapulmonary conditions is an overflow of provocative arbiters from the lung, as systemic irritation is related with skeletal muscle squandering and cachexia and also with cardiovascular, metabolic, and bone illnesses. More research is expected to comprehend the connections between these illnesses and to scan for regular treatable segments. It appears to be likely that medications, for example, statins, that are as of now used to oversee cardiovascular and metabolic ailments may likewise give an advantage in COPD patients, in spite of the fact that it is critical that randomized fake treatment controlled trials be led to affirm this probability. It is critical to consider how the presence of a comorbid infection may influence the administration of the patient who additionally
The American Association for Respiratory Care is a non-profit organization which provides numerous resources for registered respiratory therapists all over the United States. Membership through the AARC renders an abundance of incentives such as professional development, respiratory care education, social networking opportunities, continuing education programs and much more. The American Association for Respiratory Care truly believes in the cause of respiratory therapy and in the rights of their patients to receive competent respiratory care. Their advocacy team works with local, state and federal governments concerning public policies that affect their patients as well as their profession.
In this study, patients that had been ventilated in the intensive care unit from April to November of 2010 were included. There were few ways that the person could be excluded, these were if the patient had cardiac arrhythmias or severe obesity. All of the patients were monitored vary closely, such as with an electrocardiogram, invasive and non-invasive arterial pressure, and percutaneous
Chronic obstructive pulmonary disease (COPD) remains a major financial burden to our healthcare system. In 2015, the Centers for Medicare & Medicaid Services started imposing a financial penalty for hospitals with excess rates of COPD readmissions. We investigated the effectiveness of a Discharge Checklist in reducing the rates of 30-day readmission in a cohort of high risk patients admitted with COPD exacerbation.
Using the potential links on this page, answer the following questions specific to the information available in the linked sections:
second-hand smoking is also important in the treatment plan. Wearing a cold-weather mask can prevent dyspnea and bronchospasm that are caused by cold air and wind exposure (Grossman & Porth, 2014). Other factors that are significant in helping COPD patients are described below.
I am confident that it is important to recognize the client’s rights and always informed or asked before doing any assessments. Like for instance, taking a vital sign will require to touch a client’s hand and arm in order to obtain a proper pulse rate, blood pressure, respiration, oxygen saturation and temperature. By doing so, I must consider a client’s confidence, trust and especially respect her or his decision to cancel any tasks if a client insist or decline to be touch.
The body works in all kinds of ways to adapt us and all living creatures to the environment we surround ourselves in; however, like all aspects of life there are irregularities. Typically, people with normal functioning respiratory systems have a mucosal layer that is thin and slippery to provide the minimal amount needed for regular function. In a person with cystic fibrosis the mucus layer is thick and causes a sticky buildup in the lungs, pancreas, and other organs. The buildup eventually clogs the airways, ducts, and passageways that carry air in and out of the lungs leading to respiratory failure. In the pancreas, the mucus prevents digestive enzymes from being released so the body isn’t able to break down food or absorb nutrients.
Her respiratory discomfort was improved although her %VC was deteriorated. On the other hand, PCF was similar. It has been reported that respiratory discomfort is more relevant to PCF value than %VC [11]. There is controversy regarding the benefits of spinal surgery for the respiratory disorder in neuromuscular scoliosis. Although a lot of studies have been shown that surgery did not prove pulmonary function, it is common understanding that spinal surgery makes breathing easy by improving the sitting position [3]. It is assumed that the improvement of her respiratory discomfort was provided by a conjunction of two situations. First, preoperative and postoperative respiratory rehabilitation provided her equable PCF. Second, sitting position