West Virginia University

NUR 207 Sepsis Unfolding Case Study Jane Fowler | 2025 with complete solutions-WVJC. Jane Fowler is a 63-year-old woman who was brought by her daughter, Denise, to the emergency department. When the nurse comes to examine Mrs. Fowler, she is softly moaning in pain and rocking on the edge of the bed with her arms wrapped around her abdomen. Mrs. Fowler has a history of hypertension, CHF, and diverticulitis. She appears pale, diaphoretic, and is responsive to verbal commands. She has no known all...

What is the number for poison control? - Answer A 72 y/o female presents with normal pulse oximetry, a headache, drowsiness, nausea, with episodes of emesis. ("flu-like" symptoms). Patient stated she left her car running with the garage closed. Patients CarboxyHgb level is 11. What toxin were they exposed to? How do we treat it? - Answer Carbon monoxide, No color/ no odor**Displaces O2 from Hgb Treated with oxygen 27 y/o female patient presents with slurred speech, unste...

What treatment is used to block pain transmission at the Site Of Injury: - Answer NSAIDS, Ice, Splint What treatment is used to block pain transmission In The Brain, Spinal Cord: - Answer Opiates What treatment is used to block pain transmission in The Peripheral And Spinal Nerves And Topically: - Answer Local Anesthetics What treatment is used to block pain transmission in The Higher Brain: - Answer Massage, Distraction, Anti- depressants, (Sedatives?) Do we like to mix diff...

Can changes in mental status be minimal? - Answer - YES mental status is a spectrum. Changes in mental status do not go from one extreme to another, it can be as subtle as restlessness and confusion acute mental status change - Answer - when a patient has a change from their usual baseline many causes from many systems - neuro: infection, tumor, trauma, CVA, psychiatric - CV/pulm: MI, PE, hypotension - systemic (changes in fluid and electrolytes): hypoglycemia, hyponatremia, ammoni...

two parts of the nervous system are the - Answer Central and peripheral Peripheral nervous system has how many nerves - Answer 12 pairs of cranial nerves, 31 pairs of spinal nerves and all of their branches Frontal lobe is responsible for - Answer personality, behavior, emotions, intellectual function 65 y/o male has a change in personality and ability to understand. Cries easily and becomes angry which lobe is responsible for this - Answer frontal lobe the hypothalamus funct...

SA node - Answer The electrical pacemaker of the heart AV node - Answer relays electrical impulses from atria into ventricles What part of the PQRS represents atrial depolarization? - Answer P wave What is that standard PR interval? - Answer 0.12-0.20 How long is the standard QRS complex? - Answer 0.08-0.10 What concerns us with arrhythmia? - Answer We are concerned with their effect on the heart as a pump. Arrhythmias can mean the heart is beating too fast or slow for...

The physician has ordered a solumedrol infusion for a pt with a spinal cord injury. Solumedrol has been shown to be effective in: A. decreasing cerebral edema B. preventing stress ulcers C. decreasing spinal injury spasticity D. improving motor and sensory functioning - Answer D. improving motor and sensory functioning Solumedrol is given within the first 8 hours of injury A pt with a T6 injury 3 months ago develops facial flushing and a BP of 210/106. After elevating the HOB, which ...

All cardiovascular problems can be related to any of 3 things... - Answer - Pipes (afterload) - Pump (contractility) - Fluid (preload) What does the pulmonary artery catheter (Swan-Ganz) do? - Answer Gives a direct measurement of right side cardiac functions and reflects left heart function through the use of PCWP measurements. - aka: gives you L side heart information through the R side of the heart. Central venous pressure (CVP) should be between... (number range) - Answer 3-1...

What is the overall purpose of the immune system? - Answer To distinguish "self" from "nonself" How does the body know "the self"? - Answer WBCs tell us What are the 3 main problems that can occur to the immune system? (And give examples) - Answer Immune system doesn't work (AIDS/Chemo/Radiation - Immunosuppressed pts) Autoimmune diseases (T1DM, RA, MS - Immune system attacks itself) Immune system goes overboard (Anaphylaxis) Who is considered immunosupp...

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