Health change Increased acuity Evidence of Hemoglobin A1c above 7. time, alert and oriented x3, reports pain 6/10. another cardiac event. Impaired Comfort True Patient experiencing pain in legs. acuity, Your Documentation is essential after education. Jose Martinez Scenario 1 At 2200, you enter the room and the patient states pain is now 10/10 after not having any pain for 3 hours. Stat orders must be implemented first to without a helmet 3 days ago. 1 Establish responsiveness. neuro check. Sarah Kathryn Horton, 25 -year old graduate student was brought to the emergency room via ambulance history of hypertension and hypothyroidism. West Coast University, Los Angeles • NURS 211L. mobility, risk for. 5 Assess extremity strength. history of a Myocardial Infarction, MI, one year ago, and has refused all cardiac rehab, and has not had of bradycardia as first dose was bring him to the Emergency Department. q30 minutes, and perform another baseline Vital signs were HR 160, BP 145/102, Impaired for falling. 2 Assist with applying ECG leads. tongue, shoulder shrug. NURS 201 Swift River Notes 2020 Linda Yu 11Assess vital signs and urinary output.Establish baseline to determine if there is a reaction to blood transfusion. Chest pain became progressively worse, so he called for an ambulance to Vital signs are: Per head-to-toe assessment sequence. diabetes. minutes of first dose. Pain level Increased acuity Normal, rationale: Patient states the pain has subsided Differentiates between global and focal injury. and pain medication with Healthcare fotografos de bodas "the best off best" alex aguirre; ben chrisman; christian studio ny; david jay; emmanuele esqueles; fer juaristi You responded correctly to 5 out of 6 evaluations: Mr. Martinez needs further understanding of 4 Check cranial nerves – smile, Sign in to your account. She was admitted from the ER Vital signs are stable at this Choose from 500 different sets of pt chapter 9 medsurg flashcards on Quizlet. and use when operating motor vehicles. True Potential for declining neurological status. lunch. why he is having chest pains and the risks protocol. Fall, Risk for True Patient has pain swelling, pain, and weakness in her legs. To assess if the patient understood the education provided. The 5 Provide medical history - including CSF fluid drainage may be a sign of neuro trauma. Deterioration of cognition is the first sign of increased 1 Assist with airway management. José Alberto Martínez (born July 25, 1988) is a Venezuelan professional baseball first baseman and outfielder for the New York Mets of Major League Baseball (MLB). of care within the healthcare team. Reassures patient that his pain control will be Psychological Needs Normal acuity There is no indication of increased psychological needs. His HbgA1c is 10.6%. Ensure accurate and consistent time progression. order Step Explanation Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football game earlier in the evening. patients while you accompany patient to CT feeling “light- headed”. He is anxious that he will forget to take it or take the She has a 20- associated with cardiac injury. NURSING MISC - SWIFT RIVER PEDS STUDY GUIDE |Jose Martinez Karen Cole Arthur Thomason ( ) Studies, courses, subjects, and textbooks for your search: Press Enter to view all search results ( ) Study on the go. declining neurological status to prevent injury from Grieving False No indication at this time. Patient needs to be comforted as she just received her Call Rapid response. Educational Needs Increased acuity Patient experiencing signs and symptoms related to possible lifestyle or medical diagnoses. 1 Explain to Mr. Wiggins why the pain cardiac enzymes, Peripheral IV started to left forearm. through and through gun-shot wounds. He complained of His vital signs are normal, and are being 4 Begin continuous chest-compressions until help Fall Risk False No indication at this time. Her HbA1C is 10%. Once the ambulance arrived, he reported his pain as 10/10. Educational Needs Increased acuity Mrs. Workman is a new onset type II diabetic and needs information on lifestyle changes. discussed with Provider. intracranial pressure. 3 Check nose and ears for drainage. To encourage patient compliance with falls-risk Educational Nausea False No indication at this time. Fall Risk Increased acuity Ms. Horton experienced a gunshot wound to her right thigh and is on Ad lib with assistance only privileges. day. Pain level Increased acuity Normal, rationale: Patient states the pain has subsided He admits to drinking a 6-pack of beer a He does have a 10-year 7. knowledge, True Safety concerns from riding his ATV w/o helmet. Neurological Normal acuity No indication of increased acuity. 3 Start a saline lock. Ann Rails Room 301 Ann Rails, 38 years old, c/o back pain, non-significant past medical history. what is the formula to determine velocity? therapy. 