1. There are several outcomes anticipated for Mr. A. Foremost, stabilizing a number of conditions reported to be fluctuating is the first prioritized outcome. Such conditions include: respiratory rate (12-20 breaths/min), blood pressure (below 120/80 mm Hg), complete ceasing of crackles in the bases, normalized heart rate (60-100 beats/min), reduced and stable body temperature (97.8-99o F), hemodynamic stability, and general normalized parameters determined via ABG analysis (that is, arterial pH in the ECF of about 7.35–7.45, PaO2 of 80–100 mm Hg, PaCO2 of about 35 – 45 mm Hg, HCO3 21–28 mEq/L, and SaO2 or 95%-100%. Also, all possible infections have to be prevented and/or treated. Finally, fluid balance maintenance is also an outcome.
2. However,
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Several interventions for Mr. A’s optimality exist. First, it is worth noting that Mr. A’s case requires multiple interventions since there are multiple issues associated with Mr. A’s wound. Nonetheless, sample management interventions would be: anxiolytics (like lorazepam), neuromuscular blocking agents (like vecuronium bromide), analgesics (like fentanyl citrate), a number of varied antibiotics (such as gentamicin sulfate, cefotetan, and ampicillin sodium-sulbactam sodium), and general immune enhancement interventions such as tetanus toxoid (Cohen, 2003). Also, In addition, Mr. A out to adopt showering as opposed to bathing so as to avoid getting the wound soak in …show more content…
A needs to offer several responses are: what he is interested in the most, the particular objectives for learning the way to watch out and be cautious, the specific challenges he faces, what he is interested in learning, what he knows concerning the gunshot wound, what he feels he must know so as to attain the set objectives, and how he is likely to manage his wound while at home. These issues will result in a number of learning needs such as being attentive to lessons on managing gunshot wounds, prioritizing quick recovery, a move that means all threats to his recovery must be identified and dealt with accordingly, recommending Mr. A for classes that focus on offering basic management skills to patients with gunshot wounds so as to help them manage such wounds while at