Question

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

What was two priority nursing consideration for a patient with invasive monitoring?

Patient center care; After 4 days, R.K. remains unresponsive and has developed renal failure. The HCP believes the patient will not recover from his neurologic injury and wishes to discuss goals of care with the patient's caregiver What would be your role in this meeting?

Evidence based practise:R.K. family wants to know why he is to receive tube feeding. What would you tellthe family? What is the ecidence to support the use of tube feedings?

What are the prioptity nursing diagnoses? Are there any collaborative problems.?

Answer 1

•NURSING CONSIDERATIONS -
a. Hemodynamic Monitoring - Getting Started. Assist with insertion and removal of invasive hemodynamic lines.
b. Monitor heart rate and rhythm. Zero and calibrate equipment every 4 to 12 hours, as appropriate, with transducer at the level of the right atrium to ensure accuracy of waveform.

•our role is to covey all the information regarding the patient's conditions and elaborate the complications that can occur.

•Feeding tubes are helpful for people who are unable to feed themselves as a result of an acute illness or surgery, but who otherwise have a reasonable chance to recover. 2 They are also helpful for people who are temporarily or permanently unable to swallow but who otherwise have a normal or near-normal function.

•Patient is unconscious and unable to feed by oral route.
By providing all the nutrients you need on a daily basis, tube feeding can improve energy and strength, prevent weight loss and support your immune system. For many, tube feeding is the only option available to keep them alive.

•Priority nursing diagnosis is to maintain airway and prevent from complications.

•Other collaborative problems are
Renal failure
blood vessel damage
infection etc.