Pathogram: Chronic Respiratory Failure Essay

Words: 7636
Pages: 31

Chronic Respiratory Failure

Shelby Lynch

Date of Care: 03/19/2013

Chamberlain College of Nursing

NR 340: Critical Care

|Assessment |Medical/Nursing Diagnoses |Treatment |
|Brief review of the patient |Medical Diagnoses: |Therapeutic Modalities |
|Age: 86 years old |Admitting Diagnosis: |-Continuous vital
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|patient has a history chronic respiratory |patient was ordered a sepsis bundle. |-Provide tracheostomy tube suctioning every 4 hours or as needed. |
|failure and large right-sided CVA. He had a | |-Change PICC line dressing after first 24 hours and every 5-7 day or when visibly soiled following |
|temperature of 101.8, pulse 110, BP 130/70, 02 |Urinary Tract Infection (UTI)- A UTI is an infection that |first dressing change to prevent infection. |
|sat 90%, RR 25, and was dehydrated. His EKG |can happen anywhere along the urinary tract. UTIs can occur|-Empty and clean colostomy bag as needed. |
|showed atrial fibrillation with rapid |anywhere in urethra, bladder, ureters, or kidneys. UTIs |-Reposition patient every 2 hours to prevent further skin breakdown. |
|ventricular response. A urinalysis showed |usually result from bacteria that enter the urethra and |-Change wound VAC dressing every 72 hours toallow proper healing and to prevent infection. |
|leukocytes esterase 3+, moderate blood, many |travel to the bladder. This leads to infection that can |-SCDs on while the patient is in bed to prevent