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In: Nursing

R.K.is a 72 year old white man who collapsed in his home.He was found by his...

R.K.is a 72 year old white man who collapsed in his home.He was found by his daughter, and she activated the emergency response system. He was unresponsive on admission to the emergency department and remains unresponsive on arrival to the ICU. He has an oral ET tube in place and is receiving mechanical ventilation. A large -bore, peripheral IV has been place and fluids are infusing.

diagnostic studies

chest x ray reveals right lower lung consolidation

ABDs: pH 7.48; Pao2 94 mm Hg; Pao2 30 mm Hg; HCO3 34mEq/l

CT scan is positive for a hemorrhagic stroke

Interprofessional care

Positive pressure ventilation settings: assist-control mode

Setting: Flo2 70% VT ml, respiration rate 16 breaths/ min, PEEP 5 cm H20

Orogatric tube to low, intermittent suction

Enteral feeding at 25 ml/hr to start on day 2

What is his Pao2/Flo2 ratio, and what does it indicates ?

What patient care activities can you delegate to unlicensed assistive personnel?

R.K. s BP drops to 80 mm Hg. Despite increasing dose of vasopreessors and fluid challenges , his BP remain low. A central venouse catheter and an arterial line are inserted. APCO monitoring is started. What would be the purpose of hemodynamic monitoring in this patient?

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Nightingale answered 2 years ago
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