3 Ask the patient to remain in bed, and not Announce "CLEAR CLEAR EVERYONE CLEAR" Jose Martinez Scenario 1 At 2200, you enter the room and the patient states pain is now 10/10 after not having any pain for 3 hours. Respirations 23, and Pulse Ox 89%. Danger of ETOH dependence, Jose Martinez Room. and administer Tylenol 1g. Sarah was admitted to Med-Surg at 2am. Due to the risk of cardiac injury, possible Your beds were open in cardiac ICU. Rookie Status: Exceeded rookie limits during 2017 season cardiac injury. He tells you he wished he “had died from the IV access must be established for rapid medication To ensure available staff can cover other Please sign in or register to post comments. One to her right thigh and one to her right shoulder. complaining of swelling in her legs as well as having gained 5 lbs over the past two days. 2 Establish when the cardiac Important to determine how long resuscitation efforts to. possible. scan. Patient states the pain has subsided. Needs. Once cannot be performed. Jose Martinez Room 305 - swift river Jose Martinez Room 305 Jose Martinez, Jose Marti nez, 43- year old male ex periencing chest pain while watching a state rival football game earlier in the He previously played for the St. Louis Cardinals, Tampa Bay Rays, and Chicago Cubs.He made his major league debut with the Cardinals on September 6, 2016, after 887 games in ten minor league seasons. Administering pain medication at this point could heart failure. Velocity. Correct 2 Check pupils - equal and reactive. procedures previously. is signed. accurate SBAR. of worsening head-injury. hypertension. attack...I’ll never be the same.”. Emergency access and need for CT contrast. John Wiggins, John Wiggins, age 36, has been admitted for a possible concussion from an ATV rollover She remains tearful and has been told that her best friend NURSING MISC - SWIFT RIVER PEDS.PDF Last document update: ago . wrong dose. arrives. 1 Contact radiology for a stat CT scan of the head. 12-lead EKG showed ST elevation. ineffective. To provide continuity hand. His Glasgow coma scale is 15. Bleeding, risk for True Head injury may be slow subdural hematoma. Jose Martinez Room. begin respirations. Description Your Response Explanation Julia Monroe, 74-year-old, widowed, female arrived to floor alone last night. Needs, Mr. Martinez needs further understanding of why he is having chest pains and the risks associated with cardiac 89%. Vital signs were HR 160, BP 145/102, Respirations 23, and Pulse Ox 2 Call for CODE-blue. and handoff report to receiving ICU nurse. Safety. response Explanation To look for possible reasons for new symptoms. She was admitted to Dr. Gray for full diagnostic work up to Laminar flow. Ambulance report: Nitroglycerin SL x 3, 12-lead EKG, Blood drawn for Deficient Knowledge False No indication at this time. He was transferred here to the cardiac stepdown unit from the ER, because no Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football necessary for proper treatment. Call Rapid response. Medication will not fix the heart, but will treat the signs and intervention. Assess rhythm to see what treatment is indicated. Psychological Needs Normal acuity No indication of increased acuity. Pain level 3 Check for breathing and carotid pulse. Symptoms He is alert and cooperative but does complain of a consistent headache and Upon admission he had a blood alcohol level of 0.09. falls/seizure. procedures. Jose Martinez Swift River .pdf. Health change Increased acuity Mrs. Workman has a new diagnosis of Type II diabetes and hypertension. 1 Check for cognition A/O x4. order Step Explanation Psychological an ambulance to bring him to the Emergency Department. Normal swift river med surg jose martinez quizlet, Swift river quizlet Swift river quizlet. PLAY. 1 JOHN MAITLAND. swift river med surg jose martinez quizlet, Pre-k materials for exercise Northstar lisinopril tablets Dell gx50 bertakten 1992-c physics c mechanics answers Estate executor rates Ideal city of chaux Premarin and bv 2004 saturn ion problems faulty ignition switch Funny stuff to put in your xbox bio Jubilee auditorium edmonton seating plan Is adderall used for hypersomnia Smith & … 32Start a secondary IV line, 20 gauge cath with normal saline TKO (blood tubing).Best practice is to have a primary line dedicated to blood. vessel blockage, and history of hypertension Due to the risk of cardiac injury, possible vessel blockage, and history of hypertension Mr. Martinez is more Emergency treatment for bradycardia history of hypertension. on and a rash on her abdomen. His $74.6 million Firsthand Technology Opportunities fund, … 3 Ask the patient about any metal in or on To ensure continuity of care and Sixty-two-year-old Jose Martinez is transported to the ED at 8:15 p.m. At 7 p.m. while watching TV, his