Burn patients needs are to make sure that they are intaking an increase amount of fluids and calories. Burns increase the patients energy requirements due to the fact that it increases their resting energy expenditure. With an increase in resting energy expenditure burn patients often lose weight due to lack of calorie intake. Burn patients should not lose more than 10% of their usual body weight. Of the calories that the burn patients are intaking it is important to make sure that they are increasing their carbohydrate, lipid and protein needs. Carbohydrates are important since the glucose is the main source for macrophages, fibroblasts, etc in the burned area as well as an increase in plasma clearance of glucose. Proteins are important since …show more content…
Inhalation injury results from the inhaling of smoke during a fire. Inhalation injury is associated with an increase in morbidity and mortality. Burn patients with inhalation injury have an increase need for fluids and an increase in pulmonary complications. Those with inhalation injury have a slower recovery process since it is a more complex clinical problem. The complications from inhalation injury results mostly from the inflammatory response. Improvements of inhalation injury is a result of improvements in the critical care rather than focusing on the intervention for smoke inhalation (Dries D and Endorf F, …show more content…
Angelo, the burn patient in this case study, is on a variety of medications. Mr. Angelo is on Ascorbic acid, heparin injections, an insulin regular injection, multivitamins, Zinc sulfate, Famotidine tablet, Chlorhexidine, Zinc sulfate, senna tablet, Methadone, silver sulfadadiazine, acetaminophen, docusate oral liquid, midazolam, hydromorphone, fentanyl, propofol, thiamin, and folate. For most of the drugs they contain a drug nutrient interaction which should be monitored. With Ascorbic acid this increases iron absorption, so with this drug a iron toxicity needs to be monitored. With the heparin injection potassium needs to be monitored and with the insulin regular injection carbohydrate intake, serum glucose, and urine ketones needs to be monitored. Grapefruit consumption must be monitored when a patient is on methadone or midazolam HCL. With the senna tablet and the docusate oral liquid the patients fluid status, electrolyte balance, and fiber intake must be monitored. The patients fluid status must be watched when they are on hydromorphone and fentanyl injections (Pronsky ZM, Crowe JP SR,
Al Waysmoking was a 72 year-old retired factory worker who was a chain smoker. He is experiencing fatigue, shortness of breath, but continues to smoke. Upon exam his Nurse Practitioner notes that he has a prolonged expiratory phase, expiratory wheezes, and an increased anteroposterior chest diameter. His nail beds were cyanotic and he had moderate pitting edema. Pulmonary Function Testing (PFT) revealed that Al had a decreased VC and an increased RV and FRC.
On January 31, 2000, Dr. Harold Shipman was convicted of murdering 15 of his patients, as well as, forging a will of 1 of them. The evidence against him was that he had killed them by administering lethal doses of either morphine or diamorphine, more commonly known as heroin. Shipman had been convicted for fraudulently obtaining drugs in order to support an addiction when he was 29. As a result of his past addiction, the police considered that he had obtained heroin illicitly for his killings just as he had obtained the drugs 1975 to feed his addiction. Another way that Shipman may have obtained the drugs is that, he would issue prescriptions for patients, those who required the drug and those who did not, retaining some or all
D-This writer met with the patient as he was placed on hold to address the no show to his counseling session last week and his AWOL status. According to the patient, he forgot about his 1:1 session and as far as his AWOL status, he first says, " I can 't remember why." But, he then informs this writer about his transportation barrier as he cannot drive due to his pending DUI case, which is tomorrow. Furthermore, the patient reports he is unstable on his dose as he experiencing sweating in the morning, feeling uncomfortable, and sometime having body aches. " This writer addressed alternatives for his illicit use and also addressed the patient recent UDS result as he tested postive for cocaine and heroin.
Sharps A sharps injury is a risk that is most likely to affect health care workers providing care to patients, the most common sharps injury is a needle stick injury (Crisp et al, 2012, p 880). The type of needle stick injury depends on the medical intervention being performed by the health care worker such as the administration of routine intramuscular (IM) and subcutaneous (SC) injections followed by phlebotomy procedures. Needle stick injuries occur with incorrect handling of these sharps such as attempting to recap contaminated needles, not disposing of the sharp immediately after use, mishandling intravenous lines, needles being left on the patient’s bedside table and overfilling of the sharps disposal container (Crisp et al, 2012, p
Black lung is a common name for any lung disease that results from inhaling coal dust. Anthracosis, commonly known as “Black Lung” or “Coal Miner’s Pneumoconiosis, is a common problem in the area in which we live, The Appalachian Mountains. The Appalachians are full of coal mines making Black Lung very common in our area. Not only has this disease common in the eastern part of the United States, it has become prevalent across the whole country and world. Every year there is roughly 1,000 deaths over the course of the year.
