Premium Essay

Sim Prep

In: Other Topics

Submitted By santh
Words 630
Pages 3
Simulation Preparation Information
Patient Name: Earl Dobbs 54 year old
Past Medical History: Unknown
Current Hospitalization: Currently admitted to medical-surgical unit , in the weaning phase of his tracheostomy care. He has required suctioning every four hours for a moderate amount of thin, tan secretions.
Allergies: No known drug allergies
Medications: None.
Code Status: Full Code
Social/Family History: Employed as a mail carrier; Divorced: has two adult children who live out of town, but visit frequently.

Latest Assessment:
Vital Signs: HR 82, BP 124/75, RR 14, SPO2 98% on 36% tracheostomy collar, T 99
Cardiovacular: Normal sinus rhythm
Respiratory: Breath sounds with ronchi bilaterally; equal expansion, trach tube intact, and insertion site clean and dry.
GI: normal bowel sounds, PEG tube intact dressing dry
GU: WNL
Extremities: equal bilaterally, strong peripheral pulses
Neurological: Alert and oriented to time, place and person, pupils equal and reactive to light and accommodation
Pain: no complaints of pain
Learning objectives * Perform assessment on the patient * Demonstrates appropriate tracheal suctioning techniques, including ongoing assessment of respiratory status * Intervenes appropriately to resolve acute respiratory distress in patient with tracheostomy

Preparation questions: 1. What are some of the indications for a tracheostomy? * Prolonged intubation during the course of a critical illness * Severe neck or mouth injuries * Long term unconsciousness or coma, * To maintain an airway where the ability to do this via normal mechanisms is temporarily or permanently compromised * To facilitate longer-term respiratory support such as mechanical ventilation or...

Similar Documents

Premium Essay

Sim Prep-Nursing

...1. What is an obstructive lung disorder? COPD- preventable and treatable disease state characterized by chronic airflow limitation that is not fully reversible. The airflow limitation is usually progressive and associated with an abnormal inflammatory response of the lungs to noxious particles or gases, primarily caused by cigarette smoking. 2. What should the nurse consider when giving oxygen to the patient with an obstructive lung disorder and why? -02 has an irritating effect in mucous membranes and dries secretions, therefore it is important that a high liter of flow of 02 delivering 35-50% be humidified when administered. - Periodic reevaluations are necessary for the patient who using chronic supplemental O2 -Most patients with COPD can tolerate 2 L/min via cannula -Access patients nares and ears for skin breakdown and may need to pad cannula where its sits on the ears -Watch for complications -Periodically check o2 delivery device to ensure that the prescribed concentration is being delivered -Monitor the effectives of 02 therapy( pulse ox, ABG’s) to evaluate patient response to therapy -Observe for signs of o2-induced hypoventilation because this occurs with carbon dioxide nacrosis -Position to minimize respirator efforts ( HOB elevate and provide overbed table for patient to lean on) -The person with COPD who retains CO2 should be treated with low rates of 02 with careful monitoring of ABG’s to avoid hypercarbia. 3. What are nursing management......

Words: 1119 - Pages: 5

Premium Essay

Telecom Sector

...their focus, data is our key focus. Infinite products can be introduced to win the hearts of customers. FOCUS in on innovative products How many new services introduced in the last 5 years? * Every year we introduce approx. 30-35 products * Aprox 35% yearly increase in products Is there any collaboration with Local handset manufacturing? * Partnership with international brands like blackberry and nokia. Collaborated with Samsung as well. They help us to introduce our product to their customers and we support them back. * Introduced nokia lumia recently. * The result is positive and increase in sales. No installment costs. Only marketing cost What is the supplier network, who makes the Sims and work on towers? Who makes the towers? * No info on sims or towers Objectives and sales targets, what pressure do you face. How do you deal with Anti-marketing? * Objective and sales target: we get targets every year, parent company give us growth objectives which are then divided within the departments. * Sales are very unpredictable in Pakistan due to unfortunate incidents. * Luckily Pakistan is a lucrative market. Communication need is increasing in Pakistan. * Anti- marketing, with the customer confidence we were always at par, we never practiced unethical practice. In case of being offended, like in case of ufone, we use the same strategy. It is not the...

