Essays on Tracheostomy

Discussion Questions on Clinical Nursing

1. The cephalosporins are a family of bactericidal antibiotics structurally related to penicillin which were first derived from the fungus, Cephalosporum acremonium. 

Cephalosporins are the most frequently prescribed class for antibiotics (eMedexpert, 2011). This class’ mode of action is similar to other beta-lactam antibiotics, such as penicillins and cephamycins. Every form of bacteria cell has a certain cell wall for protection. Cephalosporins disrupt the synthesis of the peptidoglycan layer of bacterial cell walls, which makes the bacteria cell walls break down and the bacteria eventually die (eMedexpert, 2011). One intravenous (IV) drug under this class is cefazolin. For adults, dosage for ...

Literature review of CVL

Introduction The management of the sick with serious disease like cancer requires a stable central venous access to be used for a variety of treatment that includes antibiotic and blood samples or product. It also allows the resuscitation of fluid, hemodialysis and parenteral nutrition and cytotoxic chemotherapy to access blood-stream so that medical professionals can observe and microbial culturing of the patient. In addition, it is used to monitor the pressure of central venous. The importance of educating the patient was emphasized too so as to avoid keeping the patients in darkness and not knowing what is happening to them ...

Abstract

This paper answers four questions. In addition, through a case study, the paper illustrates considerations made in order to prioritize care given to hospitalized patients. A case study is given of six patients with various complications and care needs. The paper points out that those with airway problems are usually considered first for care delivery before other patients with other conditions. This is because airway problems pose more acute danger than other conditions. In this case, the paper gives a case study of patients with various complications and how the complications are managed. In addition, the paper, through another case study, ...

Abstract

Aims: To evaluate the outcomes of NIV versus invasive mechanical ventilation in COPD patients. Data Source: Relevant articles were identified from the following journals CHEST, Respiratory Care, European Respiratory Journal, Annals of Internal Medicine, and AHC Media. Study selection: The articles identified consisted reports of two randomized controlled trials and three review articles which investigated the outcomes of NIV versus mechanical ventilation in patients with acute exacerbations of COPD, weaning of COPD patients on mechanical ventilation, and nocturnal management of COPD. Data extraction: The study reviewed meta-analytic reviews, prospective randomized control trials, and retrospective observational studies. ...

The patient was a 24-year-old black male who was brought to the emergency room via an ambulance on June 21 at 03:50 pm. The report indicated that it was a pedestrian versus vehicle accident. The state of the patient reported included acute lung injury, pulmonary contusion, deep road rash extending over right side of axillary region to the abdomen, deep avulsion to the right hip area and exposed muscles. Trauma alert team and the respiratory therapist were called to the bedside. The patient developed respiratory failure and immediately was intubated by the respiratory therapist with an endotracheal tube size 7.5 mm. ...