Critical Care Hesi concepts/ Latest Solution

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Normal CVP (ANS - 2-6mmHg ICD device (ANS – Wear a medic alert bracelet and ICD tag to alert you have one implanted Avoid heavy lifting and exercising 2 months after implantation Weakness and di... zziness are symptoms of device going off Tension pneumothorax (ANS - causes marked compression and shifting of mediastinal structures (tracheal deviation) including the heart and great vessels, resulting in REDUCED cardiac output and HYPOTENSION This is a life-threatening emergency. Treatment of pneumothorax (ANS – 1. The client should have emergency large-bore needle decompression 2. chest tube placement, to relieve the compression on the mediastinal structures. ARDS patho (ANS – Progressive disorder leads to ARF Exchange of oxygen consumption and carbon dioxide within the body's cells What is happening in ARDS? (ANS - Increased permeability of the alveolar membrane leading to fluid buildup in the alveoli interferes with the exchange of CO2 and O2 at the capillary beds ARDs is characterized by (ANS – Hypoxemia that persists even when 100% oxygen is given Decreased pulmonary compliance Dyspnea Non-cardiac associated bilateral pulmonary edema Dense pulmonary infiltrates on radiography no abnormal lung sounds since it takes place interstitially Hesi hint ARDS (ANS - unexpected, catastrophic pulmonary complication occurring in person with no previous pulmonary problems Clients are critical ill and are managed in an ICU mortality rate is 50% interventions to prevent complications of client mechanically ventilated with ARDs (ANS – Elevate HOB to at least 30 degrees Assist with daily awakening (Sedation vacation) Comprehensive oral hygiene program Comprehensive mobilization program [Show More]

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