NURS 6560 Week 5 Assessment and Care of Patients With Respiratory Conditions and Shock Essay Assignment Paper

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NURS 6560 Week 5 Assessment and Care of Patients With Respiratory Conditions and Shock Essay Assignment Paper

NURS 6560: Advanced Practice Care of Adults in Acute Care Settings II | Week 5

Greg Andrews was hospitalized for extreme nausea, which he attributed to possible food poisoning. Although he was discharged after a few hours, his condition worsened the following day. After being rushed back to the hospital, he quickly fell into a 3-week coma. Tests revealed that the cause of Greg’s nausea was actually pneumonia that had progressed to sepsis. As his organs began to shut down from the sepsis, blood flow to his extremities decreased, requiring the amputation of his limbs. Although Greg’s prognosis was grim, he managed to recover from his illness after a long-term stay in acute care (UC Health Media Room, 2013). As his case demonstrates, the condition of pulmonary and shock patients can change rapidly over a short time period, and patients sometimes must undergo surgical procedures. As an advanced practice nurse who cares for patients before, during, and after surgery, you must understand how to stabilize and support patients throughout all phases of their care.

This week, as you examine the pre- and post-operative care of patients with conditions respiratory conditions and shock, you explore strategies for assessment, diagnosis, and treatment.

Learning Objectives

By the end of this week, students will:

• Evaluate medical and surgical patients with respiratory conditions
• Develop differential diagnoses for medical and surgical patients with respiratory conditions
• Develop treatment plans for medical and surgical patients with respiratory conditions

Learning Resources

Required Readings

Colyar, M. R. (2015). Advanced practice nursing procedures (1st ed.). Philadelphia, PA: F. A. Davis Company.

 

• Chapter 107, “Chest Tubes for Emergency Transport”
• Chapter 108, “Flail Chest Stabilization (With or Without Open Chest Wound)”
• Chapter 109, “Stab/Penetrating Wound Stabilization”

Doherty, G. M. (2015). Current diagnosis and treatment: Surgery (14th ed.). New York, NY: McGraw Hill.

 

• Chapter 12, “Shock & Acute Pulmonary Failure in Surgical Patients”
• Chapter 18, “Thoracic Wall, Pleura, Mediastinum, & Lung”

Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach. Philadelphia, PA: F. A. Davis Company.

 

• Chapter 6, “Chest” (Review)

Groeneveld, A. B. J. (2003). Vascular pharmacology of acute lung injury and acute respiratory distress syndrome. Vascular Pharmacology, 39(4–5), 247–256.

Vascular Pharmacology of acute lung injury and acute respiratory distress syndrome by Groenevald, A.B.J. in Vascular Pharmacology, 39(4-5). Copyright 2003 by Elsevier Science & Technology. Reprinted by permission of Elsevier Science & Technology via the Copyright Clearance Center.

Bowman, R. R., Gay, S. B., Rehm, P. K., Altes, T. A., Olazagasti, J. M., Daniel, T. M., … Ciambotti, J. M. (2013). CT-radionuclide localization of small lung nodules for guided thoracoscopic resection. Retrieved from http://www.med-ed.virginia.edu/courses/rad/rsnanucs/index.html

Fernandez, J. D., Gay, S. B., Dee, P. M., Rubner, R. C., & Jackson, J. M. (2013). Interpretation of the ICU chest-radiograph. Retrieved from http://www.med-ed.virginia.edu/courses/rad/chest/index.html

Gay, S. B., Olazagasti, J., Ho, C., & Webb, R. (2013). High resolution chest CT interpretation. Retrieved from http://www.med-ed.virginia.edu/courses/rad/hrct/

Global Initiative for Asthma. (2018). 2018 pocket guide for asthma management and prevention. Retrieved from https://ginasthma.org/2018-pocket-guide-for-asthma-management-and-prevention/

Surviving Sepsis Campaign. (2016). Surviving Sepsis Campaign: International guidelines for management of sepsis and septic shock: 2016. Retrieved from http://www.survivingsepsis.org/Guidelines/Pages/default.aspx

University of Virginia. (2013). CT-Radionuclide localization of small lung nodules for guided thoracoscopic resection. Retrieved from http://www.med-ed.virginia.edu/courses/rad/rsnanucs/index.html

University of Virginia. (2013). High resolution chest CT interpretation. Retrieved from http://www.med-ed.virginia.edu/courses/rad/hrct/

Required Media

i-Human Patient Cases. (2014). Retrieved from https://ih2.i-human.com/users/sign_in

University of Virginia. (2013). Interpretation of the ICU chest-radiograph. Retrieved from http://www.med-ed.virginia.edu/courses/rad/chest/index.html

Colt, H. (2010). Bronchoscopy step by step techniques 2 [Video file]. Retrieved from https://www.youtube.com/watch?v=kQCFp_819CU

Assignment 1: Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Respiratory Conditions and Shock

In your role as the advanced practice nurse, it is critical that you be able to identify even the earliest signs of health conditions related to pulmonary issues and shock. Although these conditions often are triggered by common infections and environmental factors, they can progress quickly to life-threatening circumstances. For this Assignment, as you examine this week’s i-Human patient case study, consider how you might evaluate and treat pre- and post-operative patients who present with health conditions related to pulmonary issues and shock.

To prepare:

• Review this week’s Learning Resources. With respiratory conditions and shock in mind, consider how to assess, diagnose, and treat patients in pre- and post-operative care.
• Review this week’s i-Human study. Based on the patient information provided, think about the health history you would need to collect from the patient.
• Consider what physical exams and diagnostic tests would be appropriate to gather more information about each patient’s condition. Reflect on how the results would be used to make a diagnosis.
• Identify three to five possible conditions to consider in a differential diagnosis for the patient.
• Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
• Develop a treatment plan for the patient that includes health promotion and patient education strategies for medical and surgical patients with respiratory conditions and shock.

To complete:

As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Rubrici-Human Patients Case Player Student Manual in the Week 2 Learning Resources.

By Day 7

Assignment 2: Midterm Practicum Evaluation

By Day 7

Submit your Midterm Practicum Evaluation to Meditrek.

Assignment 3: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover the following topics:

• Respiratory Conditions<.
• Shock

These questions are intended to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

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