Review the GCS, when would you contact the physician about a change in the GCS? What GCS score would you consider the patient unable to maintain their airway?
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Review the GCS, when would you contact the physician about a change in the GCS? What GCS score would you consider the patient unable to maintain their airway?
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- Discuss gas exchange in tissue capillaries between arterial blood and cells? Please ans as soon as possible.When planning care for a patient with chronic lung diseasewho is receiving oxygen through a nasal cannula, what doesthe nurse expect?a. The oxygen must be humidified.b. The rate will be no more than 2 to 3 L/min or less.c. Arterial blood gases will be drawn every 4 hours to assessflow rate.d. The rate will be 6 L/min or more.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 YOU
- 1. What is the disorder of this 17-year-old student? Why? 2. Is this primarily a restrictive or an obstructive disorder? Why? 3. Write the formula for determining residual volume (RV). 4. Determine the residual volume (RV) before and after the use of the bronchodilator. a. RV before using the bronchodilator: b. RV after using the bronchodilator: 5. Why is expiration more difficult than inspiration in this person? 6. What does the change in pulmonary function after the bronchodilator therapy indicate? 7. Why does the bronchodilator exaggerate the tachycardia? 8. What causes the hypoxemia and the hypocapnia in this person? 9. A beta 2-adrenergic agent was prescribed for further use because it has less cardiostimulatory (beta1) effect. Based on your knowledge of beta1 and beta2 receptors, why is this a good suggestion? 10. An anticholinergic agent was also suggested as a possible nebulizer agent. How might this help the breathing problem?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. 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% Using the ABC, identify the life threatening injuries of the patient. Why? A-AIRWAY B-BREATHING C-CIRCULATIONMrs. Jones is a 68 yr old woman, alert and oriented, presents to the ED with complaints of chest tightness, shortness of breath and congested cough. States she has been taking cough medicine but has gotten no better.On examination, vital signs are BP 112/72, pulse is 96, respiratory rate 28 and temp of 102.5 F. Oxygen saturation is 92%.What other assessment data would be useful to help understand Mrs. Jones symptoms?Discuss what factors might place patient for risk for pneumonia
- While inspecting the patient’s chest, the nurse notes that the chest wall contracts on inspiration & bulges on expiration. From this assessment, she suspects:To evaluate the effectiveness of mechanical ventilation for a patient with respiratory failure, which diagnostic will be most useful to the nurse? 1. A chest x-ray 2. Oxygen saturation 3. Arterial blood gas analysis 4. Central venous pressureA 47-year-old male driver was injured in a moderate speed lateral impact to the driver’s side of the auto. Upon examination: LOC – alert but confused and anxious Airway – patent Breathing – adequate with good chest rise SpO2 – 96% on ambient air Circulation – pulse deficit (left arm); skin – pale, cool, diaphoretic; no external bleeding noted Signs of injury found during secondary assessment: bruising over sternum, complaint of chest pain, increased chest pain upon palpation, breath sound equal bilaterally. Vital signs: unable to obtain vital signs on the left side; right side – BP – 90/60; pulse – 130, weak and regular; and respirations – 24, strong and regular Treatment? Rapid transport to level 1 trauma center. Reassessment performed every 5 minutes.
- Assuming that pressure remains constant, if the radius of a bronchial airway through which gas glows at a rate of 400 L/min is reduced to one-half of its original size, the flow through the bronchial airway would change to A. 10 L/min. B. 25 L/min. C. 100 L/min. D. 200 L/min.If the pressure in the pulmonary artery is 34 mm Hg and the pressure in the left atrium is 9 mm Hg, what is the driving pressure? A. 9 mm Hg B. 17 mm Hg C. 25 mm Hg D. 34 mm HgThe mean intraluminal pressure in the pulmonary capillaries is A. 5 mm Hg B. 10 mm Hg C. 15 mm Hg D. 20 mm Hg
