NRNP 6566F Week 6 Respiratory Distress Mid Term

Week 6 Discussion

Dear Students,

You all did a great job on your Week 4 knowledge check and admission orders…Just a few things on your admission orders:

Remember when you are writing admission orders, critically think about what is happening with the patient. This patient was 80 years old in septic shock with increased confusion and lethargy, as well as hypotension. Getting her out of bed, ambulating and eating is not safe for this patient at this time. She will fall and she is at high risk for aspiration given her current condition..which was critical or guarded, not stable. In addition, per sepsis guidelines, she needed 30ml/kg of IV fluids and then you would need to recheck a lactic acid (in the scenario it was 4) and an ABG to assess her base deficit. This would help you to determine if she needs more fluids vs vasopressors.

One more thing, if your patient has a blood glucose in the 1000’s this warrants an insulin drip. Typically we start an insulin drip in the ICU when the sugars are consistently over 300 (that’s even on the high side-attending preference). You shouldn’t start taking insulin on ICU patients. Especially this patient who is NPO. An insulin sliding scale won’t do the job with the sugars being so high, so really an insulin drip is the only option to help get better control.

This week you all have your midterm exam. Remember to keep an eye on your time, think about what the question is asking and try not to second guess yourself and change your answers. Remember there is a study guide to help you with key concepts posted in Doc Sharing. NRNP 6566F Week 6: Respiratory Distress Mid Term Your midterm exam needs to be completed by Monday April 12 @ 0159 est.

Please let me know if you have any questions, concerns, or comments.


Week 6: Respiratory Distress

The analogy of tree respiration, complete with the consumption of oxygen and release of carbon dioxide, can be used to understand the basics of the human respiratory system. But the human respiratory system is one component of a complex collection of systems that contribute to overall health. Issues or failures in the respiratory system can have significant health consequences.

This week, you will explore some of these issues. You will also examine concepts related to the advanced care of those afflicted with respiratory conditions of distress.

You will also complete a Midterm Exam to assess your understanding of concepts presented in the previous weeks of the course.

Learning Objective

Students will:

Learning Resources

  • Barkley, T. W., Jr., & Myers, C. M. (2020). Practice considerations for the adult-gerontology acute care nurse practitioner (3rd ed.). Barkley & Associates.
  • Chapter 22, “Diagnostic Concepts of Oxygenation/Ventilation” (pp. 291–297)
  • Chapter 23, “Measures of Oxygenation and Ventilation” (pp. 298–307)
  • Chapter 24, “The Chest X-ray” (pp. 308–315)
  • Chapter 30, “Respiratory Failure” (pp. 382–478)

MedCram. (2012, April 29). Medical acid base and ABGs explained clearly – Part 2 of 8

[Video file]. Retrieved from\

This exam is a test of your knowledge in preparation for your certification exam. No outside resources—including books, notes, websites, or any other type of resource—are to be used to complete this exam. You are expected to comply with Walden University’s Code of Conduct.

This exam will be on topics covered in Weeks 1, 2, 3, 4, and 5. Prior to starting the exam, you should review all your materials. This exam is timed with a limit of 113 minutes for completion. When time is up, your exam will automatically submit.

Submit Your Midterm Exam by Day 7 of Week 6 in Module 4.

Complete the Exam.