The nurse cares for a 78-year-old female admitted to the med…
The nurse cares for a 78-year-old female admitted to the medical intensive care unit in respiratory distress. Nurses’ Notes 0900. Client was admitted to the ICU in respiratory distress after minimal response to high flow oxygen for a pulse oximeter reading of 83% in room air. Crackles heard bilaterally in lower lobes with diminished breath sounds in right middle lobe; S1S2 auscultated; bowel sounds positive in all 4 quadrants; skin warm dry and intact. VS T 99.8F(37.7C); HR 110; RR 30 bpm; B/P 168/90; pulse oximeter is 87% on 100% non-rebreather; pain-0/10. 0930. Client was intubated with #6 endotracheal tube and was placed on assist control mechanical ventilation, rate 14, Peep 5 mmHg, FIO2 60%. VS T 99.8F(37.7C); HR 110; RR 14; B/P 180/90; pulse oximeter is 96%. Client is restless. Laboratory Report Lab Results Reference range ABG pH 7.2 7.35-7.45 ABG P02 65 mm Hg 75-100 mm Hg ABG PC02 51 mm Hg 35-45 mmHg ABG HC03 28 mEq/L 22-26 mEq/L WBC 5,600 cells/mm3 4.5 – 10.5 x 103 cells/mm3 Platelets 250,000/ mm3 140,000 to 450,000/ mm3 Potassium(serum) 4.0 mEq/L 3.5 to 5 mEq/L Sodium (serum) 140 mEq/L 135 to 145 mEq/L Magnesium 1.5 mEq/L 1.5 to 2.1 mEq/L Lactate level 4.5 mEq/L 0.5 to 2.2 mEq/L Blood culture Gram negative cocci Negative Urine culture pending Negative Sputum culture pending Negative The client’s spouse enters the room and is able to visit for the first time. The client’s spouse asks the nurse what causes ARDS and is explaining direct injury ARDS vs Indirect Injury ARDS. Which etiology of direct injury to the lungs should the nurse include in their education?
Read DetailsChapter 7 discuses how the Roman emperor engaged in ext…
Chapter 7 discuses how the Roman emperor engaged in extensive building programs. Between 324 and 330 a.d., he carried out his biggest project, the construction of a new capital city in the east, on the site of the Greek city of Byzantium, on the shores of the Bosporus. This city, (modern Istanbul), was developed for defensive reasons.
Read DetailsThe Roman came to hold an especially important pos…
The Roman came to hold an especially important position in the republic. This body, also known as the council of elders, was a select group of about three hundred men who served for life. It was not a legislative body and could only advise the magistrates. The advice of this body was not taken lightly, how-ever, and by the third century B.C. had virtually the force of law.
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