vyseerx
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CHRISTIAN JOHN ,60-year-old PR0FESSOR , hospitalized with metastatic colon cancer signs a DNI order. This means that the medical staff treating him is required to
(A) discontinue narcotic pain medication
(B) attempt CPR in case of cardiac arrest
(C) refrain from prescribing future medications
(D) withhold IV fluid hydration
(E) Withhold Intubation
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vyseerx
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| dxtxpx
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DNR: do not resuscitate, dont give any cardiopulmonary heroiec measures to save this guy's life
So answer here will be dont intubate
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| meg
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DNR = do not resuscitate
DNI= do not intubate
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| dxtxpx
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thanks meg thats what I thought I put along with DNR, must have missed it :oops:
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| zaki
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answer is E
usually DNI orders comes along with DNR order so its awkward that u attempt to reucssitate a pt with out doing the intubation. This qs needs alterations.
whats your comments dude
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Maverick
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| meg
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A DNI is used for patients who do not ever want a ventilator used, even if the machine could save their lives. For eg. patients with COPD may choose an isolated DNI order. Patients who choose DNR have implied a DNI order because CPR requires establishment of airway , breathing and circulation.
check out http://www.ama-assn.org/ethic/epec/download/modul...
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| vyseerx
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DNI means DO NOT INTUBATE as a part of resuscitation. chest compressions only ...........mauy be carried out.
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vyseerx
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thats funny
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thats funny that a dying man receved only the chest compression with out the respiration, how u will mentain his air way when u didn't intubate the pt,
is doing only the chest compression saves the life,of comatose pt with no respiration, no pulse.
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| meg
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Topics: 62
Posts: 806
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you can do CPR without intubation like mouth to mouth or an ambu bag.
Do Not Intubate (DNI) means that neither an endotracheal tube nor an esophageal obturator airway will be inserted to secure the airway or to assist ventilation. Oral/nasal airways and suctioning will be done where appropriate.
DNI does not prohibit emergency management to prevent or reverse acute airway obstruction with oral, nasal, or esophageal obturator airways or treatment of transient respiratory insufficiency with oxygen or short trials of assisted ventilation with positive pressure ventilation equipment or Ambu Bags.
In the event of acute or impending respiratory failure, endotracheal intubation to provide sustained assisted ventilation should not be performed.
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