Question:

If 10 ml per hour of Tridil is 33 mcg/min, what dose increase would there be for each increase of 5 ml per hour on the infusion? Please calculate ahead of time.What are the systematic questions a nurse would ask when evaluating chest pain?What would a sinus rhythm looks like and what would premature ventricular contractions or episodes of ventricular tachycardia would look like on the cardiac monitor? 

Answer:

Nursing

Mr. David Calvin

1. 16.5mcg/min

2. In order to evaluate chest pain, a nurse would ask about the severity of the pain, radiation of pain,     quality of pain, current life style and family history.

Mr. Scott Mitchell

1. The components to a complete neurovascular assessment of an extremity include pain,                       pulselessness, pallor, paresthesia and paraplegia. 

2. Nurses should assess pain in every two hours and rate the pain sensation using 1-10 rating scale.        Sometimes massage (arm, neck or head) is allowed if the patient can tolerate touch.

3. The patient‟s physician should be informed about Mr. Mitchell‟s risk of getting foot amputation due      to diabetic foot.

Mrs. Sue Brand

1. Pancreatitis signs and symptoms include upper abdominal pain that sometimes radiate towards the    backside, feeling of tenderness while touching the abdomen, steatorrhea, and losing weight etc.

2. Major risk factors for patients with pancreatitis include obesity, environmental factors (alcohol) and     age. Alcohol changes acinar cell death to necrosis from apoptosis, which worsen the condition of         local inflammation inside the pancreas. Adipose tissues release huge amount of inflammatory             cytokines or adipokines that stimulates inflammatory response inside the pancreas.

3. Nurses need to understand ethical considerations by making sure that a genuine need to safety,         restraint, dignity, comfort, psychological and physical needs of the restrained client is maintained. 

Mr. Charles Bentley

1. Concussion is a type of traumatic injury to the brain, which alters the brain functions. It is usually caused due to a „blow‟ to the head or if the upper trunk or head is violently shaken.
2. Neuro “check” assessments include verbal responsiveness, whether a patient follows the commands, such as: asking him to hold hand. So that the nurse can measure his holding strength, whether weak or strong. It also include response to pain and checking of Pupils Equal and Reactive to Light and Accommodation in order to check pupils‟ reaction.
3. The usual dose for Morphine IVP varies between 0.2-1mg/mL in concentration. A loading dosage of approximately 15mg or more than that of morphine sulphate could be administered in order to alleviate pain. Potential side effects include constipation, vomiting, nausea, dry mouth, swelling at the site if administration and dizziness etc.

Mrs. Ling Chen

1. If an individual suffering from ESRD misses a haemodialysis treatment toxin build-up could take         place that further leads to uremia. Such condition even causes death. To a greater extent body           could shut-down the basic metabolic process, which leads to a series of physical changes that              include: fluid overload, loss of appetite, restlessness, abnormal breathing, throat congestion with        gurgling sound and changes in the skin temperature and colour. 3

2. A fistula that is created inside the human system for haemodialysis, is a direct connection of an           artery and a vein. This is also termed as „AV‟ or arteriovenous fistula. It has lesser infection risk          than catheters or other foreign implants. 3. The necessary assessments: a „radiocephalic‟ native        vessel for AV fistula is a preferred type of vascular access. Preserving suitable arm veins are              necessary and should initiate in affected individuals with a GFR of approximately less than                  30ml/min.