during surgical abortion. Aspiration is caused by an elevation of physiological changes in the fetus‚ which is characterized by gastroesophageal reflux disease‚ increased nausea‚ and vomiting. However‚ health practitioners advocate endotracheal intubation to expectant mothers receiving anesthesia during their first trimester. Most health practitioners prefer to intubate pregnant women during surgical abortion. On the contrary‚ outpatient facilities prefer to administer deep intravenous anesthetic
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Chapter 3 –Emphysema Response 1: O2 via NC at 2lpm Breathing tx (Albuterol) q4h CPT q4h Postural Drainage of RLL Monitor closely for respiratory failure Response 2: Recommend Intubation with mechanical ventilation Order ABG in 30 minutes Continue Albuterol q4h – Add Mucomyst q4h CPT q4h Patient has severe case of COPD with air trapping. Patient was diagnosed previous to this admission with Chronic Emphysema. Patient also suffers from pneumonia. I placed patient on nasal cannula to
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The University of Miami Hospital (UMH) has recognized as one of the top hospitals in Miami-Dade County. This hospital is a 560-bed hospital and runs with a multidisciplinary function like cardiology‚ pulmonology‚ neurology‚ ophthalmology‚ psychiatric‚ and much more. In order to provide and promote a good care efficiently to their patients and to prevent any possible complication which may cause a negative impact into the patient life‚ this hospital had developed certain clinical practice guidelines
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occluded by pressing the cricoid cartilage against the cervical vertebrae during induction of anesthesia or positive pressure mask ventilation. Ever since Dr. Sellick’s publication and findings‚ the application of cricoid pressure to the tracheal intubation is called Selleck’s maneuver. (Blackwell
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STUDY GUIDE FOR NR 340 EXAM ONE *Remember: The exam questions will test more of the higher level thinking skills (application‚ analyzing and evaluating) and fewer lower level (remembering‚ understanding)‚ within the nursing process‚ teamwork/collaboration‚ patient-centered care and QSEN application. Critical care IV medication and formula calculations Enteral feedings for critically ill patients Pharmacodynamics (and nursing implications) for the following medications (generic/brand names):
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presence of healthcare learners”. She was assured by the attending Anaesthesiologist that she would handle the anaesthesia. However‚ when Mullins was unconscious during the surgery‚ a student (VanHoey) was allowed by the Anaesthesiologist to perform intubation. Mullins’ oesophagus was lacerated by VanHoey as it was VanHoey’s first day practicing on a live patient. The gynaecologist‚ the anaesthesiologist‚ VanHoey and the doctors’ were sued by Mullins for battery and other claims. A summary judgment
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Effects of Sleep Fragmentation and Prophylactic Sleeping Periods on Emergency Personnel Serving on a 48-96 Schedule‚ and a Berkley Schedule. Cody J. McKown Blue River Community College Abstract In the fields of emergency services‚ sleep patterns while on shift are often irregular. The lack of sleep‚ or regular sleep‚ can be a factor in other health problems‚ and can greatly decrease performance on the job. Interrupted sleep‚ or sleep fragmentation‚ is a common occurrence due to the nature
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ZAP VAP YVONNE SENTNER WAYNESBURG UNIVERSITY NUR589: EVIDENCE-BASED NURSING PRACTICE NANCY STYNCHULA‚ BSN‚ RN OCTOBER 6‚ 2010 INTRODUCTION Ventilator Associated Pneumonia (VAP) is the second most common infection that patients develop while in the hospital and the leading cause of death due to hospital acquired infections (Augustyn‚ 2007). Hospital acquired infections are also known as nosocomial infections. VAP usually happens when patients are on mechanical ventilation (the ventilator)
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ventilation can lead to nosocomial pneumonia‚ cardiac morbidity‚ and death. However‚ extubating a patient too soon may result in having to reintubate which can result in the same illnesses as prolonged intubation. “Respiratory therapists start testing for the opportunity to reduce support very soon after intubation and reduces support at every opportunity” (Cook 2000). Most common mode of ventilation is AC-VC it provides a consistent breath-to-breath tidal volume‚ making the tidal volume and rate preset
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Pyloric Stenosis is a rare condition that develops in newborns. About one in every 250 babies is affected. Patients with pyloric stenosis present with projectile vomiting in which they are still hungry afterwards. The infant will start showing signs of weight loss‚ dehydration and malnutrition. When my son had pyloric stenosis‚ he had some opposite symptoms that are unusual for infants. He had projectile vomiting‚ weight gain‚ dehydration and mild malnutrition. He was 12 weeks old when
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