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Module 5 - Essay Example

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Question 1 – Discuss in point form: The key clinical feature of the scenario that lead you to administer oxygen. The scenario’s key clinical feature that leads to oxygen administration is peripheral cyanosis. Peripheral cyanosis is caused by increased oxygen extraction in the periphery tissues and a decreased local circulation…
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Module 5
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Download file to see previous pages The physiological rationale for oxygen administration is to prevent cellular hypoxia, which is caused by low Pa02 (Hypoxaemia). It thus prevents potential damage to vital organs that is irreversible. Oxygen administration increases the oxygen tension in the lungs alveoli to the normal levels. This reciprocates for the decreased breathing rate. The increase in oxygen tension boosts the oxygen uptake by the red blood cells in the blood flowing to through blood vessels adjacent to the lung alveoli (Rosdahl & Kowalski 191). The intended outcomes of administering oxygen The intended outcome of administering oxygen is to correct hypoxemia, thus increasing the oxygen partial pressure in the arterial blood. This will increase the oxygen saturation in the body, preventing potential damage to the brain and other vital organs due to the depravation of oxygen. It will also increase the pulse rate of the patient, contributing to him regaining consciousness (Plletti, Groppi & Montagna, 310). Question 2 – On the basis of Vincent’s list of current medication, prior to undertaking any further intervention: What risk factors can you identify that are relevant to the safety of yourself, your partner and Johnny? Peginterferon alfa-2a and Ribavirin are used in the treatment of Hepatitis C. Since Vincent is on medication of these drugs; he is likely to be suffering from Hepatitis C, which is transmitted through body fluids such as blood. Vincent shared a needle with Johnny to inject heroin, meaning that he may have been exposed to blood infected with the disease. It is advisable that I, my partner, and Johnny avoid physical contact with Vincent to prevent the transmission of Hepatitis C. in addition, since Vincent is on medication of fluoxetine, olanzapine, and diazepam, which are used to treat mental disorders, it is an indication that his metal state is unstable. Therefore, it is advisable that I and my partner be on alert as the patient may be uncooperative or show aggressiveness when he regains consciousness (Pugsley, 512). What action(s) will you take on the basis of these considerations? I would dispose the needle that was used to inject heroin while wearing gloves. I would also ensure that no one comes into physical contact with Vincent’s blood or body fluids. Vincent should be taken to hospital to undergo further tests on his mental health. It is recommended that Johnny takes a Hepatitis C test to find out if he has been infected with the disease. It is also advisable that he joins a rehabilitation program. Since Vincent is likely to be suffering from mental disorders, he should be strapped on a stretcher or a bed to avoid aggression when he regains consciousness (Golan et al, 332). Question 3 – Assuming that Vincent is an alcoholic but has no predisposing co-morbidities, discuss the possible reasons why Vincent is more affected than Johnny, noting: Interactions with Vincent’s current medications. Peginterferon alfa-2a and Ribavirin may lead to stomach bleeding. Thus, regular alcohol consumption when on medication of these drugs can increase the patient’s risk of stomach bleeding. In addition, alcohol is a poison and a toxin to the liver. The consumption of alcohol can make liver diseases such as Hepatitis C worse, ...Download file to see next pages Read More
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