Dear Nurses: June 2011

THE PATIENT ON MECHANICAL VENTILATION

Dear nurses,

Hope your week is going well. Just to let

you know that Sessions 44-

(The Patient on Mechanical Ventilation )

has been added. So, just click on the link:

Sessions 44- The patient on Mechanical Ventilation

and enjoy learning.

UPDATE:

Please enjoy our sister site:https://quizmenurse.blogspot.com/

WHAT IS MITRAL VALVE REGURGITATION?

An overview of the heart valves

The heart has four chambers.There 2 atria and 2 ventricles.

The mitral valve lies between the left atrium and left ventricle.
The tricuspid valve lies between the right atrium and right ventricle.

The heart valves work to prevent the back flow of blood.

Damage to the mitral valve results in the back flow of blood.

This is known as mitral valve regurgitation.

Symptoms such as :

- heart palpitations

- shortness of breath, fatigue

- palpitations and chest pain may occur.

Scenario: In the image above, Mr.L was admitted to CCU for
complaints similar to those listed above. His doctor would like
to run some tests , including lab values for further evaluation.

A chest x-ray generally shows enlargement of the left atrium and
left ventricle. Medications like beta blockers may be ordered by
the doctor. Surgical intervention may also be done.

WHAT IS A MYOCARDIAL INFARCTION?

Dear nurses,

If you are in need of information on what a
Myocardial Infarction is, just click on the link :
What is a Myocardial Infarction?
and enjoy learning.

WHAT'S HAPPENING IN THE ER ?

Updated 5/25

Dear nurses,

Dearnurses.net is no longer available. New information

has been added below.

In the above Emergency Room scenario, a patient has been
transported to the ER. Medical staff members are gathered
around the bedside.

Learn more by clicking on the link below:

What's happening in the ER

Scenario: In the above image, a patient was brought into
the Emergency room with complaints of chest pain and
a drop in blood pressure.

This topic continues below.
Please click on the link : Avoiding medication errors

An intravenous infusion may be started in a peripheral
site or a central line site.

Learn more by clicking on the link:
IV assessment

THE PATIENT IN HYPOVOLEMIC SHOCK IN THE ER

The clinical scenario below, shows a patient in Hypovolemic Shock.
An assessment reveals:
- decrease in oxygen saturation

- decrease in BP, cool, clammy skin
- rapid respirations and heart rate
- decreased level of consciousness

The above patient is in possible sepsis. There is abdominal tenderness
and redness at the wound site. High fever and increased respirations are
also noted on assessment. The doctor's orders include lab values :
( WBCs, ABG, electrolytes and PT/ PTT ).

Dear nurses,

For more helpful information on this topic,
enjoy watching the videos:

Sessions 43
Hypovolemic Shock

Some websites are no longer available.

Updated 5/23

THE PATIENT ON MECHANICAL VENTILATION

Updated 1/25

Dear nurses,

Dearnurses.net is no longer available.

Scenario: The patient in the image above, is on
mechanical ventilation.The ventilator alarms keep
going off. It is obvious that something is wrong.

The nurse did not take time to troubleshoot
the problem and walks away. Please watch
the videos by clicking on the links below:

Mechanical Ventilation

Nursing Communication