Regret's Case Summary

-Use of indiscriminate sedatives, benzos, and opioid’s, especially in post-op patient who retains Co2, may suppress the ventilator drive and lead to respiratory failure

The oxygen saturation was recorded to be 84% on air using a pulse oximeter. The nursing goals planned for Jack were: that his breathing would be within his normal limits, for his oxygen saturations to be maintained over 90% and for his cough to be less problematic. To assist in achieving these goals Jack would be fully involved with the planning of his care. The nursing and medical staff would perform lung function tests to determine the cause of his symptoms. It was ensured that prior to any medical test detailed explanations would be given to Jack. Hayward (1975) suggests that information given to and understood by the patient can aid to reduce anxiety. He was commenced on prescribed humidified oxygen therapy at 24% when required to alleviate attacks of acute dyspnoea. A referral was made to the physiotherapist for chest physiotherapy, which would facilitate the clearing the lungs of accumulated mucus. As Jack was experiencing difficulties maintain his hygiene, it was planned to assist Jack in achieving his personal hygiene needs. He was provided with the facilities daily for personal cleansing at his bedside. To ensure Jack's privacy and dignity the curtains were closed whilst he washed. Jack was advised on how to use the nurse call system to request help if required. It was ensured that his personal items and the nurse call were assessable. Clean pyjamas were provided.

Effective observation of patient is the first crucial phase to identify deteriorating patients and apply effective measure to care for them (Mandy, Christina & David, 2009). Nurse’s role is taking care of patients, supporting, and helping them recovery them from disease or any medical condition they came with and improving their quality of lives and get, them back to community to function as normal. However, not always things go efficiently as planned. Nurses work with other multi-disciplinary team to accomplish the goal. A nurse encounter load of temperamental cases therefore Nurse has immense responsibility for recognizing and rescuing the deteriorating patients. It’s a challenging work, which comes with plenty of clinical experiences and great deal of knowledge. This can be very overwhelming and intense at time. Not all the nurses are experienced and know how to handle it. Decision-making is very crucial to the time. Partial experience and basic-level knowledge can make it difficult to care for deteriorating patients. Reporting the doctor about any concerns regarding any changes of the patients can resolve the patients. The lack of communication between disciplinary teams and the nurses can be a cause for untimely action taken for deteriorating patients. The verbal information given to the doctor can be irrelevant sometimes. Hence, it’s very crucial in a health setting to recognize the deteriorating patients. In this paper I will be transcribing how can a nurse recognizes

The nurse found Mrs Smith to be tachypnoeic, her respirations were recorded as 24 breaths per minute it was observed as being fast and it appeared that her accessory muscles were being used. Mrs Smith’s pallor also appeared flushed and her saturations were documented as 93%. The nurse used the stethoscope to check for wheeze the patient’s lungs were clear and chest rise was symmetrical. Mrs Smith was commenced on 100% oxygen through a non-rebreathe mask, oxygen as an intervention is necessary as Creed & Spiers (2010) highlight ‘metabolic demand for oxygen throughout the body is hugely increased by sepsis and is essential to ensure the supply of oxygen is maximized’ .The nurse monitored the patient closely because in her confused state the patient may try to remove the oxygen mask.

This assignment will discuss the nurse's role in devising of a care plan for a patient, including the rationale upon which this care plan has been based, evaluating that the goals intended are met or amended. The patient's identity will be protected using a pseudonym of Kora in keeping with the standards of maintaining confidentiality set by Nursing and Midwifery (NMC, 2015). The patient has Chronic Obstructive Pulmonary Disease (COPD) which is a long-term health condition which is slowly progressive, cause’s obstruction to airway that cannot be reversed, alterations in breathing with exacerbation often suggesting worsening of the disease (Currie, 2007). Kora is 63 years has three young grandchildren permanently in her care, Kora being in

Nursing got defined according to the meta-paradigm for its ability to develop and sustain a connection and concern, which gets exhibited through the existence of a strong relationship between the patients and the nurses. According to Masters, (206), nursing gets views as the nature of care and the research into the illness, health and disease, and the relationship between the three aspects of a patient’s body. In my position as a Registered Nurse, we engaged in various missions aimed at checking the wellness of patients and the sustainable healthcare of the patients.

