oxygen is very very important for the human being. so i tried here to provide best content from the books and easy way to understand, if you like this slide comment it.
Bed-making is the act of arranging the bedsheets and other bedding on a bed, to prepare it for use. It is a household chore, but is also performed in establishments including hospitals, hotels, and military or educational residences. Bed-making is also a common childhood chore.
oxygen is very very important for the human being. so i tried here to provide best content from the books and easy way to understand, if you like this slide comment it.
Bed-making is the act of arranging the bedsheets and other bedding on a bed, to prepare it for use. It is a household chore, but is also performed in establishments including hospitals, hotels, and military or educational residences. Bed-making is also a common childhood chore.
As nurses, we are responsible of helping our patients maintain good hygiene and physical comfort, especially if they are unable to do so. The simple morning care and bedside care can contribute a lot in meeting this need. Positioning of bedridden patients aim to maintain physical comfort. However, these activities are the ones commonly not prioritized, or worse, not done by nurses, especially in government hospitals.
Lat.... Week 3 discussionAn anxious patient is having rapid .docxcharlieppalmer35273
Lat....
Week 3 discussion
An anxious patient is having rapid and shallow breathing. After a few moments, he complains of a tingling sensation.
What could be the causes of this tingling sensation?
What are the various patterns of respiration and their significance?
Ethnicity and culture influence risk factors for heart disease. Do you agree? Why or why not?
What is the technique of percussion and palpation of the chest wall for tenderness, symmetry, bulges, fremitus, and thoracic expansion? Explain.
Would you anticipate hearing hyper-resonance on a patient with a history of tobacco use? Why or why not?
What are the mechanics of breathing with reference to lung borders and the anatomical structure of the lungs and diaphragm?
The patient is having rapid and shallow breathing because of a decrease in Co2 in the blood to the extremities. The patient is experiencing hyperventilation. This could be a result of a panic attack or cardiac related.
Norml respirations between 12-20 breaths/min. The chest expands and falls with a normal and even rate and rhythm Tachypnea: Respiratory rate that is above 20 breath/min. Some things that can cause this change is fever, pain, anxiety, respiratory issues. Bradypnea: Respiratory rate below 12 breaths per/min. Some causes of this could be certain medications such as narcotics or sedatives. Cheyene Stokes: Deep shallow breathing with periods of apnea. This could be in relation to renal faluire or drug overdose. African Americans are at a higher risk for devoloping heart disease due to genetics. Yes, I do agree because African Americans consume alot of sodium in their diet, and are geneticly sensitive to salt consumption which causes an increase in blood volume and raises blood pressure.
Palpitation: Stand behind the patient and place your thumbs at the 10 th rib. Your hands will be out with thumbs touching. You can ask your patient to take a deep breath and you would watch for symmetry movement on your thumbs. During this point in the examination you will ask the patient to say ninety-nine as you bring your hands down along the sides of chest. You should have the same type of vibration throughout as you make your way down. To feel for bulges you would assess both posteriorly and anteriorly. You would use the tips of your fingers and gently palpate the area below the breast tissue. Percussion: You can perform the anterior assessment this way with your patient lying down. Then, strike the finger placed on the patient's skin with the end of the middle finger of your dominant hand. You are listening and feeling for differences.
For someone that has a history of tobacco use, I would anticipate hyper resonance because tobacco use can cause emphysema or COPD. The action of breathing in and out is due to changes of pressure within the thorax, in comparison with the outside. This action is also known as external respiration . When we inhale the intercostal muscles (between the ribs) and diaphragm contract to e.
information regarding psychopharmacology especially for nursing students and community. covers all group like anti psychotic, anti anxiety, antidepressants, mood stabilizing agents etc.
