Clinical Decision Making: Case Studies in Medical-Surgical by Gina M Ankner

By Gina M Ankner

Reflecting the most recent practices within the box, medical determination Making: Case experiences in Medical-Surgical Nursing, 2d variation bridges the distance among thought and medical software. Emphasizing holistic nursing care, the instances support readers sharpen severe pondering talents and achieve hands-on event utilizing what they research. The greater than forty medical-surgical case histories and similar questions are in line with real-life consumer events. each case comprises an introductory "blueprint" of variables that needs to be thought of whereas comparing a selected situation about the shopper, nursing protocol, and surroundings of care.

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Identify the potential life-threatening adverse effects/complications of heparin therapy and the treatment of heparin toxicity or overdose. 16. To assess for bleeding and possible hemorrhage, explain what the nurse monitors while Mrs. Giammo is on heparin therapy. 17. What is the major complication associated with a TIA? 18. Identify six nursing diagnoses in order of priority appropriate for Mrs. Giammo. 19. Atorvastatin 10 mg PO per day is prescribed for Mrs. Giammo. Explain the therapeutic effects of atorvastatin.

Explain how an ABG sample should be transported to the laboratory for processing. 8. How long does it take to obtain ABG results? 9. Briefly discuss at least five factors that can cause false ABG results. 10. What are the normal ranges for each of the ABG components in an adult: pH, partial pressure of carbon dioxide (PaCO2), bicarbonate (HCO32), oxygen saturation (SaO2), and partial pressure of oxygen (PaO2)? 11. What are the critical/panic values for each of the ABG components in an adult: pH, PaCO2, HCO32, SaO2, and PaO2?

12. Describe four pharmacologic interventions you anticipate will be initiated/considered during an acute MI. 13. Identify five criteria that could exclude an individual as a candidate for thrombolytic therapy with a tissue plasminogen activator (tPA). 14. An echocardiogram reveals that Mrs. Darsana has an ejection fraction of 50%. How could the nurse explain the meaning of this result to Mrs. Darsana? 15. Identify three appropriate nursing diagnoses for the client experiencing an AMI. 16. Rank the following five nursing diagnoses for Mrs.

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