Thank you. Kindly include case study questions.

Thank you mam more useful...

Thanks mam 🎉

Its really good. Thank you mam

73/75... I'm ready

For question 11 why would you place the patient in a sitting position if they have a spinal cord injury? I thought leaving them supine and decreasing environmental stimuli would be best to decrease the ICP. I picked antihypertensive but honestly if that wasn't an option id go with calling the provider

@nursestudynet8717

9 күн бұрын

In the case of autonomic dysreflexia in a patient with a spinal cord injury at T4, placing the patient in a sitting position is a critical first step despite general practices to keep spinal cord injury patients flat. Here’s why: Autonomic Dysreflexia Explanation: Autonomic dysreflexia (AD) is a potentially life-threatening condition that occurs in individuals with spinal cord injuries at or above the T6 level. It is characterized by sudden and severe hypertension, a severe headache, and other symptoms. It is triggered by a noxious stimulus below the level of the injury, such as bladder distension, bowel impaction, or skin irritation. Why Place the Patient in a Sitting Position: Immediate Reduction of Blood Pressure: Sitting the patient up helps to lower the blood pressure by promoting venous pooling in the lower extremities. This action helps prevent a hypertensive crisis and reduces the risk of complications such as stroke. Mitigation of Severe Hypertension: Autonomic dysreflexia leads to unopposed sympathetic outflow causing severe vasoconstriction and hypertension. Elevating the head reduces the blood pressure and helps manage the immediate hypertensive emergency. Safety and Prevention of Complications: While spinal precautions are essential to prevent further injury, the immediate danger posed by autonomic dysreflexia’s severe hypertension outweighs the risk of moving the patient. The goal is to stabilize the blood pressure quickly to prevent stroke or other serious complications. Next Steps: After positioning the patient, it is essential to identify and relieve the triggering cause, such as checking for bladder distension and catheterizing if necessary. Administer antihypertensive medication if blood pressure remains high despite initial interventions. Notify the healthcare provider for further management. Reference: "Autonomic Dysreflexia: Management should include immediate measures to lower blood pressure, such as sitting the patient up and removing tight clothing. Identifying and relieving the cause is essential to prevent recurrence." Source: Krassioukov A, Warburton DE, Teasell R, Eng JJ; Spinal Cord Injury Rehabilitation Evidence (SCIRE) Research Team. (2009). Autonomic Dysreflexia and Secondary Complications Following Spinal Cord Injury. Journal of Rehabilitation Research and Development, 46(1), 69-84. This guideline underscores the importance of prompt and appropriate management of autonomic dysreflexia in patients with spinal cord injuries. Also please see: www.ncbi.nlm.nih.gov/books/NBK482434/

Thanks

In number 1 why can't you position the patient first before initiating o2 therapy?

@elenitaalotinto1603

14 күн бұрын

That's what my answer is, D

@nursestudynet8717

13 күн бұрын

While high-Fowler's position is helpful, it is a secondary measure compared to the immediate need for oxygen supplementation. Elevating the head of the bed helps with breathing mechanics but does not directly correct the hypoxemia. In summary, the immediate correction of hypoxemia with oxygen therapy takes precedence over positioning. Oxygen therapy provides a direct and rapid improvement in oxygen saturation, which is critical in stabilizing the patient in acute respiratory distress. Once oxygenation is initiated, placing the patient in a high-Fowler's position can be a supportive intervention to further ease breathing. Reference: "Immediate oxygen therapy is indicated for patients who have acute hypoxemia or signs of severe respiratory distress (e.g., cyanosis, confusion, tachypnea, accessory muscle use, paradoxical breathing). Oxygen therapy can help prevent further hypoxemia-related complications and should be administered as the first line of treatment." Source: American Thoracic Society. (2017). Oxygen Therapy for Adults in the Hospital: An Official American Thoracic Society Clinical Practice Guideline. American Journal of Respiratory and Critical Care Medicine, 195(4), 357-363.

@elenitaalotinto1603

13 күн бұрын

Thanks for this 😊

Maam @ no. 17. Would it be necessary to stop the cause to prevent further complication before we administer oxygen?

@lilianrosemary8217

7 күн бұрын

I feel so too

Thank you mam ‘m can you do a video on Maternity. ❤❤❤

@nursestudynet8717

19 күн бұрын

Yes, soon

Would it be possible to do NCLEX style with NGN questions and select all

@nursestudynet8717

Ай бұрын

Yes, I am working on A SATA with mult choice now. :)

@YADOUGH

Ай бұрын

@@nursestudynet8717 God bless your amazing soul

@lourdesbaptiste4949

Ай бұрын

Yes

@jemimahbenjamin9549

22 күн бұрын

Thank you for the video, looking forward to receive more videos from you.

Can you do a video for psych mental health and psych medication please

Hi teacher, For question 8:- if the patient is allergic to lactulose. What can be given instead .

@nursestudynet8717

13 күн бұрын

Rifaximin Has been considered.

b

Question 9 , forst line is calcium gluconate

@nursestudynet8717

22 сағат бұрын

"Treatment for acute hyperkalemia involves stabilzing heart function, shifting potassium to the intracellular space [using a combination of IV insulin plus glucose (to offset hypoglycemia)..." Source: www.kidney.org/atoz/content/hyperkalemia/facts That being said, Yes, absolulutely Calcium Gluconate Reduces the risk of ventricular fibrillation caused by hyperkalemia. But, it does not take care of the initial issue of hyperkalemia. This will all be up to the ordering MD. @Geraldtrujillom You have great critical thinking skills and so happy you brought this up. 👍👍