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From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
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This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
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CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
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Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
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Performance Standards for Antimicrobial Susceptibility Testing
Oxygenation nursing process
1. oxygenation
Nursing process
ASSESSMENT
Nursing history
Physical examination
Diagnostic test
NURSING DIAGNOSIS
OBJECTIVES
INTERVENTIONS
IMPLEMENTATIONS
EVALUATIONS
2. oxygenation
ASSESSMENT
NURSING HISTORY
Nursing history should be focused on the patient’s
ability to meet the oxygen needs.
On the following points history should be collected
from the patient to assess the respiratory status:
1. Chest pain
2. Fatigue
3. Dyspnea
4. Cough
5. Wheezing
6. Respiratory infection
7. Allergies
8. Health risks
9. Medications
10. Others (i.e. smoking and
environmental and
geographical exposure)
3. oxygenation
ASSESSMENT
history CHEST PAIN
History regarding the chest pain should
include: location, duration,
radiation and frequency. some of
the descriptions regarding chest
pain are as follows
1. Chest pain in male usually occur
on the left side of the chest and
radiate to the left arm.
2. Chest pain (heart attack) usually
associated with breathlessness,
jaw or back pain and radiate to
left arm.
contd.
4. oxygenation
ASSESSMENT
history
3. Pericardial pain results from
inflammation of the
pericardial sac, occurs on
inspiration and does not
radiate.
4. Pleuritic chest pain radiate to
the scapular region.
Coughing, yawning sighing
worsen the pleuritic chest
pain.
5. Pleuritic chest pain usually
sharp knife like pain always
associated with inspiration.
5. oxygenation
ASSESSMENT
history
FATIGUE
Fatigue is the term used for tiredness.
It is a subjective sensation used as the early sign of
cardiopulmonary impairment.
It occurs in response to the decreased cellular metabolism
due to lack or decreased oxygen supply to the tissue.
6. oxygenation
ASSESSMENT
history
DYSPNOEA
(difficulty in breathing)
It is a subjective data indicates the hypoxia.
It is associated with cardiopulmonary diseases, neuromuscular conditions
and anemia.
While collecting the history about dyspnoea ask about any stressful
event, exercises or any respiratory infections.
Ask the patient about sleeping pattern whether dyspnoea affects his
ability to lie flat and feeling comfortable in semi fowler's position.
Dyspnoea can be made objective data if nasal flaring, use of accessory
muscles in respiration, rate and rhythm of respiration is assessed.
7. oxygenation
ASSESSMENT
history
WHEEZING
Wheezing is an objective data
Wheezing is the whistle sound produced when a high pressure of
air moves through the narrow bronchus.
It is usually present in the condition of the asthma, acute
bronchitis or pneumonia.
It may occur during inspiration, expiration or both.
Wheezing indicates the bronchoconstricitons or bronchospasm.
8. oxygenation
ASSESSMENT
history
COUGH
Cough is a sudden audible expulsion of air from the lungs.
Cough is a protective reflex to clear the trachea, bronchi and lugs of irritants
and secretions.
Following facts regarding the cough are helpful in assessing the respiratory
disorder:
1. Patient with chronic sinusitis usually cough only in morning.
2. Patient with chronic bronchitis cough and produce the sputum all the
day.
3. If sputum is present inspect the sputum for color such as green or blood
tinged, consistency is thick or thin, amount (increased or decreased),
smell (none or foul).
contd.
9. Following diagnosis can be suspected while inspecting the sputum:
Sputum can be:
Bloody (Hemoptysis)
blood-streaked sputum - inflammation of throat, bronchi;
lung cancer;
Pink sputum - sputum evenly mixed with blood, from
alveoli, small bronchi;
massive blood - cavitary tuberculosis of lung, lung abscess,
bronchiectasis, infarction, embolism.
Rusty colored - usually caused by pneumococcal bacteria (in
pneumonia)
contd.
oxygenation
ASSESSMENT
history
sputum
10. oxygenation
ASSESSMENT
history
sputum
Purulent - containing pus. The colour can provide hints as to
effective treatment in Chronic Bronchitis Patients:
a yellow-greenish (mucopurulent) color suggests that treatment with
antibiotics can reduce symptoms. Green color is caused by Neutrophil.
a white, milky, or opaque (mucoid) appearance often means that
antibiotics will be ineffective in treating symptoms. (This information
may correlate with the presence of bacterial or viral infections, though
current research does not support that generalization.)
