Nur 265 case study - Study guides, Class notes & Summaries

NUR 265 Cirrhosis Case study 2023/24/NUR 265 Cirrhosis Case study 2023/24 Scenario D.G. 57 years old, is admitted to your unit for observation from the emergency department (ED) with the diagnosis of cirrhosis with possible hepatic encephalopathy. He is lethargic, appears cachectic, and is mildly combative when aroused. He is jaundiced, with a notably distended abdomen. He is receiving an IV infusion of D5 ½ NS. 1. Briefly discuss the pathophysiology of cirrhosis. Cirrhosis is late stage sc...

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D.G. 57 years old, is admitted to your unit for observation from the emergency department (ED) with the diagnosis of cirrhosis with possible hepatic encephalopathy. He is lethargic, appears cachectic, and is mildly combative when aroused. He is jaundiced, with a notably distended abdomen. He is receiving an IV infusion of D5 ½ NS. 1. Briefly discuss the pathophysiology of cirrhosis. Cirrhosis is late stage scarring of the liver tissue. It can be cause by multiple things such as hepatitis ...

G.S., a 36-year-old secretary, was involved in a motor vehicle accident; a car drifted left of center and struck G.S. head-on, pinning her behind the steering wheel. She was intubated immediately after extrication and flown to your trauma center. Her injuries were found to be extensive: bilateral flail chest, torn innominate artery, right hemo/pneumothorax, fractured spleen, multiple small liver lacerations, compound fractures of both legs, and probable cardiac contusion. She was taken to th...

NUR 265 Exam 2 Study Guide & Exams Questions and Answers Lungs Physiology • 2 Pleural, 1 attached to outside of lungs and 1 attached to inside of ribs. ● Space between the 2 pleural is negative to atmosphere ● When inhale becomes more positive and atmosphere more negative. Exhaling is passive ● Most of lower lobes are posterior, must listen to lungs posteriorly ● Breath sounds o Bronchial: High pitched & loud, normal in tracheal & larynx o Broncho-vesicular: Moderate pitched &...

NUR 265 Exam 2 Study Questions What is the normal arterial blood gas (ABG) range for the partial pressure of oxygen (PO2)? o 80-100 mmHg o What if it’s higher than 100? What if it’s lower than 80? ▪ Higher = too much oxygenation … lower = hypoxia What is the normal arterial blood gas (ABG) range for the partial pressure of carbon dioxide (PaCO2)? o 35-45 mmHg o What if it’s lower than 35? What is it’s higher than 45? ▪ Decreased = Respiratory alkalosis … increased = R...

NUR 401 Spinal Cord Injury Case Study/NUR 401 Spinal Cord Injury Case Study/NUR 401 Spinal Cord Injury Case Study/NUR 401 Spinal Cord Injury Case Study Scenario: T.W. is a 22-year-old man who fell 50 feet from a chairlift while skiing and landed on hard-packed snow. He is now at the emergency department (ED) with a suspected T5-T6 fracture with paraplegia

NUR 265 Exam 3 Study Guide & Exam Questions and Answers Increased ICP (939-940, chart 941) • Normal ICP 10-15 mmHg, pressures >20 mmHg impair cerebral circulation • IICP is leading cause of death from head trauma in pts who reach the hospital alive. • Cerebral Perfusion Pressure (CPP) o Blood flow required to provide adequate oxygenation & glucose for brain metabolism o Maintenance above 70 mmHg o CPP= MAP-ICP ▪ MAP= (2xD) + S MAP NEEDS TO BE ATLEAST 80 3 • Compensation o First Resp...

NUR 265 Exam 3 Study Guide & Exam Questions and Answers Increased ICP (939-940, chart 941) • Normal ICP 10-15 mmHg, pressures >20 mmHg impair cerebral circulation • IICP is leading cause of death from head trauma in pts who reach the hospital alive. • Cerebral Perfusion Pressure (CPP) o Blood flow required to provide adequate oxygenation & glucose for brain metabolism o Maintenance above 70 mmHg o CPP= MAP-ICP ▪ MAP= (2xD) + S MAP NEEDS TO BE ATLEAST 80 3 • Compensation o First Resp...

NUR 265 Exam 3 Study Guide & Exam Questions and Answers Increased ICP (939-940, chart 941) • Normal ICP 10-15 mmHg, pressures >20 mmHg impair cerebral circulation • IICP is leading cause of death from head trauma in pts who reach the hospital alive. • Cerebral Perfusion Pressure (CPP) o Blood flow required to provide adequate oxygenation & glucose for brain metabolism o Maintenance above 70 mmHg o CPP= MAP-ICP ▪ MAP= (2xD) + S MAP NEEDS TO BE ATLEAST 80 3 • Compensation o First Resp...