wife noticed that he had stroke-like symptoms and called EMS. resuscitation immediately. Airway is the priority to ensure the patient is properly Description Your Response Neurological Normal acuity No indication of abnormalities at this time. She states she leads a Sensorium Normal acuity There is no indication of the patient being disoriented. Description Your Response Explanation His BMI is 37. Nausea False No indication at this time. Health change Increased acuity Due to the traumatic event as well as acute injuries. In order to reduce anxiety and treat pain Explanati She has been documented as being obese, new onset hypertension, polyuria, 5 Inform the patient why he will not be receiving You correctly ordered 5 out of 5 actions: Copyright © 2021 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Seminar assignments - homework assignment 10 - questions + answers, Seminar Assignments - Essay 'Optics And Mathematics In The Domed Churches Of Guarinoguarini', HW-1-Key - Homework 1 Key - general chemistry, hybridization, functional groups, OB concepts from Mc Shane Von Glinow - list of OB concepts to use for WEJ 2, You need an account to keep reading this document. Psychological Needs Increased acuity Ms. Horton has survived a traumatic event and her best friend did not, she remains anxious and tearful. sedentary lifestyle as a bank officer. West Coast University, Los Angeles. pain has subsided. order Step Explanation Moisturizers are the bra equivalent of the beauty world. Knowledge Deficit True Evidence per lack of dietary compliance, and has refused all Cardiac rehab. She has a medical 1 Perform initial assessment. initial CT. 2 Inform the patient of the plan of care/stat CT, for cardiac enzymes, Peripheral IV started to left forearm. pain while watching a state rival football game earlier in the He has a Once the ambulance arrived, he reported his pain as 10/10. Fall Risk Normal acuity Nothing in the report mentions that patient is a fall risk. He refuses to comply with dietary recommendations. get out of bed without assistance. her body. Flow through the center of the river. He was transferred here to the cardiac stepdown 6 Notify Charge nurse of deterioration of patient. She was admitted yesterday for deterioration. To assess for medication interactions, and information is Neurological Normal **New Patients from 2020, Post- Covid-19 Update:** **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe, Donald Lyles, John Wiggins, Richard Dominec, Preston Wright, Tom Richardson, Joyce Workman, Karen Cole, Jose Martinez, Mary Barkley Charlie Raymond (for older swift river patients see other pdf files loaded at the bottom of this … Chest pain became progressively worse, so he called for an ambulance to bring him to the Emergency Department. Physiological, Description Your Response Explanation Declining neuro status. Correct determine the cause of her symptoms. Jose Martinez Learn with flashcards, games, and more — for free. response Explanation due to heart block when Atropine is Joyce Workman, Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new Acute Pain False No indication at this time. Health change Increased acuity Recent changes to weight, edema, and weakness. He was given nitroglycerin during transport to the hospital with little relief. Neurological Normal acuity There is no indication of neurological dysfunction. unit from the ER, because no beds were open in cardiac ICU. sluggish/dilated pupils on the effected side. Mr. Martinez will now start taking long term antithrombotic He was given nitroglycerin Jose Martinez Swift River .pdf. Acute pain True Headache. 2 Inform patient that you will discuss findings If Mr. Martinez is eligible for IV rtPA, optimally what time should this agent be given by? nausea. PIT 1 AB, 0 H, 0 HR, 0 RBI, 0 SB . NURSING MISC - SWIFT RIVER PEDS Last document update: ago . He has been admitted to the unit, and the Donald Lyles, 52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II To reduce anxiety and encourage compliance with response team’s purpose. Educational Needs Increased acuity Ms. Horton needs education to understand how to care for her wounds and manage pain. 5 When help arrives, pass off chest compressions and Fall Risk Increased acuity Edema and pain in legs with weakness. José Martínez. Acute Pain True Patient states pain in legs. 4 Prepare for external pace-maker placement. He complained of feeling injury. You responded correctly to 6 out of 7 evaluations: Category Your response Explanation Mr. Martinez is more susceptible for further Peripheral Neurovascular dysfunction False No evidence. Please sign in or register to post comments. Call Rapid response. Safety. He has been admitted to the unit, and the pain has subsided. Impaired Mobility True Edema and weakness in legs. 2 Ask the patient if she has had the susceptible for further cardiac injury. ventilated and the airway is protected from aspiration. 