This assignment is a case study of a patient who was admitted to a respiratory ward with acute exacerbation of asthma. This assignment will discuss nursing an adult patient with asthma, also it will aim to critically assess, plan, implement and evaluate the patients nursing needs using the Roper, Logan and Tierney nursing model (1980). This case study will focus on the maintaining a safe environment. It is worth noting that the activities of daily living are interlinked e.g. according to Roper et al (1980) breathing is an activity that is crucial for life therefore all other activities are dependent on us being able to breathe. The nursing management, pharmacological agents and the tools used will be critically

This paper explores Pneumonia and the respiratory disease process associated with bacterial and viral pathogens most commonly located in the lung. The paper examines the process, symptoms and treatments most commonly viewed in patient cases of Pneumonia. My goal is to educate the reader and to warn of the

“Put her on 6 liters of oxygen,” I answered more confidently. As I reassessed my patient, I noticed she was breathing easier. Her oxygen saturation was now 98%. I checked her fingernail beds and lips, and the blue tinge I had noticed earlier had disappeared. I lifted her hands slightly to show the medic. He gave me a thumbs up.

COPD, pneumonia, asthma ,dysplasia or immature lungs in infants,heart disappointment,cystic fibrosis,lung disease, injury to the respiratory framework. To figure out if a patient will profit by oxygen treatment, specialists will test the measure of oxygen in his or her blood. Low levels imply that a man might be a decent contender for supplemental oxygen.

This essay will now analyze the nursing intervention that requires for the acutely ill patient to prevent an exacerbation of chronic obstructive pulmonary disease. The nurse carried out an initial assessment of a full history, taking in consideration that the patient was over 35 years of age who has been, or still is, a cigarette smoker, with vascular related diseases and had symptoms of breathlessness on exertion, chest tightness, wheezing, coughing, sputum production especially in the morning and chest infection (Currie 2009). A physical examination was done to check the patient respiration rate, depth and rhythm, blood pressure, pulse, temperature and oxygen saturation (Lynes 2007). The acutely ill patient’s respiration was between 30-34 breaths per minute, blood pressure 580/98, pulse 110 beat per minute and saturation levels 80-82%. Increase respiration indicates that the patient was in fear, pain and anxious. Anxiety causes stimulation of sympathetic nervous activation which forces bronchioles

After the onset of hypovolemic shock, the primary goals are to replace blood and fluid volume via IV infusion; maximization of oxygen delivery, and minimization of oxygen demand. Patient is positioned in a manner that supports maximal circulation and airway patency (oxygenation, ventilation, and perfusion). Diligent treatment of fever, fear and pain are necessary to reduce oxygen demand. Humidified supplementary oxygen is given as needed at up to 10 to 15 L/min by non-rebreathing mask or bag-mask ventilation and is monitored continuously through pulse oximetry (McCance, 2010. pp

As nurses we deal with several different patients in a day and it is important to understand the patient as a whole person to treat them effectively. The purpose of this assignment is to explore a patients disease to understand the nursing judgments and interventions that go with this patient, to understand medications for this diagnosis, and to understand the disease the patient was diagnosed itself. The patient described in this paper will be referred to as Jonathan to ensure patient confidentiality.

“Hypoxia Is The Term Used When There Is A Deficiency In A Biotic Environment”. The Gulf of Mexico Dead Zone is an extensive area of water that is low in oxygen, a condition known as "hypoxia" and in this way can 't bolster life. No man 's lands like this happen along a large portion of the world 's coastlines.

The paper presents a review, analysis and a study on hypoxia faced by pilots at higher altitudes. The problems faced by pilots of commercial flights and the ways and means of dealing with them with the use of technology used in military planes will be the point of discussion and focus. The usage of technology that minimize the conditions of hypoxia at higher altitudes and reduction of its