Monday, September 29, 2008
Saturday, September 27, 2008
Bell’S Palsy
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Thursday, September 11, 2008
Monday, September 1, 2008
FIRST BLOG ACTIVITY - 4A
Case Study: Permanent Pacemaker
Mr. Bart Ikero is a 58-year-old man who is scheduled for permanent pacemaker insertion as treatment for a tachydysrhythmia that doesn’t respond to medication therapy. He will have an endocardial implant. Answer the following questions based on your knowledge of pacemaker management (reference pages 700–705).
1. Mr. Bart Ikero’s pacemaker is set at 72 beats/minute. His heart rate is 76 beats/minute. Is this expected? (Yes/No) Explain the rationale for your answer.
2. Nursing care includes incision site assessment for three complications:
a.___________________________________________________________________
b.___________________________________________________________________
c.___________________________________________________________________
3. The most common postoperative complication is ____________, which can be prevented by ___________________________.
4. List six things about the pacemaker that must be noted on a patient’s chart:
a.___________________________________________________________________
b.___________________________________________________________________
c.___________________________________________________________________
d.___________________________________________________________________
e.___________________________________________________________________
f.____________________________________________________________________
5. Describe nursing interventions and expected outcomes that should be used to meet the three major goals of patient care.
Goals:
a.________________________________________________________________
b.________________________________________________________________
c.________________________________________________________________
Nursing interventions:
a.________________________________________________________________
b.________________________________________________________________
c.________________________________________________________________
Expected outcomes:
a.________________________________________________________________
b.________________________________________________________________
c.________________________________________________________________
6. List assessment criteria that should be used to determine whether expected outcomes of care are achieved.
Expected outcomes:
a. Freedom from infection
b. Adherence to a self-care program
c. Maintenance of pacemaker function
Assessment criteria:
a.________________________________________________________________
b.________________________________________________________________
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