The Unconscious Patient Essay Example | Topics and Well Written Essays - 1500 words

The Unconscious Patient - Essay Example In the case study, Spencer had a GCS of 7/15 and did not respond to verbal commands. However, he responded centrally to painful stimuli. This score is usually associated with a state of coma. Research shows that patients with GCS scores between the range of 3 and 8 are often comatose, or are unconscious such that they cannot interact with their immediate environments. From these information, it is clear that the verbal response on the patient failed and thus some stimuli was needed to obtain a response from him. He was therefore not aware of the surroundings. The Trapezium squeeze was used to twist Spencer’s muscle so that Julia could assess his response to painful stimuli (Sternbach, 2000). I would recommend that Julia also try to observe the patient’s motor response by giving some commands such as â€Å"lift your legs from the bed†,   so that his weaknesses can be noted. In addition, inconsistent and inaccurate recordings could have a harmful effect on the pa tient’s comfort and may affect his care plan. I recommend that Julia or any other nurse handling the patient be educated on how to use the tool correctly so that potential irregularities could be addressed. QN.3. deteriorating changes that may occur as a result of the collapse and how the patient will respond to those changes in his GCS status The patient in this context may experience deterioration in his consciousness provided that there is an underlying problem with his brain due to head injury. When the patient loses consciousness, the tongue often fall back in his pharynx and blocks the airway. He loses the cough reflex, and regurgitated stomach contents or blood are aspirated into his lungs. The patient should therefore have his airway supported by slanting the head and lifting... Factors that can lead to secondary brain injuries include hypercapnia, intracranial hypertension, hypotension, and hypoxia. To prevent these factors, interventions need to begin in the pre-hospital care phase and go on into the critical care unit. Recognizing these factors in the early stages as well as timely intervention can enhance the neurologic effect of the patient with brutal head injuries. One of the oral medications prescribed to treat patients with Diabetes 2 is Glyburide. conventionally used as antiglycemic medication, this drug is meant to block entrà ©e to the sulphonylurea receptors, thus effectively drain edema, intracranial pressure, and swelling brought about by secondary brain injury; consequences that can come about in the days after the initial injury. However, research in animals indicate that glyburide is effective in preventing the adverse effects of secondary brain injury, though it works more effectively if the patient takes it prior to the second injury.

Setting a Home Network Term Paper Example | Topics and Well Written Essays - 2000 words

Setting a Home Network - Term Paper Example Besides the easy handling of the XP ICS, by the XP computer as the ICS host the other benefit is using the internet connection Firewall. 3. Choice of a network technology The commonly available choices are the Ethernet and wireless LANs. When using an Ethernet LAN its essential to have the network interface card, or the NIC that ought to be fitted in each computer and then run the cabling between the computers. Just in case you don’t find the idea of opening the computer to fit/or to install the network card good for you, then get yourself a USB adaptor to assist you. Considering the size of the network, you may also find it necessary to have a network hub or router to provide interconnection between the PCs on the LAN. Two PCs can get by using an RJ-45 crossover cable; three or more computers require a hub or a multi – speed hub (also called a switch). For high – speed internet connection, a high – speed router is a good option. If you decide to have a wi reless LAN as your choice, you may also need an NIC for each and every PC (although there are versions that use USB adaptors as well) the major advantage of home environments is that a wireless LAN eliminates the need for cabling. Although on the contrary wireless LANs tend to be slower, less robust and most likely more expensive than the traditional Ethernet LANs. Wireless LANs particularly do not live up to their stated working range and you may encounter factors such as your construction and design in your home, in addition to interference from other devices which affect the performance of your wireless LAN. You may also need to add an expensive Access point to be able to extend the range of the LAN and more so it may not be sufficient. What is essential here is that if you make a choice of going wireless route, then ensure that the store will refund your money if the LAN will proof not to be reliable in performance within the range specified. 4. Make a list of hardware needed Co me up with a list that outlines the hardware you need for each computer, without forgetting any cabling, and purchase them. If you find it a little dazzling to make an appropriate choice and the configurations, then consider purchasing a networking kit. This kind of kits contain all that is needed to set up a two or three Pc network. If it’s possible, then look up for hardware that contains the Windows XP logo that indicates its fully compatible with XP. 5. Install the adaptors. Make an installation of the network adaptors and also install your modem on the ICS host computer(you may also let the computers connect to the internet independently by installing modems on each one of them) 6. Cable the computers Physically cable the computers and hubs or routers together, as usual you may not need to undertake this if you have decided to use the wireless option. When installing an Ethernet network and you have a lot of cabling work to be done then its preferable that you get a prof essional to come in and do this kind of work for you. It may not be cheap but to ensure that the work is perfectly done with minimal damage done to the walls, ceilings and the floors. 7. Switch it on Power all computers, printers and other peripherals. 8. Connect the ICS host Get to the ICS host computer and ensure it’s connected to the internet. 9. Run the network setup Wizard on