Critical Thinking Case Studies Nursing Write Right Essay
See if he's currently having chest pain and have him describe it to you.
Perform a 12-lead electrocardiogram (ECG) to assess the heart and see if anything is out of the ordinary.
You are caring for a 38-year-old woman in the surgical ICU who had surgery to remove the gallbladder two days ago.
She has a history of high cholesterol and gallstones. Cases can be pretty straightforward in the surgical ICU. We know she's got abdominal pain, which could be from the surgery. Her heart rate is elevated, her blood pressure is low, and she has a fever of 101 F. The elevated WBCs and fever tell us she has some type of infection.
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Unfortunately, with a head injury, there's not much room for swelling other than the opening at the base of the skull, the foramen magnum.
This is where the brainstem sits, which is responsible for regulating the heart rate, blood pressure, and breathing.
Finally, we discussed a surgical patient with possible sepsis, also treated with medications to fight off infection. We have over 200 college courses that prepare you to earn credit by exam that is accepted by over 1,500 colleges and universities.He has a history of high cholesterol, hypertension (high blood pressure), and he smokes a pack of cigarettes a day. As his care provider, there are several things that need to be accomplished.First of all, it's important to complete an assessment.This patient will need a trip to the cardiac catheterization lab (cath lab) so the cardiologist can open up the blocked blood vessel in the heart to restore blood flow.This is a common scenario in the cardiac ICU and usually ends in a good patient outcome.Blood needs to be drawn to evaluate his cardiac enzymes, which will tell you if damage is actually occurring in the heart muscle.The cardiologist, or heart doctor, needs to be notified of all of your findings to help form a plan.She will need medication to decrease the swelling in the brain, computerized tomography (CT) of the head to see what's happening in the brain, and perhaps surgery to drain fluid and decrease the pressure on the brainstem.This is a common scenario in the neuro ICU and unfortunately does not always end well.He will need oxygen to help his heart muscle that is dying from potential blockage.Because his heart rate and blood pressure are elevated, he needs medications to bring those down to normal levels.