superana

Thank you!!! :)

I'm wondering if anyone can explain to me why so many patients with a subarachnoid hemorrhage present with elevated glucose, sodium and chloride levels.

Thank you! My textbook explained surprisingly little about Sepsis and Septic Shock so I was also having a hard time understanding the exact pathophysiology of the condition. I think I've got a better idea of how to interpret the data I was given and how to apply it to the care plan.

They gave ABGs results. pH: 7.31 PO2: 75 mmHg PCO2: 31 mmHg HCO3: 18 mEq/L

No. At least I don't think so. It's a "hypothetical clinical situation."

Oh, I forgot to mention that he does have subclavian central line and pneumonia because they found some infiltrates in his lungs on the CRX. I feel like they gave a lot of information on the medical condition, but not enough to properly complete the nursing assessment.

That's why I'm so lost. They didn't give me any information about skin, patient condition, I don't know if he's sedated or how he's responding to the treatment. He was confused and agitated when he arrived, but it says nothing of his mental state later on. His last set of vitals were: T: 39.3 P: 118 BP: 88/58 R: 20 SpO2: 90%

Hi, I'm kind of desperate for some help. I've got a 24 yo pt. who received a GSW to the abdomen with perforation of the mall intestine and the colon. He had intestinal resection and right side hemicolectomy. He's got metabolic acidosis, elevated WBC, BUN, creatinine and glucose. Continues to present elevated temperature, respirations and pulse, but low BP. He's intubated, and has gone into septic shock. I'm not sure about nursing diagnosis. Acute pain r/t trauma or maybe surgical procedure, but since the pt. can't verbalize it, I don't know what the manifestation is. Ineffective breathing pattern r/t abdominal trauma manifested by dependance on endotracheal tube Ineffective peripheral tissue perfusion r/t septic shock (can I use septic shock or should I put infectious process?) manifested by... Deficient fluid volume r/t infectious process secondary to sepsis manifested by decreased urinary output and elevated temperature Honestly, I'm not even 100% what the priority problem is here. PLEASE HELP!