Swift River- ATI

Swift River- ATI Leave the first rating Save Terms in this set (66) Arthur Thomason 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. He is restless with slight confusion but is easily orientated with attempts from nurse. Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly Alteration in comfort: True Alteration in gas exchange: True Ineffectual airway clearance: True Potential for shock: True Prolonged confusion: True Anxiety/fear: True Potential for failure to thrive: True labored, heart rate 102 versus 84 from last night shift. Skin cool to touch and appears pale. His coughing, to clear his airway, appears ineffective. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia ). Mr. Thomason is anxious and is obviously worsened from the shift before in before in overall condition. Charlie Raymond 65 year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions.. He has a history of COPD, hypertension, diabetes type II, and a recent myocardial infarction. He is a retired postal worker who lives at home with his wife. He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. Initially this cardiologist was concerned about Acute discomfort False Alteration in body image False Alteration in gas exchange True Alteration in physical mobility True Alteration in skin integrity False .Bleeding False Death anxiety True Esteem False .Ineffectual breathing pattern True Knowledge deficit True Sudden confusion False