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One of these means is identified to include the use of reflective analysis, whereby after any major task with a patient, the nurse sits back to reflect on the nursing practice that was executed, using a series of methodologies and procedures. In this paper, such clinical judgment in the nursing management of a patient is undertaken. The patient was taken care of after post cardiac arrest during the first 6 hours of his initial admission to the hospital. As part of regular nursing practice, there are several decisions and actions that were taken that were based on academic and clinical reasoning. The reflective paper will therefore give a general profile of the patient, after which there will be a vivid discussion of the care that was rendered. There will then be an appraisal of the care, which shall take the form of a critical analysis of the care before a reflective conclusion is given.
This is the case of Mr. B, whose actual name is withheld for ethical reasons to keep the identity of the patient anonymous. Mr. B was admitted to the hospital for the reason of a post cardiac arrest. This means that the patient was going through a moment of cessation of what was to be the normal circulation of blood into his heart (Sonneville et al., 2013). Such instances of cardiac arrest have been attributed to a failure for the heart to effectively contract and expand as part of its regular functionality (Peberdy et al., 2010). It was realised that Mr. B’s instance of cardiac arrest had come about whiles he was undergoing treatment for acute exacerbation of Asthma in one of the medical ward. Some of the specific instances of symptoms that he showed at the time of being reported to the ward were I was in charge included an arrest with a rhythm of pulseless electrical activity (PEA). It would be noted that under very normal situations,
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When the heart’s sustenance is at risk, it cannot pump anymore blood to the human system and hence the body dies. The heart breakdown can have various symptoms in humans, but the extreme tension on this organ can invariably lead to cardiac arrest and finally death.
Other rhythyms and cardiac arrest complications/conditions which comprise less than 2% include subarachnoid hemorrhage or trauma, pregnant women, pediatrics, coma after near-drowning, hanging and other causes of asphyxia. About 60% of cardiac arrest survivors regain consciousness; of these, one-third experience irreversible cognitive disabilities.
The sinus node, atrium, and AV node are significantly influenced by autonomic tone (Saxena, P., Konstantinov, I. E., and Newman, M. A., 2007, p 60). Vagal influences depress the automaticity of the sinus node, depress conduction, and prolong AV nodal conduction and refractoriness in the tissues surrounding the sinus node; inhomogeneously decreases atrial refractoriness, slows atrial conduction and prolong AV nodal conduction and refractoriness (Reade, M.C., 2007, p 265).
The main significance of the study is to correctly ascertain the optimal duration of hypothermia, the optimal target temperature and the rates of cooling and rewarming. Its importance lies in the fact that many patients of cardiac arrest experience global ischemia that inflicts often irreparable damage to neurologic cellular mechanisms leading to very poor neurologic outcomes and, often, even mortality and vegetative existence.
Correspondingly, their studies provide sufficient evidence in the literature that supports the use of induced hypothermia to prevent and limit this anoxic brain injury (Hypothermia After Cardiac Arrest Study Group 2003; Bernard et al. 1997).
For therapeutic reasons, induced hypothermia is defined as the controlled lowering of a patient's temperature.
Advanced age can complicate prolonged mechanical ventilation, thus complicating the pulmonary dysfunction post cardiac surgical treatment. Postoperative pulmonary dysfunction is a significant clinical complication in patients undergoing cardiopulmonary bypass (CPB).
Patients who have cardiac arrest may develop neurological problems because of the lack of oxygen supply to the brain. In such situations, it is important to reduce the person’s risk of developing neurological problems. This is often possible only by
Indeed, there are diseases that come and go in no time but there are others that come and stay with us for long, living highly consequential health risks on us. One of such dysfunctions is cardiac arrest in adults, which has been
This is referred to as coronary heart failure of atherosclerosis.
One is at risk of getting heart attack if he/she had one in the past due to the presence of atherosclerosis in his/her blood. They are also at risk of heart
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