A 60 year old 90kg (198 lb.) man is admitted to the ICU foll…

A 60 year old 90kg (198 lb.) man is admitted to the ICU following smoke inhalation.  The RR is 28/min and the patient is on a NRM.   ABG’s are as follows:   pH 7.58, paC02 22torr, pa02 90 torr, HC03 22 meq/L, Base Excess -2.  What is your recommendation?

Patient #1   Charlie Fox is a 25-year-old male admitted to P…

Patient #1   Charlie Fox is a 25-year-old male admitted to Parks Hall Hospital for a craniotomy and developed a post-op craniotomy infection (cerebrospinal fluid (CSF) shunt infection) positive for MRSA. Patient is having shunt drainage but is otherwise doing well and in no distress. The prescriber has ordered vancomycin to treat his infection and has consulted pharmacy for dosing and monitoring per hospital policy. Using the patient’s profile answer the following questions.    Patient information:   Weight – 80 kg  Height – 5’4’’  Allergies – NKDA   Problem list   TBI/SAH/SDH s/p decompressive craniotomy  Respiratory failure s/p trach Skull Fractures   Current Labs   BUN – 8mg/dL CO2 – 26 mmol/L SCr – 0.53 mg/dL Glucose 112 mg/dL  Cl – 99 mmol/L K – 3.9 mEq/L Na – 138 mEq/L  *Patient already received a loading dose, 1st maintenance dose is due tonight at 1800.  

A patient receiving mechanical ventilation has a history of…

A patient receiving mechanical ventilation has a history of renal failure and diabetes.  The patient weighs 65 kg.  Fluid status: 4800ml input and 2700 ml output.  Breath sounds reveal rates ½ way up on both sides.  Vent settings are AC mode, rate of 10/min, VT 520ml, fi02 0.40.  PEEP 5 cmH20.  Total RR is 37/min and sp02 97%, PIP is 27 cmH20.  Abg’s:  pH 7.31, paC02 22 torr, pa02 82 torr, HC03 14, Base deficit -9.  Indicate the problems in this scenario.  

Read p.164, Understanding the Structure of the Presentation,…

Read p.164, Understanding the Structure of the Presentation, in your Textbook.  A well organized presentation has 3 parts: an Introduction, a Body, and a Conclusion.  For your presentations, you will need to use these phrases when introducing information/topics for each of these 3 parts. Match the Useful Phrases for Presenting  on pages 173-174 with the correct part of a presentation.