Forty minutes after paracentesis removing 5.5 L, the patient…
Forty minutes after paracentesis removing 5.5 L, the patient becomes dizzy at rest and nauseated. Orders: vitals every 15 minutes for 1 hour, strict I&O, albumin 25% IV now, PRN 500 mL normal saline if SBP < 90 mmHg. Trend vitals: 15 min BP 102/64 HR 96; 30 min BP 96/60 HR 106; 45 min BP 92/58 HR 112. Tap site shows a quarter-sized area of clear moisture without active leak. Which action should the nurse take first?
Read DetailsDetermine where the graph of is concave up and/or concave d…
Determine where the graph of is concave up and/or concave down, and also find any points of inflection, if they exist. Be sure to use the chart below that you printed out, and fill and fill in the information just like we did in the lectures.
Read DetailsA patient is brought into the emergency department via EMS a…
A patient is brought into the emergency department via EMS after an episode of near-syncope at home. On arrival the patient is pale and diaphoretic, complaining of lightheadedness and chest pressure. Vitals: BP 78/46 mm Hg, HR 32/min, RR 22/min, SpO2 95% on room air. Answer in complete sentences: Using the strip and your assessment findings, classify the rhythm category and explain the underlying pathophysiology. Identify the top reversible etiologies you would prioritize ruling in or out and why. Detail your immediate nursing and medical management for the first 4 minutes, then the next phase of care. State whether defibrillation is indicated and justify your reasoning. Predict patient outcomes when a reversible cause is identified and treated promptly versus when no cause is found or treatment is delayed; support with physiologic reasoning.
Read DetailsA patient is brought into the emergency department via EMS a…
A patient is brought into the emergency department via EMS after an episode of near-syncope at home. On arrival the patient is pale and diaphoretic, complaining of lightheadedness and chest pressure. Vitals: BP 78/46 mm Hg, HR 32/min, RR 22/min, SpO2 95% on room air. Answer in complete sentences: Using the strip and your assessment findings, classify the rhythm category and explain the underlying pathophysiology. Identify the top reversible etiologies you would prioritize ruling in or out and why. Detail your immediate nursing and medical management for the first 4 minutes, then the next phase of care. State whether defibrillation is indicated and justify your reasoning. Predict patient outcomes when a reversible cause is identified and treated promptly versus when no cause is found or treatment is delayed; support with physiologic reasoning.
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