Write My Essay We are the most trusted essay writing service. Get the best essays delivered by experienced UK & US essay writers at affordable prices.
We can work on Decision Support Systems
As a nurse on a general medical floor, the RN has received a new admit. Review the client data provided. ⢠Richard Henderson ⢠58 years old ⢠Male ⢠Admit diagnosis: GI bleed ⢠History: no surgical history ⢠Medical history: Gastritis & GERD ⢠Medications: Prilosec 40 mg PO daily, Atenolol 25 mg PO BID, Fiber daily, Alka Seltzer PO â states he takes this at least daily. Report from physicianâs office: Mr. Henderson arrived to the physicianâs office today for a complaint of increasing abdominal pain. He states that he is now throwing up coffee-ground emesis. He states that he didnât take his BP medication this morning because he was dizzy. The physician is admitting him with a diagnosis of GI bleed with an EGD scheduled for tomorrow. He is NPO, and has a 22G IV lock in the left forearm. Last set of vital signs BP 106/60 mm Hg, HR 98 beats/min, RR 20 breaths/min, Temp. 98.8 degrees F, P.O. 90% on room air. He last vomited about 45 minutes ago with a small amount of dark coffee-ground emesis. His pain is 4/10 at present. No pain medication is ordered at this time. ⢠Lab assessments ordered: CBC and chemistry panel ⢠CT of the abdomen shows no signs of free air (no perforation) When he arrives to the floor, he is pale, nauseous, and his skin is cool and clammy. When he is transferred to the bed from the stretcher, he vomits a large amount of coffee-ground emesis and loses consciousness. Instructions In the discussion post, address the following:
While receiving report, what concerns do you have regarding the client report?
What type of shock is occurring?
What stage of shock is the client experiencing?
What is your next intervention and why?
What additional lab assessments would you anticipate?
Provide additional thoughts and insights.
Sample Solution
how inject mercury to samples and calculating the bulk volume of the sample using Archimedes law, CT scan which include several software�s for making videos of core sample to analyze the fractures and how it will affect the value of porosity and permeability, Formation Resistivity Factor ( capillary pressure) (appendix 2), permeability of fluids, flush cleaning using different solvents, and finally the dean stark which is about extraction of oil and water. Consequently, the first week of training was about introduction to the company programs and services as well as the devices and process used in the laboratory. Second week I started with the first task in CCA section which required the measurement of porosity by using DHP device (figure1). This task contain all the impotent measurements and calculation in porosity by using Boyle�s law (appendix, 1), also exporting the data in excel sheet to determine the capacity of core to hold fluids, and analyze the graphs with different behaviors (figure 1, appendix 2). Besides that, I also get a chance to use the VINCI device (figure 2) which is used for unsteady state process to get knowledge in how to determine several parameters in more accurate way such as porosity, permeability, pore volume, and bulk volume by sitting the pressure Moreover, the instrument calculate the pore volume and porosity by using the ideal gas law, also the pressure applied to the core is generated by high accurate hydraulic pump. Nevertheless, in the same week I worked using DGP device (figure 3) which is specific for permeability measurement. The main factor of permeability is Darcy law (appendix 1), the important parameters of lectures are presented in white bored without any other materials which could help the person to understand in better way. I have found during the lecture that some workers found difficulties in understanding the main idea of the topic. In my point of view, the lectures could be presented in an interesting way if the presenter use some other materials behind white bored for example pictures, power point, graphs, and videos related to the topics. 5.3 Radiation test of CT scan Radiation test of CT scan is performed to determine the amount of radioactive waves emitted from CT scan. This test is an essential for all the workers inside the laboratory due to the harmful emitted waves. The test done by the lab engineer using a special device that measures the emission of radiation waves. Recommendations I have noted during the test that some works do not have enough idea about the risks of radiation waves and they do not wear a special lab costume that prevent them. My own feeling on the subject is that there should be some rules and actions taken by the responsible person in order to maintain the safety of employees also educate the staffs about the risks of radiation waves. 5.4 Oil spill The department safety manager performed a task of Oil spill, the oil was spilled on the ground without informing any of the workers in order to test the ability of employees in dealing with various safety situations.What�s more, the manager discus around the safety issues as well as the accidents that can be cussed by oil spill and the correct way of how to deal with similar situations in future. Recommendations>
Share on Facebook
Tweet
Follow us
Share
Share
Share
Share
Share
how inject mercury to samples and calculating the bulk volume of the sample using Archimedes law, CT scan which include several software�s for making videos of core sample to analyze the fractures and how it will affect the value of porosity and permeability, Formation Resistivity Factor ( capillary pressure) (appendix 2), permeability of fluids, flush cleaning using different solvents, and finally the dean stark which is about extraction of oil and water. Consequently, the first week of training was about introduction to the company programs and services as well as the devices and process used in the laboratory. Second week I started with the first task in CCA section which required the measurement of porosity by using DHP device (figure1). This task contain all the impotent measurements and calculation in porosity by using Boyle�s law (appendix, 1), also exporting the data in excel sheet to determine the capacity of core to hold fluids, and analyze the graphs with different behaviors (figure 1, appendix 2). Besides that, I also get a chance to use the VINCI device (figure 2) which is used for unsteady state process to get knowledge in how to determine several parameters in more accurate way such as porosity, permeability, pore volume, and bulk volume by sitting the pressure Moreover, the instrument calculate the pore volume and porosity by using the ideal gas law, also the pressure applied to the core is generated by high accurate hydraulic pump. Nevertheless, in the same week I worked using DGP device (figure 3) which is specific for permeability measurement. The main factor of permeability is Darcy law (appendix 1), the important parameters of lectures are presented in white bored without any other materials which could help the person to understand in better way. I have found during the lecture that some workers found difficulties in understanding the main idea of the topic. In my point of view, the lectures could be presented in an interesting way if the presenter use some other materials behind white bored for example pictures, power point, graphs, and videos related to the topics. 5.3 Radiation test of CT scan Radiation test of CT scan is performed to determine the amount of radioactive waves emitted from CT scan. This test is an essential for all the workers inside the laboratory due to the harmful emitted waves. The test done by the lab engineer using a special device that measures the emission of radiation waves. Recommendations I have noted during the test that some works do not have enough idea about the risks of radiation waves and they do not wear a special lab costume that prevent them. My own feeling on the subject is that there should be some rules and actions taken by the responsible person in order to maintain the safety of employees also educate the staffs about the risks of radiation waves. 5.4 Oil spill The department safety manager performed a task of Oil spill, the oil was spilled on the ground without informing any of the workers in order to test the ability of employees in dealing with various safety situations.What�s more, the manager discus around the safety issues as well as the accidents that can be cussed by oil spill and the correct way of how to deal with similar situations in future. Recommendations>
Is this question part of your Assignment?
We can help
Our aim is to help you get A+ grades on your Coursework.
We handle assignments in a multiplicity of subject areas including Admission Essays, General Essays, Case Studies, Coursework, Dissertations, Editing, Research Papers, and Research proposals