Aortic Valve Replacement Essay Example | Topics and Well Written Essays - 3250 words

Aortic Valve Replacement - Essay congressmanA., Sauaia, A., Moore, E. E., Haenel, J. B., Burch, J. M., and Lezotte, D. C., 1996) involving multiprofessional medical-nursing work of care (Lederer, J. A., Rodrick, M. L., Mannick, J. A., 1999). As I reflect, I can now arrange the events that were germane(predicate) to this patient. On the first admission of the patient from theater to intensive therapy unit, the patient was placed on mash-control respiration with 100% oxygen with a PEEP of 10, rate of 12, tidal volume 500, and pressure support of 10. On estimation at that time, arterial blood gas was initi onlyy on pH 7.13, pCO2 of 7.0, pO2 of 21.4 with a dwelling excess of -10. SpO2 was 99.8 and bicarbonate 16.9. Lactate was18. The patients in the intensive therapy unit constitute an extremely heterogeneous existence in terms of admission diagnosis, co-morbidities, age, race, sex, and socioeconomic conditions, but one feature is common to almost all of them, cardiopulmonary dysf unction (Kelly, J. L. et al., 1997). During my shift hours, I could easily sense that the environment of ITU. It provided highly integrated and matching care with many novel machines and minute-to-minute therapy and observation. This posting in the ITU could improve my understanding of the physiology of such patients in that, I could observe the changes in the patients parameters in real time. I could see the changes in central venous pressure with a change in rate of fluid therapy (Stone, P.W, and Gershon, R.R.M., 2006). I observed changes in blood gases when the oxygen concentration and ventilation settings were changed. I could detect when pharmacotherapeutic interventions would fail to produce intended changes in the cardiac return studies. In short, this...Journal of Trauma 42 pp. 532-536.Fan, J., Marshall, J. C., Jimenez, M., Shek, P. N., Zagorski, J., and Rotstein, O. D., (1998). Hemorrhagic Shock Primes For Increased Expression Of Cytokine-Induced Neutrophil Chemoattractan t In The Lung region In Pulmonary Inflammation Following Lipopolysaccharide. Journal of Immunology 161, pp. 440-447.Gadek, J.E., DeMichele, S.J., Karlstad, M.D., et al., (1999). Effect of enteral feeding with eicosapentaenoic acid, gamma-linolenic acid, and antioxidants in patients with ague respiratory distress syndrome. Enteral Nutrition in ARDS Study Group. Critical Care euphony 27 pp. 1409-1420.Gibbs, C.R., Davies, M.K., and Lip, G.Y.H., (2000). ABC Of Heart Failure Management Digoxin And Other Inotropes, Blockers, And Antiarrhythmic And Antithrombotic Treatment. British medical checkup Journal 320 495.Inman, K.J., Sibbald,W.J., Rutledge,F.S., Speechley,M., Martin,C.M., and Clark, B.J., (1993). Does Implementing Pulse Oximetry In A Critical Care Unit Result In comforting Arterial Blood Gas Savings Chest 104 542.Kelly, J. L., OSullivan, C., ORiordain, M., ORiordain, D., Lyons, A., Doherty, J., Mannick, J. A., and Rodrick, M. L., (1997). Is Circulating Endotoxin The Trigger F or The Systemic Inflammatory reply Syndrome Seen After Injury Annals of Surgery 225, pp. 530-541.Lu, Z.