Topic 5-6 q

Q-1

You have been called to the medical-surgical floor to assist in rapid intubation of a patient with a combination of exacerbated heart failure and advanced COPD. Initial oxygen saturation was 75% according to the nursing staff. After intubation, you continue the care of the patient in the ICU. What would be the difference between respiratory acidosis and alkalosis? Provide an example of each arterial blood gas reading. Differentiate the initial treatment plan for respiratory acidosis and alkalosis using the ventilator as well as pharmacotherapeutic agents. What environmental and nutritional interventions would you recommend for this patient? Support your answer with two or three peer-reviewed resources.

Q-2

Mrs. P. has been in the ICU for several days, has made gradual progression, and appears to be doing well with laboratory findings and arterial blood gases indicating normal readings. The enteral feeds were held overnight for anticipation of extubation. Describe the process for weaning the patient from the ventilator and discuss when it is appropriate to remove ventilator support as the patient has improved. What are the risks to monitor for as this process is implemented for the patient? Support your answer with two or three peer-reviewed resources.

Q-3

Complete the following discussion question using the DxR website:

1. Access the DxR Clinician website at  https://gcu.dxrclinician.com/ .

2. Select the folder labeled: gcu_npstudents_patients(2).

3. Select the Carmen Rosetti - Chest Pain case study.

4. Upon clicking on the case, you will see the "Enter Case" button at the top of the page. Select "Enter Page." Under "Name," enter First Initial, Last Name, all in lower case. Leave password blank. This will give you entry into the case study.

5. Complete the Carmen Rosetti - Chest Pain case.

In your discussion this week answer the following:

1. Based on your initial patient consultation, provide three differential diagnoses.

2. Describe the patient's workup and treatment plan.

3. After reviewing the patient's workup, discuss the final diagnosis.

4. Discuss potential ongoing problems for which you should monitor.

Support your answer with two or three peer-reviewed resources.

Q-4

Explain the value of invasive hemodynamic monitoring, including a discussion of whether an acute, chronic, or complex-care patient is a candidate for this type of assessment. For a complex-care patient, propose an evidence-based treatment plan regarding the hemodynamic information. What are the risk factors to take into consideration for this patient?

Discuss the following invasive hemodynamic pressures to which you are assigned. Please provide the normal values and discuss the differential diagnoses for the alteration in normal readings for cardiac output.

Support your answer with two or three peer-reviewed resources.