Critical Analysis Of Prioritizing Problems In Nursing †Free Samples

Question: Discuss about the Critical Analysis Of Prioritizing Problems In Nursing. Answer: This essay demonstrates the critical analysis of the treatment provided to a patient, suffering from flash acute pulmonary oedema. In this disorder, fluids are accumulated in the lungs and leads to impaired gas exchange, hypoxaemia and kidney failure as well (Force, 2012). While treating a patient with such disorder, the priority should be restoring the gas exchange as imbalance in the gas exchange can lead to a severe condition of hypoxaemia leading to tissue failures (Purvey Allen, 2017). The provided case study mentions that the patient has decreased breath rates. The x-ray report also points out accumulated fluids in both the lungs. The patient is unable to talk and has increased pulse rates. The other symptoms such as dyspnea cracked breathing sounds and central cyanosis as well. Therefore, the first priority should be treating the impaired gas exchange in the patient. Without restoring the adequate gas exchange, the blood being returned to the circulation, will carry limited oxygen back to the tissues, leading to tissue failure (Purvey Allen, 2017). At first interventions need to be used to reduce the amount of fluid from the alveoli. Then a basic care plan to promote chest expansion and to reduce intrapulmonary shunting of blood. However, if these interventions does not work on the patient, the second priority should be reduce the hypoxemic condition. This condition is more problematic as due to lack of oxygen in the blood cells become hypoxic leading to hypoxaemia. Hypoxaemic condition leads to anaerobic metabolism and leads to mass damage of tissues, which can result as life threatening diseases such as cardiac arrest (Prabhakar Semenza, 2012). Lactate, which is secreted during anaerobic metabolism, induces osmotic loads and acidosis. Cell death occurs, as the ATP produced in the cell cannot complete the demand of cells. Therefore, this should be the second priority while treating such patient. Interventions need to be followed to restore the adequate circulation of oxygenated blood to prevent necrosis. References Force, A. D. T. (2012). Acute respiratory distress syndrome.Jama,307(23), 2526-2533. Prabhakar, N. R., Semenza, G. L. (2012). Adaptive and maladaptive cardiorespiratory responses to continuous and intermittent hypoxia mediated by hypoxia-inducible factors 1 and 2.Physiological reviews,92(3), 967-1003. Purvey, M., Allen, G. (2017). Managing acute pulmonary oedema.Australian prescriber,40(2), 59.