The possible courses of the infection explosion injuries or a shock wave usually associated with penetrating trauma because this kind of infections is generally caused by blunt trauma. Another probable cause of the disease would have been deceleration which results when the moving chest comes into contact with a fixed object and most of this result from a motor vehicle collision.
What is SIRS?
SIRS is an inflammatory state that affects the whole body. It is described as the body responds to an infectious or a noninfectious response within the organization.
Has Joseph developed severe sepsis or septic shock? Why or why not?
Joseph is more likely to have developed severe sepsis. This is because the condition is brought about by bacteria and he has been suffering from TB which is a bacterial infection. Therefore the possibility of developing septic shock is very high.
Are there indications that Allen is in danger of developing the failure of other organs?
If yes, what are the indications?
There is a critically clear indication that he is in the possibility of developing the failure of other organs. This can result from the side effect of the use of tuberculosis and different kinds of medication that he is taking. The overall impact of disease and pneumonia might contribute to other heart and chest problem, and this can lead to the failure and functionality of other organs such as the kidney.
5) Why is severe sepsis a costly illness?
Why is it likely to become more costly?
This is a thought-provoking question. The answer may not be in your book. Why do you think sepsis is so costly. Critically think your way through to this answer.
Severe sepsis is a leading cause of death in the United States and the most common cause of death among critically ill patients in non-coronary intensive care units (ICU). Respiratory tract infections, particularly pneumonia, are the most popular site of disease and associated with the highest mortality. At nearly $24 billion in 2013, sepsis was responsible for 6.2% of all hospital costs across the country. The study revealed that the mean expense per stay associated with those hospitalizations was over $18,000 in 2013, making hospitalizations from sepsis 70% more expensive than the average stay.Jun 30, 2016
6) How does elevating the head of the bed for a ventilated patient decrease the incidence of ventilator-associated pneumonia (VAP)?
The elevation process of the head of the bed for a ventilated patient decreases the incident of ventilator-associated pneumonia by enabling proper blood flow thus allowing adequate distribution of white blood cells throughout the body.
7) What interventions would you include in the evidence-based care of a central venous catheter?
The most important intervention that I will include in the evidence-based care for the central venous catheter is to ensure that I practice maximum hand hygiene. The practice of serious hand hygiene has elaborate importance on evidenced-based care for patients with the central venous catheter.
8) Why is shaving a surgical site preoperatively no longer indicated?
This process is no longer indicated because several research has proved that it is harmful and can lead surgical site infections and thus it should be avoided. Even though the traditional practice of the same has always involved removal hair, it no longer considered valuable due to its effect.
9) List 5 populations that are high risk for developing TB.
The five significant populations that are at risk of developing TB include
People who may have a condition that weakens the immune system more, so persons living with HIV/AIDS
People at the workplace who are exposed to TB infection
Immigrants coming from a country where TB is a common infection
Elderly person
Drugs addicts and socially marginalized persons
10) What are the typical symptoms you would see in a patient with TB?
Symptoms of a patient living TB
Coughing that can last for more than three months
Coughing up of blood
Night Sweats
Chills
Unintentional weight loss
Chest pain together with pain during breathing
Fever
fatigue
11) How would tuberculosis be diagnosed?
The essential diagnostic tool for tuberculosis is skin taste however blood test is increasingly becoming a commonplace.
12) List 4 medical treatment options and four nursing care interventions.
The four medical treatment option for tuberculosis includes
Use of Isoniazid
Application of Rifampin (Rifadin, Rimactane)
Use of Ethambutol (Myambutol)
Pyrazinamide
13) How could a community education program help in the prevention and treatment of TB?
Community and public education in the treatment and prevention of tuberculosis have helped to manage the spread of the disease. It helps to enlighten on the causes and possible measures to maintain the spread of the tuberculosis infection.
14) Explain how septicemia might develop as a complication of TB and tell how that would change your plan of care.
Septicemia is the result of a massive immune response to the bacterial infections that can get into the blood. It is caused by a bacterial infection, and thus the tuberculosis virus can lead to the development of the complication. It will generally change the existing plan care because it will invite a responsibility for another disease with need special attention separately from TB and therefore the plan care must be adjusted to ensure that the patient is safe and everything is cared for.
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