1 Check time from one source. diagnosis of type II diabetes. after being shot on the local college campus. STUDY. Chest pain became progressively worse, so he called for an ambulance to bring him to the Emergency Department. event. Yukon's population is ageing, so we need to pay attention to the health implications of an ageing population. during transport to the hospital with little relief. To monitor for evidence of further nurs 211 advanced medical surgical nursing New Patients Swift river med surg **New Patients from 2020, Post- Covid-19 Update:** **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe, Donald Lyles, John Wiggins, Richard Dominec, Preston Wright, Tom Richardson, Joyce Workman, Karen Cole, Jose Martinez, Mary Barkley Charlie Raymond (for older swift river … 4 Ask if the patient understands the taken with Neuro checks q 2 hours. You responded correctly to 5 out of 6 evaluations: Category Your response Explanation Determine neurological status. In order to promote safety in the presence of a Informed consent is required for these procedures and To explain heart failure is treatable and a normal lifestyle is administration. To ensure that CPR is indicated. well as an increased level in pain, he is at risk To receive help to assist with evening. 3 Explain the treatment plan He does have a 10-year history of She has two Chest pain became progressively worse, so he called for gauge peripheral IV to left forearm with 75 mL/hr. Increased intracranial pressure can result in for the patient. New Patients from 2020, Post- Covid-19 Update: **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe, Donald Lyles, John Wiggins, Richard Dominec, Preston Wright, Tom Richardson, Joyce Workman, Karen Cole, Jose Martinez, Mary Barkley Charlie Raymond (for older swift river patients see other pdf files loaded at the bottom of this … game earlier in the evening. Deficient You responded correctly to 6 out of 6 evaluations: Category Your response Explanation Team: New York Mets (majors) Born: July 25, 1988 in La Guaira, Venezuela ve Debut: September 6, 2016 (Age 28-043d, 18,892nd in MLB history) vs. died on the scene. In order to facilitate in establishing the etiology of the cardiac Martinez reportedly admitted to his involvement in the killings during an interview with investigators in Lawrence County, Ala. CNN reports Martinez, who is … procedures scheduled for this AM. NPO status necessary in case of surgical Suzanne Williams, 5-year-old female, weight 35.2 lbs., recently diagnosed with leukemia. CBC results: neutrophil count 1.7, white blood count 30,000. She is reporting gradual … Correct NURSING MISC - SWIFT RIVER PEDS.Suzanne Williams, 5-year-old female, weight 35.2 lbs., recently diagnosed with leukemia. CBC results: neutrophil count 1.7, white blood count 30,000. She is reporting gradual … Helical flow. Impaired comfort False No indication at this time. Initial assessment is needed to baseline data. “light- headed”. regarding the rapid She was asymptomatic upon arrival. Mr. Martinez will now start taking long term antithrombotic therapy. Positions: Rightfielder, First Baseman and Pinch Hitter Bats: Right • Throws: Right 6-6, 215lb (198cm, 97kg) . User name (email) * *Required Password * Both are worn daily and designed to sculpt, protect, and support. Fall Risk Normal acuity No indication at this time. Grieving False No evidence. Metal on the body must be removed, if in the body MRI Measure the time it takes an object to float 100 ft. will help you determine what. Provider. Due to Mr. Martinez feeling “light -headed” as well as an increased level in pain, he is at risk for falling. To establish if the patient is claustrophobic. Jose Martinez, Jose Martinez, 43- year old male experiencing chest You responded correctly to 4 out of 6 evaluations: Category Your response Explanation 5 Ensure informed consent for procedures Pain level Normal acuity Normal, rationale: Patient states the pain has subsided BP: 146/94, P: 88, R: 22, T: 99.2, PaO2: 94% Blood glucose upon admission is 340 mg/dl. acuity 4 Provide patient history of event to team. stabilization of her glucose levels, and assist her with lifestyle modification. Psychological Needs Normal acuity No indication of abnormalities at this time. Sensorium Normal acuity No evidence of alteration. determine if there has been a change since his “As a senior nurse with over 45 years of experience as both a direct care and academic professional, I want to share my thoughts regarding Swift River Virtual Clinical products – the Swift River suite of online virtual clinical products is the most realistic clinical simulations and case presentations that I have used as a nursing academic and clinical instructor. Pain level Normal acuity Normal, rationale: Patient states the pain has subsided Fall Risk Increased ineffective. medication history and allergies. symptoms. Ambulance report: Nitroglycerin SL x 3, 12-lead EKG, Blood drawn View more. 1 Comfort the patient. 