Your one minute Apgar is 1. The neonates five minute Apgar i…
Your one minute Apgar is 1. The neonates five minute Apgar is 3 (2 for heart rate, 1 for color). You have intubated the infant with 3.5 endotracheal tube and providing ventilation with a PIP of 24, a PEEP of 5, and a rate of 40. The OB notes a true knot in the umbilical cord. The cord pH is 7.01. The infant is transferred to the NICU. Your first ABG reveals: 6.9/40/35/14/-16 How would you interpret this ABG?
Read DetailsA student nurse is reviewing a clinical assignment with the…
A student nurse is reviewing a clinical assignment with the instructor. The patient is a 77-year-old female with kyphosis, CHF, and COPD. The student correctly verbalizes understanding of the cardiac and pulmonary relationship when he explains to his instructor which of the following?
Read DetailsA 40 week infant is 250 grams above birthweight on DOL 3 and…
A 40 week infant is 250 grams above birthweight on DOL 3 and remains on the ventilator support for management of congenital pneumonia. His urine output is 1.2 ml/kg/hr for the last 24 hours. He is on TPN and has a UAC with normal saline infusing. Total fluids are 70 ml/kg/day. His sodium today is 131. You recognize that his sodium is low secondary to:
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