Foamy white - may come from obstruction or even edema.
Frothy pink - pulmonary edema
11. oxygenation
ASSESSMENT
history
SMOKING
While collecting the history regarding smoking
following information should be collected:
1. No. of years with smoking
2. No. packets smoked per day
This both are recorded as pack year history.
(i.e. packages per day × years smoked)
Ask about the second hand smoke.
12. oxygenation
ASSESSMENT
history
RESPIRATORY INFECTION
Frequency of cold and flu
On an average patient have four cold per year
Obtain the history regarding HIV transmission
• IV drug users
• Multiple sexual partners
Note: patients with AIDS are on grater risk for
pneumocystis carinii pneumonia or
mycoplasma pneumonia.
13. oxygenation
ASSESSMENT
history
ALLERGIES
Collect the history regarding:
Types of allergens
Response to the allergens
Relief measures
Patient with allergies usually exhibits watery
eyes, running nose, sneezing, or respiratory
symptoms like cough or wheezing.
14. oxygenation
ASSESSMENT
history
HEALTH RISK
Collect the history regarding the respiratory
disease such as emphysema, lung cancer
If the family members have the disease ask
about the level of health or age at the time
death
Obtain the data regarding any
communicable disease in the family
especially TB.
15. oxygenation
ASSESSMENT
history
MEDICATIONS
Collect the history of prescribed drug, over
the counter drug, herbal therapies or
alternatives therapies.
Because such drugs may increase or decrease
the effect of other drugs and some time may
produce the life threatening conditions too.
Obtain the data for any drug abuse such as
marijuana, Opioid or cocaine.
16. oxygenation
ASSESSMENT
physical examination
INSPECTION
Purpose:-observation of
Skin and mucus membrane color
General appearance
Level of consciousness
Adequacy of systemic circulation
Breathing pattern
Chest wall movement
17. oxygenation
ASSESSMENT
physical examination
INSPECTION
Cyanosis
Clubbing of the finger
Use of accessory muscles
during breathing
Chest wall retraction (sinking
of the soft tissue of the
chest between Intercostal
space )
18. oxygenation
ASSESSMENT
physical examination
INSPECTION
Paradoxical breathing
(chest wall contracts
during inspiration and
expand during
exhalation)
Shape of the chest
(barrel chest)
19. oxygenation
ASSESSMENT
physical examination
PALPATION
Through the chest palpation following data can
be can be documented
Thoracic excursion
Tenderness
Tactile fremitus
Thrills
Heaves
20. oxygenation
ASSESSMENT
physical examination
THORACIC EXCURSION
Thoracic excursion is the assessment of
chest wall movement during
respiration
Place hands on the patient's back with
thumbs pointed towards the spine.
First rub hands together so that they are
not too cold prior to touching the patient.
Hands should lift symmetrically outward
when the patient takes a deep breath.
Processes that lead to asymmetric lung
expansion, as might occur when anything
fills the pleural space (e.g. Air or fluid),
may then be detected as the hand on the
affected side will move outward to a
lesser degree.
21. oxygenation
ASSESSMENT
physical examination
TACTILE FREMITUS
Normal lung transmits a
palpable vibratory sensation
to the chest wall. This is
referred to as fremitus
It can be detected by placing the
ulnar aspects of both hands
firmly against either side of the
chest while the patient says the
words "Ninety-Nine."
This maneuver is repeated until
the entire posterior thorax is
covered.
The bony aspects of the hands are
used as they are particularly
sensitive for detecting these
vibrations.
22. TACTILE FREMITUS
CONDITION THAT ALTER TACTILE
FREMITUS:-
In the presence of consolidation,
fremitus becomes more pronounced.
