An 80years old female is brought in by πŸš‘ ambulance for respiratory failure. Diagnosis : Acute respiratory failure/ Altered mental status.Confused,limitation of treatment ( Assisted Ventilation,Endotracheal/Nasotracheal only)History of asthma, Home 02 dependent, pulmonary hypertension Congestive heart failure. 02 at 2liter nasal canula .(+) Fluenza.CT scan of the head is negative.Isolation Precautions: Droplet. Intubation and extubated the next day in the morning. Transportation method is stretcher.Mechanical ground Carb control diet with feeding assistant.CPAP at night.Fall risk protocol in place;placed patient in sitter room.Impaired Skin intergrity.Myplex to coccyx for protection.No suicidal risk.Allergy: NKDA.Purwick change every Q12hours.


1.Why do you crushed her medications and mix with applesauce?.

2.What do you understand by aspiration precautions?.

3.Why do you turn and reposition this patient every two hours?.



Published by edochie99

A Registered Nurse with over twenty years of hospital experience, an author with Masters Degree in Nursing,also Bachelor Degree in Nursing,graduated in 1996 from USC,University of Southern California.MSN in 2009 University of Phoenix.

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