Highlights
Mr Henare, a 70year old man who identifies as Maori, is admitted to the respiratory ward with a diagnosis of right sided heart failure (cor pulmonale) related to his COPD (chronic obstructive pulmonary disease). Describe the pathophysiology of this serious complication of COPD.
Cindy, a 21year patient recently diagnosed with type1 diabetes, is admitted with diabetic ketoacidosis. Characteristics of this serious, acute complication of diabetes include 1.hyperglycaemia, 2. dehydration and 3.ketoacidosis. Describe the pathophysiology of each of these characteristics.
Risk factors for CAD (coronary artery disease) include hypertension and smoking. Describe how each of these risk factors will contribute to CAD.
Explain briefly how the Renin – angiotensin – aldosterone (RAAS) response to a drop in cardiac output in a patient with heart failure could result in a worsening of the condition (heart failure)
Mrs Jones (62 years old) has just returned to the ward from the operating theatre following a left hemicolectomy and formation of a colostomy following a tumour of the colon. She remains NBM until review. Normal Saline (0.9%) is running intravenously 8hrly. You have taken her vital signs and they are:
RR 21
Sp02 95% on 2L via n/prongs
HR 110, regular
B/P 90/55
T 35.6
5a. Following her colostomy, identify and explain the physiology of one (1) immediate potential post-operative complication related to the respiratory system.
5b. Outline an immediate post-operative nursing intervention with rationale to reduce the risk of the above complication identified for Mrs. Jones.
On day 3 post-op Mrs Jones becomes upset and starts crying after telling you she thinks her colostomy is ugly. Outline how you would best respond to Mrs Jones.
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