The paramedics initiated cervical spine precautions

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Bryan is a 19-year-old male who lost control of his car and struck a tree. Witnesses reported that he was not wearing a seat belt, and his face hit the windshield on impact. When paramedics arrived, Bryan was responsive but confused, had significant facial swelling, and reported pain in his right wrist and left forearm. The paramedics initiated cervical spine precautions, strapped him to a backboard, started oxygen (O2) at 15L/min via a non-rebreather mask, and started a 16 gauge IV with 0.9% normal saline (NS). His vital signs (VS) were 120/75, 125, 36, and SaO2 94%. CASE STUDY On arrival to the Emergency Department(ED) 15 minutes later, Bryan’s VS were BP 110/62, P 110 (reg), R 28-32 and shallow, SaO2 99%. An additional 16 gauge IV was inserted and the following labs were drawn: CBC, type and crossmatch, (T &C), complete metabolic panel (CMP), PT/PTT INR, and alcohol (ETOH) level. He was seen and assessed by the neurosurgeon and subsequently admitted to the neurotrauma intensive care unit. The trauma nurse completed a head-to-toe assessment and found the following: obeys commands, and responds to voice but is not oriented to time or place. Generalized facial
edema with full-thickness 5-cm cheek laceration and bilateral mandibular depressed fractures. Blood behind the left tympanic membrane (TM), edema with slight discoloration over left mastoid process. Clear drainage coming from the left are. Mid to upper chest contusions without crepitus, breath sounds clear. Abdomen slightly firm, but non-tender. Bryan was catheterized for 500ml of clear, yellow urine; negative for blood, glucose, and ketones. He had a positive deformity of the right wrist and diffuse tenderness of the left lower forearm.
WHAT ARE THESE SUBJECTS IN REGARD TO THE CASE STUDY?

Cervical C-spine precautions:

Oxygen 15L/min non-rebreather mask:

16 gauge IV with NS:

VS at scene:

VS in ED:

Additional 16 gauge IV inserted:

CBC:

Cross-type:

CMP:

Pt/PTT INR:

EToH:

Obeys command/oriented x1:

Generalized facial edema:

Full-thickness laceration 5cm:

Bilateral mandibular depressed fractures:

Blood behind left tympanic membrane:

Edema + discolouration over left mastoid process:

Clear drainage from left nare:

Mid/upper chest contusions with no crepitus – breath sounds clear:

Abdo slightly firm/non tender:

500 cc pale yellow urine, no blood/ketones/glucose:

Deformity R wrist:

Tenderness left lower arm:

Health ScienceScienceNursingNUR 402

Calculate the number of Calories in ONE serving using the grams of carbohydrate, fat,

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Calculate the number of Calories in ONE serving using the grams of carbohydrate, fat, and protein listed on the food label and convert to Calories. Compare this number to the number of Calories listed on the food label. Is your calculated number the same as the number on the food label? If the numbers are different, explain why

  Does acute coronary syndrome gives two priority concerns related to management and treatment

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Discuss one type of shock and give possible causes.  Does acute coronary syndrome gives two priority concerns related to management and treatment ,What would appropriate diagnostic /labs/medications that can be utilized to treat both shock and acute coronary syndrome?. Give one of each. For medication, you must list the classification and an example of the medication. For the medication. please include the route of administration. frequency. and what you would need to monitor. For the labs, indicate the ranges and what would be abnormal, For the diagnostics – indicate the abnormal findings.

What causes schizophrenia or psychotic behaviors?

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What causes schizophrenia or psychotic behaviors? What is the common age of onset of schizophrenia?   Explain the reason that people with schizophrenia might also have a co-occurring substance disorder.

4.  What are positive and negative symptoms – know the definitions and list 3 examples of positive and 3 examples of negative symptoms for class.

5.  What is the role of the nurse when working with someone with psychosis and schizophrenia?   Is there a difference?   How would you approach this patient?

6.   Describe some of the social issues that a person with schizophrenia might have and what effect does this have on the family?

7.  Explain what part dopamine has on a schizophrenic brain and why is this important to know?

8.  When working with families who have a psychotic member in the family, what are some important teaching points to prevent readmission?

provide a reference using APA-7, including in-

Essential psychomotor skills

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Revisit the two essential psychomotor skills that you selected for your discussion posting during week 6. What are two strategies you might use to assess the student’s learning outcomes and improve learning?

The high-profile patient’s rhinoplasty

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You are the practice manager for a prominent Beverly Hills plastic surgeon, and you overhear your staff talking about the rhinoplasty of a high-profile patient seen in your office. You hold an emergency staff meeting at the end of the day to address the topic of patient confidentiality. How could the discussion of the high-profile patient’s rhinoplasty among the staff impact the healthcare facility?

Why would it be important to keep the interdisciplinary team updated

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You are a nurse in an Intensive Care Unit. Your patient, Mr. Brown, has been on a vent for about 71 hours. He is receiving IV fluids but no other nutrition (by IV or mouth).

  • Why would it be important to keep the interdisciplinary team updated with the following: the number of days on a vent, fluids via 0.9NaCl (NS) in a 24-hour period, and the amount of time he has been NPO (“nil per os”, nothing by mouth).
  • How would you explain to the family what is happening with the patient’s nutritional and fluid status when they ask, “How is Mr. Brown receiving nutrition? The man loved to eat!”

Explain how you will be most successful in approaching genital exams

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Discussion Guidelines. Explain how you will be most successful in approaching genital exams with patients in a way that will keep your patient and yourself comfortable.

The use of Personal Health Records

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What people (age and demographics) do you think most likely currently use Personal Health Records (PHRs)? Is there a correlation between the use of Personal Health Records and the frequent use of other personal electronic devices? What about a correlation between PHR use and a patient’s current health status or level of illness? Please provide references

The Health Insurance Portability and Accountability Act Privacy Rule

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Mr. Rogers, a letter carrier for the US Postal Service, is being seen in the healthcare facility because he was bitten on the ankle by a Yorkshire terrier, and the ankle has become infected. Mr. Rogers’s provider and medical assistant are discussing the patient’s condition and history outside of the examination room. Mr. Edelman is heading toward the reception desk and overhears the entire conversation, including the somewhat embarrassing story of how Mr. Rogers lost a fingertip 8 years ago after offering a leftover chicken nugget to a cocker spaniel on his route. Have the provider and medical assistant violated The Health Insurance Portability and Accountability Act Privacy Rule? Discuss.