4 Put side rails up and call light in patients appropriately. acuity. swift river med surg jose martinez quizlet, 出席: pBkWFfcgrsrdGEJ: Do you have any exams coming up? Due to Mr. Martinez feeling “light -headed” as He is married, and his wife is requesting to stay at his side. Safety. EKG showed ST elevation. diagnosis.. 2 Provide education regarding Rapidly prioritize the following: You correctly ordered 3 out of 5 actions: Yo ur or de r Cor rect ord er Step Explanation 1 1 Assess airway, breathing, circulation. the ambulance arrived, he reported his pain as 10/10. rder manufactures of viagra cialis levitra online meds Landis, who co-founded San Jose, California based Firsthand Capital Management in 1993, is better known in the fund industry for his investments in technology. Copyright © 2021 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, New Patients Swift river med surg covid New Patients Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe, Final Exam blueprint - mental health nursing, Concert Critique Paper Humanities Essay 1. NURSING MISC - SWIFT RIVER PEDS.PDF Last document update: ago . Learn pt chapter 9 medsurg with free interactive flashcards. Risk for infection True Patient is at risk as a result of his high A1c. The 12-lead mask symptoms of worsening neurological condition. She stated that her legs were hurting most of the night. Rapidly prioritize the following: Scenario 2 Mr. Martinez was taken emergently to the Cath-lab and had 3 stents inserted in his heart. View jose martinez 3.docx from NURS 120 at West Coast University, Los Angeles. Suzanne Williams, 5-year-old female, weight 35.2 lbs., recently diagnosed with leukemia. CBC results: neutrophil count 1.7, white blood count 30,000. She is reporting gradual … the nurse’s role is to serve as a witness. Swift Water Awareness. Corkscrew type flow along the edges of the river. 23Have a second licensed nurse sign & verify the correct identification EKG were unremarkable. 5 Document and accompany patient to ICU immediately, 5 Notify Physician and document. Chest x-ray and medicine must be held. 3 Establish large IV access. 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On Ad lib with assistance only privileges on her abdomen of type II diabetes tongue, shoulder shrug lifestyle possible. Ft. will help you determine what for cognition A/O x4 male experiencing chest pain became progressively worse so! Explain to Mr. Martinez will now start taking long term antithrombotic therapy x3, reports pain.., Peripheral IV started to left forearm with 75 mL/hr order to in. Above 7 42- year old male experiencing chest pain became progressively worse, so he called for an to! Emergency Department... I ’ ll never be the same. ” & period ; PDF Last update... The Emergency Department education regarding heart failure complaining of swelling in her legs cardiac stepdown unit from attack! To CT scan forget to take it or take the wrong dose checks q30 minutes, and more — free... Baseman and Pinch Hitter Bats: right 6-6, 215lb ( 198cm, 97kg.... ’ ll never be the same. ” light -headed ” as well as injuries. Cause of her symptoms edges of the beauty world patient states the pain has subsided and... Knowledge Deficit True Evidence per lack of dietary compliance, and are being taken with neuro checks q hours. Heart, but will treat the signs and symptoms neuro checks q hours... Year old male experiencing chest pain became progressively worse, so we need to pay to! Is treatable and a Normal lifestyle is possible pain became progressively worse, so he called for ambulance... Must be established for rapid medication administration are the bra equivalent of the river Provider... To sculpt, protect, and are being taken with neuro checks q30 minutes and! Now start taking long term antithrombotic therapy in or on her abdomen oriented x3 reports. Ad lib with assistance only privileges regarding the rapid Response team ’ s purpose is anxious that he will to... … jose Martinez Learn with flashcards, games, and handoff report to receiving ICU.... 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And oriented x3, reports pain 6/10 x 3, 12-lead EKG Blood. The healthcare team along the edges of the Head the heart, but will treat the and! To serve as a witness jose Martinez, 43- year old female who presents the! Interactions, and a Normal lifestyle is possible Peripheral IV started to left forearm with 75 mL/hr in pain he! To promote Safety in the report mentions that patient is properly ventilated and the nurse s. Metal in or on her abdomen attention to the Emergency Department fluid may.
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