2 case studies and handout with #2 patients ; nursing related


CASE STUDY: Respiratory

#1 Resigned Profile: 

A 62-year-old womanish client delay a narrative of COPD has been admitted to the hospital delay clever exacerbation and left-sided pneumonia. 

The promote observes increased anterior-posterior crossing of the chest, reddish-blue husk temper, and prolonged expiratory exposure when lively. 

Admission material signs: air 101.5 F (oral), dispose urgency 154/92, interior objurgate 110, and respiratory objurgate 26 breaths/minute.

Critical Thinking Questions:

 Answer each doubt collectively and delay details

1)    What nursing speciality is the pre-eminence for this resigned and why?

2)    During the moderate substantial tribute of the resigned, the resigned exhibits a common cough delay profuse corrupt secretions foreseeorated.

 This tribute repartee is congenial delay which etiology of pneumonia?

 What form of nursing wariness would you then collect?

3)    What should the nutritional plan for this resigned grasp? Elucidate why?

Case Study: Burn/Trauma

You are caring for Mr. Stevenson a 26 year courageous resigned who is an employee in a chemical fix on the nock course. There was a extraordinary episode and two explosive chemicals unimpairedly and caused a chemical outburst in the fix. Mr. Stevenson was nigh to the outburst and sustained rigid brands from the surroundings. 

He is now a resigned in the Burn/Trauma ICU receiving personality cautions wariness. Mr. Stevenson accepted 3rd rank brands to his unimpaired chest and tail and his unimpaired upupright leg front and tail. He sustained cooperate rank brands to his unimpaired aspect. He is intubated, sedated and on a ventilator at the instant.

Please repartee the forthcoming doubts.

1) According to the Rule of Nines, what percentage of his association accepted brands? Please elucidate your repartee in details.

2) Elucidate in details what is meant by treating the ABCDE's of Brand Injuries?

3) What would be his fluid resuscitation goals for the foremost 24 hours? How encircling behind that?

4) According to the American Brand Association, spectry at definite 5 repartees that would constrain a referral to a brand hardihood?

5) Elucidate the course of husk luxuriance for brand skill.


#1 Resigned Profile: A 56-year-ld courageous resigned tells you that he has been having abdominal refusal encircling 3 hours behind he eats. It feels affect branding and is in-great-measure in the loftier abdomen. He gets some deliverance delay over-the-counter antacids. 

Critical Thinking Questions: Repartee each doubt fully and collectively.

1) What is the differential speciality?

2) An endoscopy is disposeed on this resigned, and he is rest to accept multiple dissolute duodenal ulcers. Now what do you contemplate?

3) Suppose the serum gastrin is noble. How can a speciality of Zollinger-Ellison syndrome be confirmed?

4) What are the signs and symptoms of Zollinger-Ellison and how would you initiate your resigned?

#2 Resigned Profile:

 A 46-year-old resigned tells you he’s been vomiting dispose, but he does not carry any in for you to see. 

Critical Thinking Questions: Repartee each doubt fully and collectively.

1) What is the differential speciality and what pre-eminence doubt should you ask?

2) What lab tests would you foresee the physician to dispose?

3) What is an misapply nursing speciality and what direction would you collect?

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