SLIDE 1
Patient Data
- 62 Year old Female
- Filipino
- They had a 2 daughters, only told 1 mother was
Case Study #1 Andrea Bakker RN, PCCN Patient Data 62 Year old - - PowerPoint PPT Presentation
Case Study #1 Andrea Bakker RN, PCCN Patient Data 62 Year old - - PowerPoint PPT Presentation
Case Study #1 Andrea Bakker RN, PCCN Patient Data 62 Year old Female Filipino They had a 2 daughters, only told 1 mother was sick Diagnosis Came in with Thrombocytopenia and leg pain After a few days in the hospital she was
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SLIDE 3
Diagnosis
- Came in with Thrombocytopenia and leg pain
- After a few days in the hospital she was diagnosed
with ARDS
- History of: Acute Myelogenous Leukemia, TB
SLIDE 4
Pathophysiology
- Acute Respiratory Distress Syndrome
- This is a life threatening lung condition that
prevents enough oxygen getting to the lungs and into the blood.
- Build up of fluid in the alveoli
- Makes the lungs stiff
- Normally treated in the ICU with a ventilator
SLIDE 5
Plan of Care
- Doing multiple ABG’s to make sure oxygenation is
adequate
- Making the patient comfortable
- Started insulin drip to make sure excess fluid was removed
- Inserted a post-pyloric feeding tube to give nutrition
- Increasing PEEP to make sure adequate oxygenation was
- ccuring
- Levophed drip to have MAP > 65
- Propofol to prevent the patient from fighting the ventilator
SLIDE 6
Pertinent Lab Work
- ABG
- CBC
- BMP
- PHOSPHEROUS
- POTASSIUM
- MAGNESIUM
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Medications
- Propofol- is an anesthetic, fast acting. Possible side effects
seizure, nausea, cough, confusion, discolored urine, and shallow breathing
- Levophed- is an alpha/beta agonist, used to treat severe
hypotension, stimulates beta-adrenergic receptors causing increased contractility and heart rate as well as
- vasoconstriction. Possible side effects are necrosis of limbs
- Insulin- Normalizes blood glucose level. Possible side effects
are low blood sugar
- Antibiotics- fights the infection
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