Words: 394 - Pages: 2

Free Essay

Study If Playing Sports Games Specifically Nba2K12 Helps Basketball Athletes

...student’s study habits? But then choosing only a specific title which is, “Effects of playing NBA2k Series to basketball athletes”, (how this affect their play in real basketball games). Basically the concern is when these athletes play NBA2k, seeing the moves of the players in that games and applying these specific moves or strategies to the way the athletes play basketball. This could also be applied in other sports like FIFA games. Statement of the problem Computer games are growing fast today. We all see that children are mimicking some games into their real life situations in either good or bad way. One example could be the game “ The Sims” in which people use their imaginations in building their dream houses in the game and maybe some may copy the blueprint of the structure and put it into reality. Will the game NBA2k be like the game Sims that athletes may use the play style of the players in that game in applying it to their play style on the way they play their games? Significance of the study The research is for the athletes who play basketball and for the people who are interested to learn playing this sport, by applying what they learn from the game. This might help the athletes improve their skills and strategies in their actual games. Assumption of the research The expected result of the research is that: playing the game NBA2k really helps athletes improve their play and style, by applying the moves and strategies and using it in to their......

Words: 476 - Pages: 2

Premium Essay

Unit 3 P1 and P2

...For this assignment I’ve been asked to describe how marketing techniques are used in two products of my choosing for this I’ve chosen The Sims game and the original Coca Cola. Marketing is the promotion and selling of a product to a target market. The Sims is a strategic life simulation game created by Maxis first released in 2000 it has now grown into the best-selling pc game franchise in history selling more than 150 million copies. Coca Cola Enterprises Ltd is a global non-alcoholic drinks company founded in 1886 by John Pemberton Coca-Cola sell their products in over 200 countries, and sell approximately 1.7 billion servings of Coca-Cola every day. They are the leading market in soft drinks. Aims and Objectives Growth strategies Diversification Diversification is a method of gaining more sales to your product by adding other products to your existing product or ‘expanding’ your product. The Sims game series has created new games to cater to different types of people diversification has been used here as the original Sims game was a pc game and over the past 13 years games have been created for multiple different consoles i.e. PlayStation, Xbox, GameCube and Nintendo. This is one of the reasons the game is so successful and widely known. Coca cola do this also through creating different soft drinks to cater to different tastes, i.e. Diet coke, Fanta or Flavoured waters as original Coca Cola isn’t always to everybody’s taste. Product development Product......

Words: 1752 - Pages: 8

Free Essay

Statistic Research Paper Proposal

...Dependent Variable: SIMS Independent Variables: GRIP, ARM The dependent variable SIMS is determined by independent variables GRIP and ARMThe most important independent variable in this relationship seems to be ARM because the data seems to be moved more by the change in ARM than in it does by the change in GRIP. | | SIMS (simulations) is the dependent variable in this experiment. A simulation is defined as a way to model random events, such that simulated outcomes closely match real-world outcomes. By observing simulated outcomes, researchers gain insight on the real world (Simulation of Random Events, 2014). The simulations in this case required that the participant exert force on a simulated wrench while assuming standing and a kneeling position. GRIP (grip strength) is one of the independent variables in this experiment. Grip strength is defined as the measurable ability to exert pressure with the hand, fingers, or both. It is measured by having a patient forcefully squeeze, grip, orpinch dynamometers; results are expressed in either pounds or kilograms of pressure. (Mosby's Medical Dictionary 8th Edition, 2009) ARM (arm strength) is the other independent variable in this experiment. Arm strength is easily defined as the strength of your arm. Strength is defined as creating muscular tension (Hargrove, 2011). In this experiment, GRIP and ARM determine the SIMS. The idea is that the higher the higher the GRIP and ARM, the higher the SIMS numbers will be.......

