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She works as an elementary school teacher and reports a sudden onset of chills, fatigue, general malaise, and muscle pains that caused her to be sent home out of fear that she had the flu, even though she had received her influenza vaccine. Despite the utilization of conventional medical treatments and optimum respiratory support modalities, the patient's condition worsened and death was imminent without salvage therapy. Vaughn Choi is a 38-year-old male who comes to the clinic for a checkup at the request of a family member. What other systems are affected by the respiratory system? NextGen NCLEX Test Bank - University of Maryland School of Nursing Maryland Nursing Workforce Center. Yellow means use caution, and red means stop. Digital clubbing is present in his fingertips.
Bronchial hygiene therapy, such as an oscillatory positive expiratory pressure (PEP) device, can be recommended if indicated. However, because pulmonary emphysema is a collection of pus in the pleural space that may cause compromised cardiac function, displaced patient of maximal impulse (PMI), and hypotension may result. His family members have alternately had "colds". Taylor, L. L. Acute Respiratory Distress Syndrome—A Case Study : Critical Care Nursing Quarterly. Fundamentals of nursing. Singulair is a leukotriene receptor inhibitor also known as an anti-asthmatic. Although cyanosis is indicative of hypoxia, it is considered a late finding; thus the nurse should be aware that a patient with cyanosis is in severe. This drug should be taken as prescribed, even during symptom free periods. I would want to make sure that Jeremy understands what asthma is, and what is happening in his body when he has an attack.
AI is suffering from significant nasal congestion, which is preventing her from sleeping well at night, and she would like to take a nonprescription decongestant, but the label on the medication she selected says to check with a doctor or a pharmacist if individuals have high blood pressure or thyroid disease. Respiratory case studies for nursing students nurses. Without respiratory function, tissues cannot receive oxygen, resulting in death. He recalled childhood exposures to persons afflicted with tuberculosis. The hyperinflated tissue also puts excessive pressure on pulmonary capillaries and collapses adjacent alveoli. This medication is an effective bronchodilator but will ultimately not address more moderate-to-severe asthma symptoms and treat the underlying disease.
49, PaCO2 29 mm Hg, PaO2 49 mm Hg. Answer: In this instance, if you suspected primary heart trouble, a respiratory infection, or pulmonary embolism somewhere along the line, you're doing great! Unfolding clinical scenarios for nursing students reveal information incrementally, which mirrors real nursing practice. The nurse suspects which illness is the likely cause of the patient's symptoms? A reading in the red zone indicates what? Because of the SP02 reading, you apply a simple face mask with supplemental oxygen. That means, since you increased the EPAP, you will now also need to increase the IPAP by the same amount in order to keep the pressure support level the same. Perry, 2018, p. 647). Her Accuhaler device was changed to an MDI and Spacer (Aerochamber) and was given a peak flow meter and chart and taught how to use it. Describe the pathophysiology of this disorder. How does this drug work and what are expected side effects? Respiratory case studies for nursing students for a free. Marsh, 2017) I would have Jeremy demonstrate how he uses his equipment and give suggestions in a friendly way of things he could try to do differently. 2014 Jan-Mar;18(1):52-9. The diagnosis of ALI requires all three of the following: (a) bilateral pulmonary infiltrates, (b) a PaO2:FiO2 ratio of ≤ 300 and (c) echocardiographic evidence of normal left atrial pressure or pulmonary-artery wedge pressure of ≤ 18 mm Hg (2).
Intervention should include helping her to cough and deep breathe at least every 2 hours; teaching incentive spirometers every hour while awake; encouraging the patient to consume 3 L of fluid per day; monitoring intake and output; and administering bronchodilator if ordered. In general, COPD patients tend to have an FEV1/FVC ratio below 70% with an FEV1 that is less than 80%. Enhance your nursing students' education with realistic case scenarios—but without the worry of real patient risks. HS Biology Case Study/ Phenomenon Based-learning)Case Study: The baby boy was born on April 6, 2016. If the sounds remain, crackles. Common side effects include tachycardia and tremors. Which or is mot important fo the nurse to implement immediately? Respiratory case studies for nursing students get. Pneumonia and tuberculosis exposure will not present with gastrointestinal symptoms. A 77-year-old male was admitted to Woodbine Rehabilitation & Healthcare Center from Inova Alexandria Hospital after a recent hospitalization S/P Fall, Aspiration Pneumonia and Acute Respiratory Failure and Pneumonia. Although all of the options mentioned above could possibly contribute to the development of delirium, only mercury poisoning would explain the constellation of findings of confusion, upper extremity tremors, visual hallucinations, somnolence and acute respiratory failure (ALI/ARDS).
Before seeing the community team, Mrs X said: - I was unable to breathe with my mouth closed. Lerner EB, Dayan PS, Brown K, Fuchs S, Leonard J, Borgialli D, Babcock L, Hoyle JD, Kwok M, Lillis K, Nigrovic LE, Mahajan P, Rogers A, Schwartz H, Soprano J, Tsarouhas N, Turnipseed S, Funai T, Foltin G., Pediatric Emergency Care Applied Research Network (PECARN). It Ain't Easy being Weezy: Pediatric Case Study –. She was admitted with a trach and PEG tube in place. A peak flow meter is used with patients who have respiratory health problems, such as asthma or an airway disease.
An error occurred trying to load this video. Maintain Safety – S/P Fall. Auscultation reveals a prolonged expiratory phase and diminished breath sounds. 778, 779, 780) Headache, cough and nasal congestion are also side effects of this medicine. Alex Kasyan is a 68-year-old male who has come into the ER with chest pain. The ECG reveals an S1Q3T3 pattern, the blood tests reveal a raised d-dimer, and the x-ray doesn't show anything of significance. Of course, we can't simply ignore other important parts that will come up in this case scenario, but we will mainly focus on a case where a person's oxygenation is impaired.
The patient is alert and oriented. Low tidal volume ventilation (LTVV), also known as lung protective ventilation, has been demonstrated to significantly improve mortality in patients with ALI and ARDS (3). Mr K and the stop smoking team set a quit date of the 1 June and by the time he was discharged from the respiratory service he had been smoke-free for 4 weeks. She was discharged to home ambulating 20 feet with a Roller-walker stand by assist. What recommendations or eAducation on self-care for managing flulike symptoms can you offer?
She was bed bound requiring total assistance. Common side effects include skin flushing and hypotension, which is rarely clinically significant and responds well to fluid administration. The Acute Respiratory Distress Syndrome Network. United States: Pearson Education. This was supported with weekly and sometime twice weekly visits during steroid reduction. 2008 Jul-Sep;12(3):269-76.
Book Title: Nursing Case Studies by and for Student Nurses. What key findings from the patient's history and assessment help with the diagnosis? The lack of abnormal lung sounds may be an ominous sign of poor air movement in a patient at risk for respiratory failure. Register to view this lesson. First-line treatment of an asthma patient with any degree of respiratory distress should be albuterol. This interferes with major cell processes such as protein and nucleic acid synthesis, calcium homeostasis and protein phosphorylation. He also should check it during symptoms of an attack and after he takes his medicine. His wife encouraged him to speak with a pharmacist, as he recently received a diagnosis of chronic obstructive pulmonary disease (COPD) and wants to make sure he is doing everything he can to reduce his chances of complicating or exacerbating his condition. 1 with total protein 4.