A concussion is a head injury which results from the movement of the brain in the skull causing the brain to hit the sides of the skull which can cause swelling, bleeding, or other serious injury. Concussions can be linked to neurological trauma, especially after a patient suffers from multiple head traumas. This link was first considered when Phineas Gage, in 1848, suffered an injury from an iron spike being driven through his head, and following the injury, exhibiting extreme personality changes. Some 170 years later, these same personality differences can be observed in patients following head trauma. Some symptoms for concussion include; headache or a feeling of pressure in the head, temporary loss of consciousness, dizziness or "seeing
just about being alive but also about how we may deny the right to life or indeed death. Frost (2011) maintains nurses must arbitrate their role and confront their own moral status in conjunction with their own personal values and beliefs. Habitually patients die due to a terminal illness or old age and medication is prescribed for pain management and to alleviate symptoms (Panzer 2000). Chamberlain-Webber (2005) states it is within situations of terminally ill patients that a nurse can truly be an advocate for the patient.
Picture a hunter out in the woods that is struck by a stray .556 round to the thoracic region of the body. Air is being sucked into the thoracic cavity through the chest wall instead of into the lungs through the airways. As air fills the pleural space through the opening of an open pneumothorax, the traumatic wound can act as a one-way valve and will not allow the air to exit. If not treated properly this will lead to a cascading effect on the patient. The pressure will increases and begin to collapse the lung.
Introduction Toxic Shock Syndrome is known as TSS. Toxic shock syndrome is a rare disease; however, when the disease is contracted it can be deadly. Nearly 50% of those diagnosed with the disease will face deadly symptoms. Toxic shock syndrome is often associated with women wearing tampons for too long. However, there are many causes of toxic shock syndrome.
A risk factor for many other diseases, obesity can affect health and longevity. Weight loss is achievable, and it provides plenty of health benefits. Studies have shown that many people who attempt weight loss regain the weight they lost. The major challenge in managing patients is, therefore, to improve their ability to sustain whatever weight loss can be accomplished. Diet, exercise, and behavioral management are the main sources of treatment, But medication and surgery can be considered in certain individuals.
Teixaeira et al., 2007). Effective initial assessment, quality and resuscitation of critically ill patients require the use of a multidisciplinary trauma team led by both medical and nursing staff (Cole and Crichton, 2006). Trauma triage systems look to recognise and deliver fast acting care for some of the most critically injured patients, while ensuring less critically injured patients that require only basic care are
Acute respiratory distress syndrome (ARDS) is a oxidative respiratory disease48 which is a problem in critically ill patients who are admitted to the intensive care unit (ICU)9. ARDS currently has a mortality rate of 20-40%9,11 which is associated with a high morbidity rate42,32. The original definition of ARDS was given in 1967 and was generalised as respiratory failure from non-cardiogenic pulmonary oedema which requires mechanical ventilation due to breathing difficulties and arterial hypoxemia33.Then the 4 point definition was used which the degree of hypoxemia, the level of positive end expiratory pressure (PEEP), the statics respiratory compliance and the extent of radiographic infiltrates to diagnose ARDS33. From 2012 the Berlin definition
While both younger and older generations showed a decline in lung function, older generations had a greater decline (2013, p. 271). This is accredited to the advances in technology and training within the fire service over the past few decades. Older generations reported they would only occasionally use breathing apparatuses during fire operations. Because of this they were exposed to more smoke inhalation leading to greater damages in their respiratory
It is commonly assumed that lean people practice energy balance and overweight and obese people do not. The truth of the matter is that, although the lean maintain a relatively constant body weight throughout their lifetime and the overweight and obese slowly gain weight throughout their lifetime, most people have no idea how many calories they are eating or burning on any given day. Ask yourself this simple question: how do wild animals maintain their weight? There is a physiological mechanism in which the body always strives to maintain energy balance. To understand this mechanism, the actions of several hormones must be understood.
Then energy requirements are lowered as it is muscle tissue that burns fuel (calories) created from the food we eat. When we aren’t burning fuel as we should it be it is very easy then to store it as fat and become overweight. And that is what