I was working night shift in a post-acute surgical unit where several clients had undergone surgery during the afternoon shift.
What do the above results mean to you? The only lab needing direct intervention is the low Magnesium. The physician should have already ordered emperic antibiotic coverage. Blood Cultures were drawn from the central line and peripherally.
All prior cultures had been negative. I volunteered to take Jackie who came over after 1: What would you anticipate with this temperature? What questions would you want to ask yourself?
What is her mentation? Decreased level of consciousness LOC is an early indicator of oxygenation. What is her BP? Decreased BP reflects decreased cardiac output and 3rd spacing causing intravascular hypovolemia due to Sepsis She was alert and oriented to self and place but not to time.
Her BP had started dropping to a low of 87 systolic. What would be your preferred first treatment for decreasing BP? Are there any signs of 3rd spacing? Edema, ascities, fluid in lungs?
Another possibility would be Albumin to help pull the fluid back into the vasculature and then give a Diuretic. She was just finishing up a ml fluid bolus.
Why do you think her heart rate is increased? Why is her BP higher? Fever, decreased oxygenation, and decreased Cardiac Output with Hypotension will cause the heart rate to increase.
Hypovolemia does the same thing.
The body is trying to compensate for less vascular fluid, lower BP, and lower oxygen by moving the blood left in the veins more quickly. She also may be starting to respond to the fluid bolus.
When her fever rose to This can actually make the temperature go up by chilling the patient and making them rigor which drives the temp up.
Tepid not cold sponge baths can actually do more good.2 Submit an exemplar in MS Word format, minimum font size 10 points, no longer than words, and include your chapter name and award category at the top of each page.
Describe why and how the chapter embodies all areas of the award criteria from July 1 through date of submission. Helen Calabretto School of Nursing, University of South Australia, SA. PP: - Article Text The importance of assessment.
Gaynor Keenihan RN, BN. The following experience helped me to review my own techniques for gathering client data at the initial health interview and throughout hospitalisation. 2 Submit an exemplar in MS Word format, minimum font size 10 points, no longer than words, and include your chapter name and award category at the top of each page.
Describe why and how the chapter embodies all areas of the award criteria from July 1 through date of submission. An exemplar is an example or model of the concept to be emphasized.
An example of a concept might be perfusion and the related exemplars might be congestive heart failure, atrial . Nurse Exemplars & Friends of Nursing Nurse Exemplars We are proud to recognize nurses who exemplify the level of care and the kind of experience we strive to provide at Carle.
NURSE EXEMPLARS FRIENDS OF NURSING Linda Brantley Home Services Rachel Filak, CCLS Child Life Services Rhonda Knight, EVS Certified Technician Environmental Services We also recognize these Friends of Nursing who have gone above and beyond in their support of the nursing staff.