#___1_ : Concept: Impaired
Gas Exchange Reason for Admission/Medical Surgical
Diagnoses: #__2__ : Concept:
Pulmonary Embolism Ineffective airway clearance
Related Data:
Decrease lung perfusion from Related Data:
the pulmonary embolism. Focused Assessment: Patient has ha increased anxiety
As evidence of Dyspnea and the states was having chest pain and
saturation respiratory rate Patient is a 20-year-old female admitted for right has hypoxia.
increased to 28 and PA 02 88. femur fracture after a post skiing accident she is States she had a headache and
Interventions: scheduled for surgical Repair. She has a history patients mother said she seemed
Monitor vitals and ABGs of exercise induced asthma and uses an inhaler more confused.
Administer oxygen as ordered. albuterol she is scheduled to have a catheter in interventions:
Administer Anticoagulants as place. Possible head injury as evidenced by an Position the patient up right and
ordered. abrasion on her forehead. change position every two hours
How horses in the extremity are normal in to promote airway clearance.
capillary refill is less than three seconds. Prepare the patient for xray and
Patient one step had surgery everything went as blood tests.
planned. Patient became lethargic and
complaining of chest pains patient went into
#___3_ : Concept: Risk for electrical mechanical disassociation with no #___4_ : Concept: Tissue
Bleeding palpable pulses the patient was intubated, and a Perfusion
catheter was placed to provide thrombolysis of
Related Data: the pulmonary embolism.
Administer of anticoagulants
Recent surgery for femur Related Data:
fracture Goals: Shifts in mental status patient's
Interventions: Short Term: mom says she was lethargic.
Perform blood tests as health Patient will wear compression devices on legs Loss of pulses in extremities
care provider orders. for the duration of her time on bed rest to Absence of work of breathing.
Assess for signs of bleeding. ensure she does not develop another Interventions:
Assess incision site regularly embolism. Monitor peripheral pulses
for bleeding and bruising. Long Term: Monitor for signs of DVT
Monitor IV tubing injection Patient will maintain oxygen saturation of above Place compression devices on legs
site. 90 percent with no deterioration of her while patient is immobile.
pulmonary
This study source was downloaded by 100000831525611 from function
CourseHero.com throughout
on 02-03-2022 her
15:41:22 GMT stay on the
-06:00
unit.
https://www.coursehero.com/file/92652527/Concept-med-map-2-swift-river-patient-pptx/
Gas Exchange Reason for Admission/Medical Surgical
Diagnoses: #__2__ : Concept:
Pulmonary Embolism Ineffective airway clearance
Related Data:
Decrease lung perfusion from Related Data:
the pulmonary embolism. Focused Assessment: Patient has ha increased anxiety
As evidence of Dyspnea and the states was having chest pain and
saturation respiratory rate Patient is a 20-year-old female admitted for right has hypoxia.
increased to 28 and PA 02 88. femur fracture after a post skiing accident she is States she had a headache and
Interventions: scheduled for surgical Repair. She has a history patients mother said she seemed
Monitor vitals and ABGs of exercise induced asthma and uses an inhaler more confused.
Administer oxygen as ordered. albuterol she is scheduled to have a catheter in interventions:
Administer Anticoagulants as place. Possible head injury as evidenced by an Position the patient up right and
ordered. abrasion on her forehead. change position every two hours
How horses in the extremity are normal in to promote airway clearance.
capillary refill is less than three seconds. Prepare the patient for xray and
Patient one step had surgery everything went as blood tests.
planned. Patient became lethargic and
complaining of chest pains patient went into
#___3_ : Concept: Risk for electrical mechanical disassociation with no #___4_ : Concept: Tissue
Bleeding palpable pulses the patient was intubated, and a Perfusion
catheter was placed to provide thrombolysis of
Related Data: the pulmonary embolism.
Administer of anticoagulants
Recent surgery for femur Related Data:
fracture Goals: Shifts in mental status patient's
Interventions: Short Term: mom says she was lethargic.
Perform blood tests as health Patient will wear compression devices on legs Loss of pulses in extremities
care provider orders. for the duration of her time on bed rest to Absence of work of breathing.
Assess for signs of bleeding. ensure she does not develop another Interventions:
Assess incision site regularly embolism. Monitor peripheral pulses
for bleeding and bruising. Long Term: Monitor for signs of DVT
Monitor IV tubing injection Patient will maintain oxygen saturation of above Place compression devices on legs
site. 90 percent with no deterioration of her while patient is immobile.
pulmonary
This study source was downloaded by 100000831525611 from function
CourseHero.com throughout
on 02-03-2022 her
15:41:22 GMT stay on the
-06:00
unit.
https://www.coursehero.com/file/92652527/Concept-med-map-2-swift-river-patient-pptx/