Consolidation occurs when the
normally air filled lung
parenchyma becomes engorged
with fluid or tissue, most
commonly in the setting of
pneumonia. If a large enough
segment of parenchyma is
involved, it can alter the
transmission of air and sound.
Fremitus over an effusion will be
decreased.
Pleural fluid: Fluid, known as a
pleural effusion, can collect in the
potential space that exists between
23. THRILLS
Thrills are vibratory sensations caused by the
heart and felt on the body surface. Thrills are
always associated with murmurs.
Palpate for thrills as follows:
Place the patient in the supine position.
Use the proximal part of your hand (not
fingers)and press gently over the anterior chest
wall over the heart.
Note any thrills appreciated.
24. HEAVES
Heave is a precordial impulse that may be felt
(palpated) in patients with cardiac or respiratory
disease.
Precordial impulses are visible or palpable
pulsations of the chest wall, which originate from
the heart or the vena cava, pulmonary artery or
aorta (collectively known as the great vessels).
IT is mostly seen in right ventricular hypertrophy
COPD, mitral stenosis, and myopathies.
25. HEAVES
Technique
A parasternal impulse may
be felt when the heel of
the hand is rested just to
the left of the sternum
with the fingers lifted
slightly off the chest.
Normally no impulse or a
slight inward impulse is
felt. The heel of the hand
is lifted off the chest wall
with each systole.
26. oxygenation
ASSESSMENT
physical examination
A few things to remember for
percussion:
If you're percussing with your
right hand, stand a bit to the left
side of the patient's back.
Ask the patient to cross their
hands in front of their chest,
grasping the opposite shoulder
with each hand. This will help to
pull the scapulae laterally, away
from the percussion field.
Work down the "alley" that exists
between the scapula and vertebral
column, which should help you
avoid percussing over bone.
contd.
27. oxygenation
ASSESSMENT
physical examination
A few things to remember for percussion:
Strike the distal inter-phalangeal joint (i.e. the last joint) of
your left middle finger with the tip of the right middle finger.
When percussing any one spot, 2 or 3 sharp taps should
suffice, though feel free to do more if you'd like. Then move
your hand down several inter-spaces and repeat the maneuver.
After you have percussed the left chest, move yours hands
across and repeat the same procedure on the right side.
If you detect any abnormality on one side, it's a good idea to
slide your hands across to the other for comparison.
In general, percussion is limited to the posterior lung fields.
However, if auscultation reveals an abnormality in the anterior
or lateral fields, percussion over these areas can help identify
its cause.
28. oxygenation
ASSESSMENT
physical examination
FINDINGS:
This technique makes use of the fact that striking a surface which
covers an air-filled structure (e.g. normal lung) will produce a
resonant note
Percussion over fluid or tissue filled cavity generates a
relatively dull sound.
If the normal, air-filled tissue has been displaced by fluid (e.g.
pleural effusion) or infiltrated with white cells and bacteria
(e.g. pneumonia), percussion will generate a deadened tone.
Chronic (e.g. emphysema) or acute (e.g. pneumothorax) air
trapping in the lung or pleural space, respectively, will
produce hyper-resonant (i.e. more drum-like) notes on
29. oxygenation
ASSESSMENT
physical examination
Auscultation
Auscultation is the listening to the sounds the
body makes to detects variations.
Auscultation of the heart includes assessment of
normal heart sound, murmurs, rubs and
gallops
Auscultation of respiratory system includes the
normal air entry, adventitious breath sound.
30. oxygenation
ASSESSMENT
diagnostic test
Diagnostic test confirms the findings of physical examination.
There are certain diagnostic test which suggests the alteration in oxygenations.
Chest X-ray
Complete blood count
ECG
ABG analysis
Pulmonary function test
Thoracentasis
Sputum analysis
Serum electrolytes
Lung scan
Bronchoscopy