Nursing assignments case study on myocardial infarction
Simulation 2 care of the patient with chest pain.
Nursing Students Estimated Scenario time: The student will be expected to follow the local facility protocol for nursing assignments case treatment of chest pain suggestive of ischemia.
Scroll through to the bottom half of this scenario Learn more here have study information on how to titrate a nitroglycerin drip.
Educational Myocardial infarction This scenario is developed as one out of 20 Simulation in Nursing Education scenarios that address major learning objectives focused on core as well as complex infarction care concepts.
The simulation scenarios are designed to encourage participants to assess myocardial infarction manage the patients, identify and prioritize patient problems, and perform key interventions for safe and effective patient care.
The learning objectives and nursing assignments case study on myocardial infarction studies have been infarction to provide a myocardial degree of fidelity within the simulations, address different levels of complexity, and facilitate the post simulation debriefing. D Identities the primary nursing diagnosis D Classification essay friends patient safety measures D Evaluates patient assessment information including vital signs D Implements therapeutic communication D Case study direct communication to multidisciplinary team members D Demonstrates effective teamwork D Prioritizes and implements Physician Orders appropriately Scenario Specific: Techniques of Physical Assessment Psychosocial Integrity.
System Specific Assessment Physiological Adaptation.
nursing assignments case study on myocardial infarction Carl Shapiro is a year-old male who travels frequently on business. He Is seeking care in the local Emergency Department with complaints of dull aching chest pain and shortness of breath. He is out of state with no local physician. He smokes less than 34 a pack of cigarettes a day and drinks alcohol occasionally.
8AM PM: Simulation #2 care of the patient with chest pain
Physician Orders - Patient Name: May repeat x 1 dose. Hold and call nursing assignments case if patient has lung adventition or saturation is low. D Maintain cardiovascular and respiratory stability Indications infarction Nitroglycerin Drip 1.
Chest pain secondary to presumed myocardial infarction ischemia, acute coronary syndrome or acute myocardial infarction. Continued as a maintenance drip for patients during inter-facility transfers. Nitroglycerin Drip IV Titration: Nitroglycerin IV is gentler to your patient's hemodynamic status as it is given study in small increments.
myocardial infarction assignments is mixed in a glass bottle - Why: It case study cling to the IV bag if it is poly-vinyl and will require much larger doses. In order to administer a medication nursing assignments of a glass bottle one must use vented tubing.
This will allow the liquid to move through the tubing.
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Otherwise it will not flow as read article vacuum in the glass bottle will hold the liquid within itself. At least one functioning IV. A second IV preferable to allow additional IV fluid or medication administration. Pump and tubing Administrations Guidelines 1.
Nitroglycerin may be mixed in D5W or NS. Patient monitoring Click monitoring and titration of nitroglycerin drip a. Patient should be have continuous cardiac rhythm monitoring and frequent blood pressure monitoring.
Blood pressure should be rechecked after each infarction nursing assignments case study on myocardial infarction. If pain resolves completely, maintain drip at current rate of administration. If BP remains below 90 discontinue drip and notify the physician.
Side effects and special notes a. Peripheral vasodilatation can cause profound hypotension myocardial infarction reflex tachycardia. Nitroglycerin does not provide controlled hypotension. Because nitroglycerin case study generalized smooth muscle relaxation, it may be effective in relieving chest pain caused by esophageal spasm. Can't change a rubric once you've started nursing assignments it.
Find Rubric Keep in mind that 13 students have already been assessed using this rubric. Changing it will myocardial infarction their evaluations. You've already case study students with this rubric. Any major changes could here their assessment results. Edit criterion description Delete criterion row. Edit rating Delete rating. This area infarction be used infarction the assessor to leave comments related to this criterion.
Satisfactory Prompts nursing assignments but progresses well after prompts.
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