Words: 314 - Pages: 2

Free Essay

Review

...Research and Development of Freeform Gameplay in Computer Games Contextual Report Contents Section 1: Introduction………………………………………………………… | 1 | 1.1 The Project……………………………………………………………... | 1 | 1.1.1 Project Key Words…………………………………………… | 1 | 1.1.2 What is Freeform Gameplay?.............................. | 1 | 1.1.3 Project Goal…………………………………………………….. | 1 | 1.1.4 Project Context……………………………………………….. | 2 | 1.1.5 Project Objectives…………………………………………… | 3 | 1.1.6 Techniques for Realisation………………………………. | 3 | 1.1.7 Structure of This Report………………………………….. | 4 | Section 2: The Contextual Review……………………………………….. | 6 | 2.1 Market Research…………………………………………………….. | 6 | 2.1.1 Categorisation of Gameplay Elements…………….. | 6 | 2.1.2 Game Comparisons…………………………………………. | 8 | 2.1.3 Comparison Analysis………………………………………. | 9 | 2.2 Market Surveys……………………………………………………….. | 11 | 2.2.1 Target Audience……………………………………………… | 11 | 2.2.2 Survey Approach…………………………………………….. | 11 | 2.2.3 Questionnaire…………………………………………………. | 12 | 2.2.4 Survey Results………………………………………………… | 12 | Section 3: Project Planning………………………………………………….. | 17 | 3.1 Design Blueprints……………………………………………………. | 17 | 3.1.1 Design......

Words: 13805 - Pages: 56

Free Essay

What Is a Video Game

...What Is A Video Game By: Kiara Foisy Video games are one form of gaming systems that are slowly taking over the world. No one wants to go outside know a days, they just want to stay indoors and play video games. For some people who may not know what a video game is it is “An electric or computerized game played by manipulating images on a video display or television screen” (Farley, 2012, Paragraph1). Video games are separated into categories, which include Role-Playing, Strategy, and Simulation. One category of video games is Role-Playing. Role-playing is “a game in which participants adopt the roles of imaginary characters in an adventure under the direction of a Game Master” (Dictionary, 2012, Paragraph 1). In other words a Role-Playing game, also known as RPG, is when one or more people assume a task and play it out in virtual reality. You would set out on a life as the main character and live it, while completing tasks and going on adventures. An example of a role-playing game is Final Fantasy XIII, which was released on March 9th, 2012. While playing Final Fantasy XIII, you play as multiple people doing multiple things. You battle powerful enemies and magical allies in the worlds of Cocoon and Pulse. Two more examples of role-playing games are Fable 3 and Dragon Age: Origins, both of which were released in the year 2010. Another video game category is Strategy. A strategy video game is “a genre of video games that emphasize skillful thinking and planning to......

Words: 706 - Pages: 3

Free Essay

Sims

...| flush | Crash game | crash | Create moat or streams | water_tool | Create shrunk_text_#.bmp files | shrink_text <font_size> <text> | Create-a-character mode | edit_char | Display personality and interests | interests | Draw all animation frames disabled | draw_all_frames off | Draw all animation frames enabled | draw_all_frames on | Draw colored dots at each person's origin | draw_origins | Dump entire memory to core_dump_[date:time].txt | core_dump | Dump selected person's most recent list of scored interactions to a file | dump_happy | Dump selected person's motive contribution curve to a file | dump_mc | Enable debug flag to show outcome choice dialogs for social interactions | debug_social | End sim logging | sim_log end | Execute "file.cht" file as a list of cheats | cht...

Words: 3992 - Pages: 16

Free Essay

Community Profile Ehics

...to stability by enabling its members to interact and build relationships on different levels throughout the community. Diversity within population amongst a community is what also helps a community to thrive and surface new ideas, which is beneficial to a community. People in a community that bring about change can be a friend, employee, student, or anyone; there is no one specific person who can build a community by his/her self; it is community efforts. This presentation will discuss the profile of a place called Sims City, and all about this little city that makes it worth living in its community. This is a diverse community of different ethnicities with different religious beliefs. There are 144 members within this community who vary from public administrators to homemakers, and they all interact and socialize amongst various locations within the Sims City community. All of these members help this community to grow and accomplish any goals it may have to make Sims City a better place for the entire community. The Type of Work the Residents Do The workers of our town are of a varied lot. There are the public servants who administer the work of the town. These positions include city council, the mayor, the zoning department, tax collector, library staff, water department and all of...

