Describe priority assessment for a post-operative patient with orthopedic surgery on the lower extremities. General Intergumentary Cardiovascular Neurovascular Musculoskeletal
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- Describe priority assessment for a post-operative patient with orthopedic surgery on the lower extremities.
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- What complications is Mr. E at risk for following general anesthesia and a below-the-knee amputation (BKA)? Please explain Note: -Mr. E is a smoker, has heart disease and diabetes type 1 as well as PVD -This is during the postoperative PhaseExplain the postoperative nursing care required for someone that has undergone a laparotomy. You need to provide a minimum of 4 nursing requirements for Mr Johns (easy and simple)Develop a patient centered Pathophysiology of the patient.
- what are the nursing responsibilities for echocardiogram on a child with tetralogy of fallotDiscuss the nursing management for a patient with acute myocardial infarction (AMI)SITUATION: Mr Chong was brought into Emergency Department (ED) last night by ambulance after collapsing at home. The ED Registered Nurse reported that Mr Chong was alert and orientated to person, time and place on admission. He has global aphasia, left gaze preference, right homonymous hemianopia (field cut), right facial droop, dysarthria, and right hemiplegia. CT angiography showed a left Middle Cerebral Artery (MCA) occlusion (Fig 1). 12-lead ECG showed Atrial Fibrillation (Fig 2). BACKGROUND Mr Chong has a past medical history of Coronary Artery Disease, Coronary Artery Bypass Grafting, Atrial Fibrillation and previous TIA (Transient Ischaemic Attack) three month ago. Mr Chong is retired and independent with activities of daily living. He speaks simple English. Mr Chong lives with his wife and two sons. ASSESSMENT His last Glasgow Coma Scale (GCS) is between 13-14 (disorientated and occasionally confused to time and place) and other vital signs are within normal limits. His BGL:…
- SITUATION: Mr Chong was brought into Emergency Department (ED) last night by ambulance after collapsing at home. The ED Registered Nurse reported that Mr Chong was alert and orientated to person, time and place on admission. He has global aphasia, left gaze preference, right homonymous hemianopia (field cut), right facial droop, dysarthria, and right hemiplegia. CT angiography showed a left Middle Cerebral Artery (MCA) occlusion (Fig 1). 12-lead ECG showed Atrial Fibrillation (Fig 2). BACKGROUND Mr Chong has a past medical history of Coronary Artery Disease, Coronary Artery Bypass Grafting, Atrial Fibrillation and previous TIA (Transient Ischaemic Attack) three month ago. Mr Chong is retired and independent with activities of daily living. He speaks simple English. Mr Chong lives with his wife and two sons. ASSESSMENT His last Glasgow Coma Scale (GCS) is between 13-14 (disorientated and occasionally confused to time and place) and other vital signs are within normal limits. His BGL:…pathophysiology hyperreflexia (primary/secondary, types, clinical manifestations, assessment tools)History of Present IllnessTwo hours prior to admission, at 4am, patient Jake was jogging along LacsonStreet when a group of bystanders had approached him and stabbed himmultiple times. He claims that he does not know these people. He tried todefend himself resulting to multiple injuries in his upper extremities where hehad 3 lacerations, cheeks where he had a laceration on the left, right chest andright upper abdominal quadrant. Medications: Tetanus Toxoid 0.5 ml/amp, give 1 ampule via deep IM, now at right deltoid ATS 3,000 IU/amp, give 1 ampule via deep IM, now, ANST at left deltoid Piperacillin Tazobactam 2.25 grams/vial, give 1 vial via IV drip to run for 3 hours Q8H Tramadol 50 mg/amp, give 1 ampule very slow IV push now then Q6 PRN for pain Omeprazole 40 mg/amp, give 1 ampule via IVTT ODHS Latest Vital Signs : Blood Pressure: 90/60 mmHg Heart Rate: 121 bpm Respiratory Rate: 26cpm Temperature: 37.3 ⁰C Pain Scale: 10/10 NURSING CARE PLAN
- put together care plan for a patient with bstructive shockHistory of patient: “A 12 year old girl presented to the A&E department at a weekend, with pain on movement of the left shoulder. Initially there was no history of trauma. Although when seen in clinic, she mentioned having played rugby a few days before the onset of pain.” Physical examination: “…revealed minimal tenderness above the clavicle and painful shoulder movement.” Imaging: Radiography was performed, see Figure 1. “The initial radiograph was reported as no bony injury, the ‘fracture’ diagnosed [by the radiologist] as an anomalous articulation.” Treatment: a collar and cuff (Figure 2) and analgesia. Follow up: “Another radiograph [Fig 3] six weeks later showed callus around the ‘anomalous articulation’, which supported our earlier diagnosis of fracture [of the first rib]. She…has had an uneventful recovery.” In other words, the radiologist got this wrong, when s/he diagnosed an “anomalous articulation” on the first x-ray. This patient did not break any…73-year-old male, post-op day 1, status post-carotid endarterectomy on the surgical unit, demonstrating signs of stroke. Suggest two interdisciplinary team members to assist with caring for the patient and provide a rationale for the importance of including them in the care of this patient.