Copyright © 2003 - 2020 - NursingAnswers.net is a trading name of All Answers Ltd, a company registered in England and Wales. No plagiarism, guaranteed! You are required to use at least one other source besides your textbook. Acute Appendicitis — Appendectomy or the “Antibiotics First” Strategy. Ms.Melody has a relevant past medical history of asthma and depression. We will help you comprehend the subject and get to a higher academic level. (Brown & Edwards, 2013).Factors that predispose Ms. Melody to post-operative nausea and vomiting (PONV) include her gender, anesthetic agents used during the removal of her appendix, time she took during surgery and the location of the surgical incision which in her case is abdominal and any past history of having motion sickness or nausea and vomiting(Brown & Edwards, 2013). The most commonly used drugs are fentanyl and morphine (Russo et al.,2016). Medical-surgical nursing (2nd ed., pp. Physical assessment done show a distended abdomen which she was guarding. Our team respects the values we created throughout the years of working. That is why you get quality assistance and fast online support. Check and review the paper you get and if you have any question - let us know, we appreciate any feedback you give us. Recheck the vital signs which should be normalizing as the infection is resolved (Gans et al., 2015). We work on your success, knowledge, and positive reviews. Surgical Endoscopy, 31(1), 199- 205. doi: 10.1007/s00464-016-4957-z, Lambe, K., Currey, J., & Considine, J. Ms. Melody’s vital signs given are not very stable as she is hypotensive with a blood pressure(BP) at 95/45, tachycardic at 120bpm and febrile 38.5, her respiration rate is 22 breaths per minute and shallow. I read it but did not find any mistakes or inaccuracies. (2015). (2016). The obs given were not specific as no time line is given of when they were taken. (2016). This is not an example of the work produced by our Nursing Essay Writing Service. My friend persuaded me to place an order here, and it exceeded all my expectations. His work deserves only the best words! also argues that elevated levels of white blood cells and c-reactive protein are not very specific and their diagnostic precision for a specific diagnosis is low, but they are still used to triage patients who may require urgent imaging to determine cause for elevation(Gans et al., 2015). Nursing care should include, weaning her with sips of water and dry foods as much as she can tolerate (LeMone, 2014). Our experts are used to handling all types of essays, term papers, and article reviews. Do not hesitate to contact us so that we can start working immediately. That is how you succeed in not only studying but also each sphere of life. Clinical reasoning. Vital signs abnormalities can be a clear indication of a deterioration of Melody’s condition within minutes to hours (Mok, Wang, Cooper, Ang & Liaw, 2015). : Pearson Australia. They are writing experts and empathetic people who are ready to help. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. Ms. Melody should be encouraged to do deep breathing exercises which assist in voluntary suppression of the vomiting reflex (LeMone, 2014). We do not want to burden you, so there are fundamental values: Copyright © 2020 IQEssay, All rights reserved, By using this website, you’re agree to our. Registered Data Controller No: Z1821391. Next time I will ensure that there is proper handover of the patient as there is missing information about Ms. Melody which is important in providing holistic care such as the other set of vital signs since her admission to the hospital. Antibiotic Duration After Laparoscopic Appendectomy for Acute Complicated Appendicitis. The group of people who work for IQEssay is not just employees. Check and review the paper you get and if you have any question - let us know, we appreciate any feedback you give us. Discover the opportunity to enjoy studying with IQEssay. For additional online resources, consider the web sites provided on the External Links page and/or the Chapter Weblinks provided on the Course Materials page. Order our online help and get a brilliant paper you can use as an example. These include postsurgical complications and prolonged hospital stays, which increase health care costs and patient suffering (Drake & de C. Williams, 2017). When the deadline comes, you will receive the completed assignment in your mailbox and to the personal account as well. Their papers are of high quality, free from plagiarism, and any errors. We will help you find the fulcrum to implement your skills and talents. We have been working for more than 6 years, and the majority of clients become our loyal friends. My author is a true professional with good experience! Our experts will help you come through the difficulties in academic writing. New England Journal of Medicine, 372(20), 1937-1943. doi: 10.1056/nejmcp1215006, Gans, S., Atema, J., Stoker, J., Toorenvliet, B., Laurell, H., & Boermeester, M. (2015). I always thought that online writing services are scammers who paraphrase other people's papers from the Internet. ba english modern essay notes pdf; case study report assignment a case study paper; alternative literature essays; aic kewdale holiday homework; essay on solution for road pollution; ap english language and composition synthesis essay example. Considering Ms. Melody’s