Words: 972 - Pages: 4

Free Essay

When Is a Game No Longer a Game

...When is a Game No Longer a Game? Joel AJ Parker Northwood University Video games are becoming a huge part of a person’s life nowadays, especially children. It is no longer the world of board and card games. Many people would argue that video games do not allow a person to use their imagination. However, Will Wright would beg to differ. Wright believes that video games now allow a person to use their imagination to create their own scenarios and customize a “new life” within a game. However, I believe that he would agree that the video game world could be evolving to a point where they are no longer making “games”. There is a controversial online “game” that has the title of Second Life. Some might ask when a game stops being a game? What is the limit for reality in a video game or is there even a limit? There is a certain limit to the reality of a video game; it should no longer be a video game when a person can consider it their second life. Second Life is a computer game that is a virtual world. It allows the gamer to enter a world and design an avatar for the “game’s” virtual world. The game allows players to purchase land, property, cars, and clothing as well as other real life amenities. It is unlike other virtual worlds because it allows for the player to profit from the game; it seems to take over their actual life. Second Life allows the player to convert their “Linden Dollars” into cash via a PayPal account. They are allowed to sell their creations in the......

Words: 939 - Pages: 4

Free Essay

Nothing

...myphone T23 Duo free downloads and reviews myphone T23 Duo free downloads Click links below to get downloads free for your myphone T23 Duo phone myphone T23 Duo games:  Java 240x320 games touchscreen  Java 240x320 games   myphone T23 Duo apps:  Java J2ME apps   myphone T23 Duo themes:  myphone T23 Duo ringtones:  mid   mp3   wav   myphone T23 Duo wallpapers screensavers:  240 x 320 myphone T23 Duo ebooks:  jar   pdf   txt   myphone T23 Duo videos:  3gp   mp4   myphone T23 Duo web apps:  more myphone T23 Duo features: 3.5mm audio jack |If you like myphone T23 Duo, you should look at: | |[pic] | |myphone T23 Duo | | | | | | | |[pic] | |myphone A818 Duo | | | | | | | |[pic] | |myphone TW1 Duo | | ...

Words: 496 - Pages: 2

Free Essay

Fjfj Fgh

...torrent): QCZH-6Z9X-VXUD-5VXA-JRLD HHQY-5XHK-QGMM-ZQG5-SRLD WPS2-229S-X4BE-CX4R-JRLD E8YQ-PW5G-AWT9-MAW9-ERLD 4FBK-GV88-6PDC-Q6PT-GRLD 8QCL-UVG7-CHDM-BCHU-RRLD UY2J-SXDC-EMKH-NEM2-NRLD HXQY-ZRM3-J4U5-V7Q0-1911 Make sure when is getting towards the end of installation and it asks you if you want the game to automatically get updates or if you want to register the game, select "NO" because they're right. This isn't an originally copy of the game, and if you select "YES," your game will probably get screwed :) ...oh, and one of the bad things about playing a free version of the Sims 3 game, is that you can't download any of the additional items or such on the Sims 3 website because it will ask you to enter your serial key when you register for a new account, and you won't have an original key Well, after you're all done with installation, open the "The Sims 3 v1.27 patch crack + store items [Hirya]" folder again. Go to the folder "Crack+Patch" and open the application...

Words: 689 - Pages: 3

Free Essay

Sims 2 Cheat Code

...The Sims 2 Cheat Codes Misc. Codes Press CTRL + SHIFT + C to access the cheat window, then enter the following: |Cheat |Effect | |boolProp guob (True/False) |Set to false to remove shadows on objects | | |inside house | |boolprop objectShadows (True/False) |Set to false to remove removes shadows on | | |objects outside house | |boolprop lotInfoAdvancedMode (True/False) |Set to true to show lot information | |boolprop carsCompact (True/False) |Set to true and cars will have more detail| | |in neighborhood | |boolprop lotTerrainPaints (True/False) |Set to false to remove floorpainting on | | |lot | |boolprop lotWater (True/False) |Set to false to remove removes water | | |(ponds) from lots | |boolprop displayNeighborhoodProps (True/False) ...

