Question

Daniel (“Dan”) Fusilier, a 71-year-old male, comes to the Emergency Department (ED) with a 7-day history of increased sputum production, a change in the character of sputum, increased shortness of breath, and a fever of 101° F. He has a smoking history and history of asthma. Dan has been hospitalized twice with pneumonia, most recently two years ago.

Dan is admitted to a medical unit with pneumonia and COPD. The LPN completes a focused assessment, including lung auscultation. The LPN notes ABG (blood gases) results and recognizes an acid-base imbalance. Nursing actions are implemented based on the priority nursing diagnosis of “Ineffective Airway Clearance”. Medications are prescribed. Nursing actions, related to the prescribed antibiotic and bronchodilator, are identified and the LPN reinforces teaching about use of a metered dose inhaler.

The PN monitors oxygen saturation and maintains the continuous pulse oximeter. In supervising the UAP assisting with care, the LPN intervenes when the UAP forgets to reapply Dan’s oxygen after he ambulates. The PN also responds therapeutically when the client appears to be in pain. He states 6 of 10 sharp pains in his back when he walks. The nurse will call the doctor using “SBAR” method and request pain meds.

What data from the PRESENT PROBLEM are RELEVANT and must be interpreted as clinically significant by the nurse?

RELEVANT Data from Present Problem: Clinical Significance: From the info above

Clustering Related information

Recognizing Inconsistencies

Checking Accuracy and Reliability

Use the skills on the left to describe information in the case study that applies

Patient Care Begins: We discussed pain in the week 6 material

Current VS: P-Q-R-S-T Pain Assessment:

T: (oral) Provoking/Palliative:

P: (regular) Quality:

R: (regular) Region/Radiation:

BP: Severity:

O2 sat: Timing:

What VS data are RELEVANT and must be interpreted as clinically significant by the nurse?

RELEVANT VS Data: Clinical Significance:

Current Assessment: Do you see any issues that apply from the case study?

GENERAL APPEARANCE:

RESP:

CARDIAC:

NEURO:

GI:

GU:

SKIN:

What assessment data is RELEVANT and must be interpreted as clinically significant by the nurse?

RELEVANT Assessment Data: Clinical Significance:

Put it All Together to THINK Like a Nurse!

1. What would you cluster related?

2. How will you check for accuracy?

3. What inconsistencies do you see?

Answer 1

Sometimes even the appearance of measuring the particle size (PM), the concentration of many particles (PA), or the particle size of the particles, collecting chemical analysis. For the most part they were repelled by the appearance of brass, they can receive from the government's efforts for a discordant regulation, but also from the scientific movement and on the subjects of interest. According to these measures, researchers from industries and institutions, but also local advocacy groups. Together with other information (such as meteorological information, or the concentration of thermal gases), great air quality is able to give us a detailed picture of the quality of all the air we breathe.

Particle measurement from the first batch of TSI solutions worldwide is easy to use, very accurate. Our solutions flood with particles (PM): in real time the majority of the particles (PA), for subsequent particle size sampling and analysis.

Particle mass (PM) measurements
Particulate Matter (PM) cannot be measured by a real-time developer who wants to share it with their DustTrak ™ monitor. Optical detection segregates the PM1 mass fractions from PM2.5, respirable, and higher PM10 from AM. It was seen in the surveillance of the fence that these clouds are the sensor within the enclosure, in the power of the emitters of natural disasters is applied to the works, depending on the local or remote. -The reference provides the knowledge of policy makers to explain and assist them, getting closer, and could be produced by the dust of the concentration of personnel and material resources.

What is real-time QCM moude shear level investigation according to QCM (Quartz Crystal Microbalance) impactor mass detection sensors? The PM2.5 Emperor Impactor is divided into six parts between 45 m and 2.5 μm. AM levels change over time, for example, peak hour traffic, industry and household power consumption, and wind direction. This provides a ratio of the filter sampling at highly sensitive concentrations, and the times sent to fulfill their separation are commonly run by the surveillance of communications specialists.

NUMBER OF PARTICLES (PA) Measurements
Ultrafine particles (UFP) have become a key area of ​​vigilance and care related to environmental studies. The greater the mass of the same size as the traditional ones () And that disciple UFPs are emitted in a large number of nanoparticles, he says, which are not in accordance with the fragments, but only in an almost immeasurable with mass fractions. Air quality is a concentration of potential health effects that depends on their number, size, and chemical composition. TSI offers solutions for all three parties.

Aerial ™ provides quantitative information to see the UFP particle concentration well and with greater fidelity and precision. Like any other, by the number of trends in concentration limited to small particles of 7nm with TRACK are, for example, by the grace of the place, and the other lot by the grace of the highway, from Its high turret by middle of a market to provide information in the nearby.

As a first step through a harmony of UFP sounds in the atmosphere, for the European Committee for Standardization (CEN), it drafted the Technical Specification CEN / t (16) 976 which defines a set of requirements for the Condensation Particle Video ( CPC) and the sampling system.

The Ultrafine Particle Monitor (UFP) provides six-channel concentrations of particle size number from 20 m to 500 nm. Developed under the auspices of the European Union's UFIPOLNET project, it demonstrated that UFP is capable of long-term monitoring, while a large portion of the routinely ultrafine ultrafine particles from various large cities in the US and Europe.

In addition to the fine below the particle monitors above, the researchers believe that the particles present in the atmosphere cover size ranges from nanometers to micrometers outside of inspection and counting by combining various instruments, such as detailed description of particles. Elementary Aerodynamic Sizer Sizer Mobility.

PARTICLE SAMPLE
Gravimetric sampling The main role of a filter will need a lot of nibh of any size, but an unusual chemical composition works out. Impactors are part of Caesar himself, as well as parts of the global analysis, for example in organic and inorganic carbon compound ions (total elemental organic, water soluble).

High low concentrations of water particulate impactors capable of sampling, the sampling intervals are good examples, they take even longer than any other company for at least half the flow of nicer impactors. For medium-sized parts, the impactor flow is more accessible. Best for quantitative analysis Uniform particle deposition achieved in stages with rotary impactors