age,no past medical history of hypotension, is tachycardic and has an elevated white blood cell count and c-reactive protein, all these vital signs are abnormal and are clear markers of a patient who has sepsis and her body’s response to the infection (Hayden et al., 2016). Get help from experts and achieve academic success. We take responsibility for the services we provide. At this step, you can check the correctness of your order information, apply discount code, check the final price and proceed to pay. At first, I was worried about the result, as I had never ordered an essay before, but the writer returned my essay a day before the deadline. Our writing company is a place where you are always welcome. We provide students with writing help of any type, no matter what problem they have. We want every student to enjoy studying, rather than suffering from lots of assignments. Do not ever doubt we can help you improve your grades and academic performance. Any Topic or Difficulty can be handled! Thus, they can deal with any type of essay, research, or terms paper. Frequency of vital sign assessment and clinical deterioration in an Australian emergency department. In conclusion, I quite understand how as a graduate nurse, time management and timely interventions are important in an acute setting. 2.Nausea– Post-operative nausea and vomiting (PONV) is often the cause of anxiety and great distress to patient (Bhakta et al., 2016). (2016). This case study will demonstrate the care of MS. Melody by the nursing staff using the clinical reasoning cycle, to respond to her unstable clinical manifestation and ensure that there is a positive outcome for her as a patient, during her hospitalization in the surgical … Their papers are of high quality, free from plagiarism, and any errors. According to Limbe, Currey & Considine, (2016), normal vital sign range is RR12-22 breaths per minute, oxygenation above 95%, systolic blood pressure 90-139mmHg, heart rate 60-100 beats per minute for an adult and a Glasgow coma scale of 15 to a patient who is conscious and orientated to time, place and person. You will find the right way to succeed in studying. Clinical management for patients admitted to a critical care unit with severe sepsis or septic shock. Our experts are ready to handle your problems and give you some special advice. This is the best experience of my life. But now I know that there is someone who will help me. At IQEssay, you can feel free to ask for advice or share your fears about studying. At IQEssay, you can feel free to ask for advice or share your fears about studying. They are writing experts and empathetic people who are ready to help. I am a procrastinator and always regret it. A patient may express dissatisfaction with the surgical process in instances where there is prolonged nausea and vomiting after the surgical procedure (Brown & Edwards, 2013).Factors that predispose Ms. Melody to post-operative nausea and vomiting (PONV) include her gender, anesthetic agents used during the removal of her appendix, time she took during surgery and the location of the surgical incision which in her case is abdominal and any past history of having motion sickness or nausea and vomiting(Brown & Edwards, 2013). For Melody to be considered as having sepsis, there must be two or more vital sign abnormalities present and a culture-proven or an identified site for infection. Triage sepsis alert and sepsis protocol lower times to fluids and antibiotics in the ED. (2016). That is why you get quality assistance and fast online support. Whether you are a high school, college, or university student, you can rely on our help. Please fill out form as more detailed and accurate as you can. Company Registration No: 4964706. Discover the opportunity to enjoy studying with IQEssay. Our service consists of a group of experts in the field of academic writing, editing, and proofreading. When you work with us, you see how your knowledge and attitude to study is changing. I always thought that online writing services are scammers who paraphrase other people's papers from the Internet. The order process starts with the form, where you need to specify the type of assignment, academic level, and deadline. Each writer has a Master's degree and at least five years of writing experience. We want every student to enjoy studying, rather than suffering from lots of assignments. Clinical reasoning and critical thinking ensures that nurses will develop some positive attributes which ensures that patients are safe and provided with holistic care by nurses who are open minded and safe to practice (Levett-Jones, 2013). If we need more details about the work you need, we will contact you shortly. Find the support and assistance you can always count on. You are required to use at least one other source besides your textbook. We will help you find the fulcrum to implement your skills and talents. Abdomen distension should be reassessed to ensure it has gone back to normal as it is a common stimulus for nausea and more antiemetics administered if needed (Le Mone, 2014). After the laparoscopic removal of her appendix, she develops peritonitis which is common to patients who have had a ruptured appendix and require immediate treatment (van Rossem, Schreinemacher, Treskes, van Hogezand & van Geloven, 2014).
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