Words: 788 - Pages: 4

Free Essay

Hkhjhk

...หรือสร้างเพื่อนบ้านของเราเองทำไงดี] "เพื่อนบ้านไม่ถูกใจ" "นิสยเข้ากันไม่ได้" "ในเมืองไม่มีหนุ่มหล่อสาวสวยเลย" เรามีทางแก้ครับ.. เขียนวิธีเก่าไว้ยืดยาว ซึ่งวิธีนี้งายกว่ามากๆๆ ครับ 1. กดเลือก Edit Town 2. ที่ด้านซ้ายจะเห็นรูปไอค่อนบ้านเล็กๆสองหลังอยู่ด้วย กัน 3. คลิกที่ตรงปุ่มนั้น แล้วทีนี้เราจะเลือกสร้างซิมส์ หรือ คลิก Choose Household เพื่อไปเล่นบ้านคนอื่นก็ทำได้แล้วครับ *****คำเตือน เวลาย้ายไปเล่นบ้านคนอื่น อาหารที่เก็บอยู่ในตู้เย็น กับ ของที่เก็บสะสมไว้ในกระเป๋าจะหายไปนะครับ ***** [อายุ] แก่ช้า เร็ว หรือไม่มีวันแก่ ภาคนี้จะไม่มีสูตรอายุนะครับ(อ้าว) แต่!! เราสามารถเข้าไปปรับได้ที่ Option ครับ ไปแถบหัวข้อที่3 (ที่เป็นรูปเฟือง) ตรง Gameplay จากนั้นก็ เอาเครื่องหมายถูกตรง Enable Aging ออก หรือถ้าต้องการ ยืด-หด ช่วงอายุไข ก็ปรับได้ตรง Sim lifespam ที่อยู่ในหน้าเดียวกันครับ [เป็นเศรษฐีได้ง่ายๆโดยไม่ต้องใช้สูตร] วิธีนี้จะทำให้เราเป็นเศรษฐีได้ง่ายๆโดยการเขียนนิยา ยผ่านคอมพิวเตอร์ 1. เริ่มต้นจากการเขียนนิยาย โดยการไปที่คอมแล้วเลือก "Start fiction novels" แรกๆเราจะได้ตังค์มานิดๆหน่อยๆ 2. พอทักษะการเขียนของเราดีขึ้นจนถึงระดับหนึ่ง เราจะสามารถเขียนนิยายได้หลายประเภทมากขึ้น 3. นิยายที่ทำเงินได้ดีที่สุดคือนิยายประเภท "Romance Novels" ซึ่งใช้เวลาประมาณ6 สัปดาห์ก็จะออกเ็ป็นหนังสือเล่มนึง 4. ถ้าทักษะการเขียนของคุณเต็มคุณจะได้รับเงิน $40,000 ต่ออาทิตย์ ซึ่งมากกว่าการเที่ยวซื้อกิจการต่างๆรอบหมู่บ้านที่ได้ $34,000 ต่ออาทิตย์ซะอีกแถมวิธีนี้ยังใช้เวลาน้อยกว่าด้วย 5. (งงๆแฮะแปลไม่ออกง่ะ แต่แค่ตาม1-4 ก็คาดว่าน่าจะได้แล้วล่ะครับ อิอิ)...

Words: 376 - Pages: 2

Free Essay

The Sims

...marketed directly to parents rather than children, clearly advertises achievement of goals, not gaming or fun. On the other hand, the ‘entertainment’ strand of children’s software is more geared towards attracting children. By featuring an open-ended, exploratory online environment and fantasy worlds rather than goal-oriented games, the entertainment genre advertises to a more youthful target audience comprised of children who seek adventure, imagination, pleasure, exploration, and creativity, in contrast to the academic strand’s learning and reflecting goals. However, I would like to focus on the last genre, construction. After defining what the constructivist approach symbolizes, I will use the example of the online gaming series, “The Sims,” to show how this genre differs from the academic and entertainment types in terms of content, benefits, and advertising techniques. The construction genre is often also called authoring, for it involves a player who is the writer, builder, or creator. “This constructivist approach focuses less on conveying academic or cultural content and more on providing tools for construction and tinkering… They draw less on explicit educational ideologies or images of play and more on images of mastery and control” (101). This genre integrates both education and entertainment, in a way. The games...

Words: 580 - Pages: 3