Nursing Challengers

Respiratory Distress Syndrome 🫁👶 A. Description: Serious lung disorder caused by immaturity and inability to produce surfactant, resulting in hypoxia and acidosis ⚠️ B. Assessment 1. Respiratory distress; can include tachypnea, nasal flaring, expiratory grunting, retractions, seesaw respirations, decreased breath sounds, and apnea 🌬️ 2. Pallor and cyanosis 🩸 3. Hypothermia 🌡️ 4. Poor muscle tone 🤏 C. Interventions : 1. Monitor color, respiratory rate, and degree of effort in breathing. 👀 2. Maintain airway and cardiopulmonary function and support respirations as prescribed. 🏥 3. Monitor arterial blood gases and oxygen saturation levels as prescribed (arterial blood gases from umbilical artery); ensure that oxygen administered to the newborn is at the lowest possible concentration necessary to maintain adequate arterial oxygenation. 💉 4. Any premature newborn who required oxygen support should be scheduled for an eye examination before discharge to assess for retinal damage. 👁️ 5. Position the newborn on the side or back, with the neck slightly extended. 🛌 6. Administer respiratory therapy (percussion and vibration) as prescribed; use padded small plastic cup or small oxygen mask for percussion; use padded electric toothbrush for vibration. 🥁 7. Provide nutrition. 🍼 8. Support bonding. ❤️ 9. Prepare parents for short-term to long-term period of oxygen dependency if necessary. 🗓️ 10. Encourage the mother to pump the breasts for future breast-feeding of her newborn if she desires. 🤱 11. Encourage as much parental participation in the newborn’s care as the condition allows. 🤝 Prepare to administer surfactant replacement therapy (instilled into the endotracheal tube) to a newborn with respiratory distress syndrome. 💊

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Q. A 90-year-old female presents to the emergency department (ED) with onset of palpitations, shortness of breath, and chest pressure that started 30 minutes prior. Emergency medical services found her with a heart rate of 160, BP of 110/74, respiratory rate of 26, and O2 saturation of 96% on room air. On arrival to the ED she is diaphoretic, pulse is 170, and BP is 70/palp. EKG reveals an irregularly irregular narrow-complex tachycardia. The next treatment would be: ~ Nursing Challengers By Subhash Choudhary

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Q. A 65-year-old male presents to the emergency department complaining of sudden onset of right eye pain. He reports decreased vision, photophobia, and pain. The patient has had bilateral cataract surgeries and has since had fixed pupils on exam. When concerned for an acute ophthalmologic emergency, what is the next exam test that should be performed? Join Now - https://whatsapp.com/channel/0029VaiGbEe0gcfDZuOtzZ2O

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Q. A 72-year-old female presents to the emergency department (ED) with 4 hours of substernal crushing chest pain, that radiates to the back. She reports associated shortness of breath, diaphoresis, and nausea. After getting a thorough history, you realize that her medical history includes hypertension, hyperlipidemia, coronary artery disease with percutaneous coronary intervention, and tobacco use. In the ED an EKG is performed, showing significant ST elevation in EKG leads II, III, and aVF. You act quickly and page the on-call cardiologist and activate the cath lab. While waiting for the cardiology team, you realize that the most likely location of her MI is: ~ Nursing Challengers By Subhash Choudhary

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