Advanced Anesthetic Practice Essay Example | Topics and Well Written Essays - 3000 words

Advanced Anesthetic Practice - Essay Example l of this reflection is to re-evaluate these two clinical experiences as an anaesthetic nurse and to establish that better knowledge and skills have been gained by this nurse from these experiences. The 9-year old girl, Cora (not her real name), was admitted due to pain in her lower abdomen, which started three hours prior to admission, with the pain radiating to her lower right abdomen by the time she was admitted. She also had a high-grade fever at 39.50C (103.10F) and vomited as soon as they arrived in the emergency room. Prior to the manifestation of her initial symptoms, she was running the tracks at a nearby park with her friends. In the emergency room, the attending ER internist physically assessed and examined Cora and determined that she had appendicitis and immediately recommended her for surgery. Her pain symptoms were escalating and were progressively becoming unbearable. Pain escalation, in this case, is attributed to peritoneal irritation (Craig 2014). Based on the above gathered data on the patient, I planned my next actions and decisions accordingly. I prepared the essential equipment appropriate for physiology of the child, specifically a T-piece Mapleson E valveless breathing system (Ramamani, Mohanty, and Suman Gupta 2008). This is a breathing system which supports spontaneous as well as controlled breathing. This system is attached to a 0.5 litre double-ended bag, providing the least resistance during expiration (Ramamani, Mohanty, and Suman Gupta 2008). I opted for an adjustable pressure limiting (APL) valve including a closed-ended bag or the Ayre’s T-piece to manage scavenging (Gregory and Andropoulos 2012). A paediatric circle breathing system was also set (Gregory and Andropoulos 2012). Dead space refers to the amount of alveolar gas breathed in, and the volume of such space is decreased through an infant paediatric mask used with an appropriate filter and port (Goonasekera, Goodwin, and Wang 2014. Goonasekera and colleagues (2014),

Paraphrase Essay Example | Topics and Well Written Essays - 500 words - 9

Paraphrase - Essay Example Bad academic problems and financial problems are other signs (Donatelle). One addictive behaviour is excessive use of technology. People have become increasingly dependent on such gadgets as iPads and phones that provide them with better access to online information. Donatelle suggests that people addicted to technology can be identified by certain behaviors they exhibit including lack of sleep, lack of fulfilment of responsibilities toward their friends and family, excitement while using technology, bad performance, problems in family, social exclusion, and financial problems. Drug abuse is about consuming banned substances. Despite their legal authorization, drugs are misused. It is noteworthy that drug abuse is done for particular reasons and is not a deliberate action. Disproportionate or unnecessary use of drugs is described as drug abuse (Donatelle). Drug abuse mostly happens when the individual gets addicted to it. Drug misuse mainly causes its abuse. Drug abuse has long-term effects whereas drug misuse has mostly short-term effects. Alcohol’s effect on body and health can be categorized into short and long-term effects. Examples of short-term effects are disrupted sleep, headache, vomiting, problematic breathing, inaudible vocalization, and deteriorated memory. Examples of long-term effects include illnesses related to alcohol like liver disease, throat cancer, liver cancer, colon cancer, oesophagus cancer. Other effects include brain and nerve damage, social problems, sexual problems, and poor performance (Donatelle). Smoking also causes several short-term and long-term effects just like any other substance that is abused. Cigarettes contain nicotine which is very addictive. Tar and carbon monoxide present in the cigarettes cause lungs cancer and mouth cancer. This is smoking’s main long-term effect. Other effects experienced