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files (1)HIT.docx
HIT.docx
Katherine Bowen Part 2
NUR 130 AY 2023-24
Part 2 – Inpatient Care – 5 Points (see points)
Ms. Bowen has been admitted to the Medical Unit with a diagnosis of Acute COPD exacerbation most likely caused by pneumonia. You are about to start your shift.
You receive the following SBAR report.
|
S |
Ms. Katherine Bowen presents to the Emergency Department (ED) complaining of a productive cough of green phlegm that started three days ago being admitted for Acute COPD exacerbation most likely caused by pneumonia. |
|
B |
PAST MEDICAL HISTORY: Ms. Bowen has diagnosed Chronic Obstructive Pulmonary Disease and Anxiety. She has an allergy to sulfa medication. PERSONAL/SOCIAL HISTORY: Katherine, or Kate as she likes to be called, lives at home with her husband of 64 years Xander. They live alone independently though their two adult children live less than 30 minutes away. She is a retired elementary school teacher. |
Next Page
Answer the following questions.
1. Look at the interpretation of both the EKG and the Chest X-ray and answer the questions below. (1 point)
EKG
Interpretation: Sinus Tachycardia
Interpretation: Left lower lobe infiltrate. Hypoventilation is present in both lung fields.
a) Why would the HCP order an EKG?
b) What is a lobe infiltrate?
What does hypoventilation in the Chest X-ray mean?
2. Using the medication and procedure orders below, fill out the chart regarding each order, rationale for the order and the expected outcome would be. (2 points)
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Order |
Analyze Cues - Why is it being used? |
Evaluated / Expected Outcome: |
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Albuterol-ipratropium 2.5 mg neb |
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Establish peripheral IV |
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Lorazepam 1 mg IV push every 6 hours as needed (PRN) for anxiety |
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Methylprednisolone 125 mg IV push |
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Levofloxacin 750 mg IVPB |
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Acetaminophen 1000 mg oral |
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Obtain blood cultures |
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Next Page
3. Prioritize the medications and orders in descending order. (Use the assumption that you are acting as the nurse alone without additional assistance) (2 points)
· Acetaminophen 1000 mg oral
· Albuterol-ipratropium 2.5 mg neb
· Establish peripheral IV
· Levofloxacin 750 mg IVPB
· Lorazepam 1 mg IV push every 6 hours as needed (PRN) for anxiety
· Methylprednisolone 125 mg IV push
· Obtain blood cultures
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Order / Medication Prioritized Order |
Why is this order / medication being given in this order? Why did you prioritize it this way? |
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HIT.docx
Katherine Bowen Part 2
NUR 130 AY 2023-24
Part 2 – Inpatient Care – 5 Points (see points)
Ms. Bowen has been admitted to the Medical Unit with a diagnosis of Acute COPD exacerbation most likely caused by pneumonia. You are about to start your shift.
You receive the following SBAR report.
|
S |
Ms. Katherine Bowen presents to the Emergency Department (ED) complaining of a productive cough of green phlegm that started three days ago being admitted for Acute COPD exacerbation most likely caused by pneumonia. |
|
B |
PAST MEDICAL HISTORY: Ms. Bowen has diagnosed Chronic Obstructive Pulmonary Disease and Anxiety. She has an allergy to sulfa medication. PERSONAL/SOCIAL HISTORY: Katherine, or Kate as she likes to be called, lives at home with her husband of 64 years Xander. They live alone independently though their two adult children live less than 30 minutes away. She is a retired elementary school teacher. |
Next Page
Answer the following questions.
1. Look at the interpretation of both the EKG and the Chest X-ray and answer the questions below. (1 point)
EKG
Interpretation: Sinus Tachycardia
Interpretation: Left lower lobe infiltrate. Hypoventilation is present in both lung fields.
a) Why would the HCP order an EKG?
b) What is a lobe infiltrate?
What does hypoventilation in the Chest X-ray mean?
2. Using the medication and procedure orders below, fill out the chart regarding each order, rationale for the order and the expected outcome would be. (2 points)
|
Order |
Analyze Cues - Why is it being used? |
Evaluated / Expected Outcome: |
|
Albuterol-ipratropium 2.5 mg neb |
|
|
|
Establish peripheral IV |
|
|
|
Lorazepam 1 mg IV push every 6 hours as needed (PRN) for anxiety |
|
|
|
Methylprednisolone 125 mg IV push |
|
|
|
Levofloxacin 750 mg IVPB |
|
|
|
Acetaminophen 1000 mg oral |
|
|
|
Obtain blood cultures |
|
|
Next Page
3. Prioritize the medications and orders in descending order. (Use the assumption that you are acting as the nurse alone without additional assistance) (2 points)
· Acetaminophen 1000 mg oral
· Albuterol-ipratropium 2.5 mg neb
· Establish peripheral IV
· Levofloxacin 750 mg IVPB
· Lorazepam 1 mg IV push every 6 hours as needed (PRN) for anxiety
· Methylprednisolone 125 mg IV push
· Obtain blood cultures
|
|
Order / Medication Prioritized Order |
Why is this order / medication being given in this order? Why did you prioritize it this way? |
|
1 |
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|
2 |
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|
3 |
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4 |
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5 |
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6 |
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7 |
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