The Breathless patient

The Breathless patient
References (in Text and End text) no less than 10 references, 2006 and above only. More marks allocated for recent Journal articles. I WOULD LIKE 14 REFERENCES with JOURNAL ARTICLES). NO WEBSITE PLEASE , NO Wikipedia,

The Breathless patient
You are an Emergency nurse working in Accident and Emergency when Sally Smith, a 38-year-old schoolteacher is brought in with breathing difficulties, pain in her chest and confusion.
The paramedics report she had influenza-like symptoms for the past five days and seems to be getting worse. On assessment the paramedics find Sally tachypnoea, confused and oxygen saturations of 90%, they commence high flow oxygen via a non-rebreather mask and insert an intravenous cannula into her left hand.
After hand over you complete another set of observations and find Sally has:
Pulse 122bpm
BP 90/48mmHg
Temperature 38.6
RR 38
Despite her high flow oxygen Sally’s oxygen saturations are only 90%. Mrs Smith is weak and unable to support herself, she cannot concentrate and your main concern is her Oxygen saturations are still decreased since receiving high flow oxygen.
Question 1.Discuss in Detail how you would perform a full respiratory assessment and what you would document in the patients notes. Include in our answer diagnostic tests that would be performed. and how you would achieve accurate oxygen saturation readings with the saturation monitor.
Sally’s condition further deteriorates quickly and she is diagnosed with Type 1 respiratory failure secondary to a community-acquired pneumonia. She needs further respiratory support to improve her oxygenation and close monitoring of her Arterial Blood Gases, conscious state and respiratory effort. Sally is moved from Emergency to the High Dependency unit within the hospital.
Question 2. Sally has been diagnosed with Type 1 respiratory failure; she is at risk of progressing to Type 2 respiratory failure, with tissue hypoxia. Discuss in detail Type 1 respiratory Failure and interventions that Sally may require to prevent Type 2 respiratory failure.
Include in your answer Non Invasive ventilation (NIV), contraindications for using NIV, monitoring her conscious level and general nursing care that Sally may need.
Question 3. Sally requires antibiotics as part of her treatment. Research Roxithromycin, Benzylpenicillin, Doxycycline and Ceftriaxone. Include Actions, Route, and Indications for use, contraindications for use and adverse drug reactions.
Question 4. Sally’s Family are very concerned with her well being, she is usually very fit and is only 38 years old. The family have asked for a meeting with the multi-disciplinary team members to discuss her care. Who would you get involved to discuss Sally’s care and what is their role within the team?
INTRUCTIONS:
This is a case study relating to Sallay Smith 38 years old having breathing difficulties, chest pain, and confusion. There are four questions relation to this case study assessment. Below

Answer these separately with their individual questions as sub heading.
EXAMPLE QUESTION 1 QUESTION AS SUBHEADING FOLLOW BY ANSWER IN PARAGRAPH . THAT SHOULD INCLUDE ALL ANSWERS RELATING TO QUESTION 1. WHEN ANSWERING QUESTION 1 USE APA 6TH REFERENCING WITH INTEXT AND END TEXT WITH JOURNAL ARTICLES FROM 2006 TO 2014.

EXAMPLE QUESTION 2 (QUESTION AS SUBHEADING FOLLOW BY ANSWER IN PARAGRAPH . THAT SHOULD INCLUDE ALL ANSWERS RELATING TO QUESTION 2. WHEN ANSWERING QUESTION 2 USE APA 6TH REFERENCING WITH INTEXT AND END TEXT WITH JOURNAL ARTICLES FROM 2006 TO 2014.

QUESTION 3 AS SUBHEADING FOLLOW BY ANSWER IN PARAGRAPH . THAT SHOULD INCLUDE ALL ANSWERS RELATING TO QUESTION 3. WHEN ANSWERING QUESTION 3 USE APA 6TH REFERENCING WITH INTEXT AND END TEXT WITH JOURNAL ARTICLES FROM 2006 TO 2014.

QUESTION 4 AS SUBHEADING FOLLOW BY ANSWER IN PARAGRAPH . THAT SHOULD INCLUDE ALL ANSWERS RELATING TO QUESTION 4. WHEN ANSWERING QUESTION 1 USE APA 6TH REFERENCING WITH INTEXT AND END TEXT WITH JOURNAL ARTICLES FROM 2006 TO 2014.
Each question should be answer in paragraph of 500 words each with intext end text APA 6TH REFERENCING WITH 7 JOURNAL ACTICLES 2006 AND 5 BOOKS. MORE MARKS FOR RECENT ACTICLES.
?What are some of the similarities and differences between the various organizational structures?

?What criteria would you use to select resources to serve on your project team?

?From the available resource pool, who would you select to be on your project team? Why?

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