Question

please explain in detail everything as Respiratory Therapists we do to support our patients. Explain why you are making your recommendations.

1/You are on the neuro floor, a Gullian Barre patient was just admitted. The doctor is asking you to assess the patient. What are your concerns with this patient? What is the main thing we need to be doing with patient? Why?

2/The bells for a trauma alert just went off. You are the therapist covering the ER. When you enter the trauma room the patient is unresponsive; you also realize he is a head and chest trauma. In order from head to toe, explain in detail what you will be assessing and what action are you most likely going to do? What equipment are you getting ready for the doctor?

Answer 1

Question number -1 gullian barre syndrome

answer - it is an autoimmune disease in which the peripheral nerves nerve roots are damaged by the immune system antibodies and lymphocytes.

Assessment of patient with gullian barre syndrome- 1) the patient may experience abnormal sensation like tingling, formulations or pain . So assess the sensation of the patient is very important. Symptoms usually start with upper and lower extremity.

2) assess the patient jerky uncoordinated movements

3) assessment of muscle weakness and bilateral paralysis

4) asesss numbness

5) check the patent vision

6) check the breathing status of patient

7) assess the heart rate and blood pressure .

8) check the urine output and bowel status

The main thing to do the patient with gullian barre syndrome is assess the sensation of patient. Because it’s starting from upper and lower extremities then it affect full body cause paralysis of patents. And breathing status maintenance is also very important. Because sudden breathing shock may occur.

Question number-2 - Trauma Patient care

1) frequent and prompt respiratory assessment , and give adequate oxygen

2) place the patient in semi Fowler position

3) administer high flow oxygen.

4) administer fluids to the paternity by iv line

5) remove clothing to assess the injury

6) cover sucking chest wound

7) stabilize flail rib segment

After that arrange the ventilator for intubation and call the doctor . Because an airway is immediately established with oxygen support in some case, intubation and ventilator support. And maintain fluid volume and negative intraplural pressure and draining intraplueral fluids and bloods are essential.