Doctor insights on:
Nursing Diagnosis For Mechanical Ventilation
Indefinitely: Until a ventilator is available or the person is breathing on their own. ...Read more
Indefinitely: If you are able to continue bagging with reasonable volumes you could continue for an indefinite amount of time. ...Read more
When is it required to switch from endotrach tube to tracheostomy for an IPF patient who is on long term mechanical ventilation?
Trach and Vent mgt: It depends on the ICU and medical history and settings of the ventilator. One to two weeks on the ventilator is the usual time period before discussing tracheostomy. The tracheostomy has its own benefits and complications. Optimally, trying to wean off the vent and using BiPAP or CPAP may be considered. ...Read moreSee 1 more doctor answer
Small catheters: Nurses use small plastic catheters inserted down endotracheal tubes to clear airways of secretions. ...Read more
Bagging: If performed properly, there is no time limit. ...Read more
Why consider a tracheostomy if anticipated prolonged ventilatory support >2 wks? Why not continue mechanical ventilation? how is nutrition addressed?
Comfort: Tracheostomy is more comfortable for patient and may allow better pulmonary clearing, and should be considered if prolonged vent necessary . Feeding may be via IV of via soft tube through nasal passage down into stomach or small bowel or can also place feeding tube percutaneously into stomach or small bowel through abdominal wall. Nutrition key to weaning off vent. ...Read more
Many things: no body use nasal gastric feeding tube now unless it have been used for a very short period of time if it was used they use it on any patient that not capable of eating but his guts is capable of digestion the food good way of nutrition for a patient that could not feed themselves IV fluid has no nutritional values only good for hydration if feeding needed they use now PEG tube ...Read more
What are 8 observations of a patient with the chest tubes that require immediate nursing notification?
Which nursing interventions are most appropriate for the patient diagnosed with fluid volume deficit after paracentesis..?
Multiple things: Paracentesis is done to remove fluid from the abdomen for a number of reasons, diagnostically or therapeutically. Diagnostic paracentesis usually removes only a small amount of fluid and is generally not associated with fluid deficit. Large volume paracentesis can be associated with hypotension (particularly orthostatic), tachycardia, diminished urine output. Keep IV patent, give Albumin as rx. ...Read more
Check: http://www.rncentral.com/nursing-library/careplans/100_really_useful_web_sites_for_nursesGet a more detailed answer ›
See your doctor: Localized small infections can be rinsed with sterile saline and dressed with a topical antibiotic ointment and covered with a sterile dressing. Deeper more involved infections with extending redness past the immediate margins will likely require a more aggressive approach such as incision and drainage, debridement, and oral antibiotic. Consult with your physician. ...Read moreSee 1 more doctor answer
Advanced cardiac issues- how can a patient obtain treatment w/o health insurance or medicare coverage while waiting 2 yrs. For the ssi/cal program?
FQHC : Seek out a fqhc near you. Federally qualified health centers are the best places for uninsured or underinsured patients to recieve their care. ...Read more
Study materials: This site is designed to answer questions about medical questions from the public. Your instructors will expect you to study your references and acquire the jargon they use in your nursing studies. It is important that you do so as they will know if you don't. ...Read moreSee 1 more doctor answer
Under general anesthesia for sinus surgery is breathing tube used to keep airway open or is the equipment and medical team literally breathing for you?
Yes: Usually there is a breathing tube.Get a more detailed answer ›
Needs Med Rx: Use of preventive vaccines decrease the need for rx. If unvaccinated, you need the antitoxin, vaccine and antibiotics to kill the germ growing in what may be a minor wound. Even a small infestation of the tetanus germ can generate enough toxin to kill you. ...Read moreSee 1 more doctor answer
Baclofen overdose: Although 80 mg per day is a commonly accepted maximum, dosing up to 200 mg per day has been used safely and effectively. Baclofen is a great drug, but is also extremely deadly. The highest dose of baclofen ever recorded, 2 grams in a suicide attempt, btw patient has recovered. For Baclofen intoxication supportive care including mechanical ventilation is required. See your PCP ASAP. ...Read more
Do pts on long term mechanical ventilation (at a vent home) have to be sedated during ventilation hrs? If not, why sedated in hospital setting?
Depends on Pt., etc.: Sedation for the ventilated patient is dependent upon the patient (level of cognitive/ physical function and level of anxiety), the pt's comorbidities/active medical problems, and vent mode regardless of the setting. No two patients and their hospital courses are alike. Therefore, sedation and comfort plans should be pt.-specific with frequent assessment for appropriate modification if needed. ...Read more
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