Medicine and Health

Medicine and Health

Medicine and Health

First Case Study

Administer the chest drains using USWD and check constantly for any sign of liquids rise or falling or the emergence of bubbles and their behaviour. For a nurse who is admitting a patient from an MVA, it is vital to prioritize and realize the importance of knowledge and patient care. There is no doubt that the nurse will be treating the haemopneumothorax but she also need to keep an eye out to ensure it doesn't develop into a tension pneumothorax which is twice as bad.

Rationale

Even though all of the points mentioned are valid and have concerns to them however it is the nurse's task to prioritize their importance according to the patient's health. Since the first statement is selected as a priority, first I will explain why I have rejected the others. The regarding the checking of the UWSD tube, it needs a 4 hr delay. This would decrease the priority from primary to secondary. Then the chest drain removal, exposing the chest hole, is also done at removal, not something which shall be done on priority, lastly, the Heimlich valve, needs to be attached 24 hr before the removal, not an immediate priority. However recognition of the symptoms of patient going bad to worse is imperative from the moment he is admitted. This is the reason why knowing the first point is important in order to care for Mr. Tensionone.

According to emedicinehealth.com, John P. Cunha, (2012), Tension penumothorax can cause the shifiting of the mediastinum resulting the shifting of all the organs including the heart, etc. to shift to the 'unaffected part'. This can prove to be fatal for the patient. If tension pneumothorax is detected then it is imperative that the thoracostomy procedure be applied to the patient before ...