Question

Please help answer these question below. After we did a simulation the patient with Diagnosis: Severe necrotizing pancreatitis

Please help answer these questions below

1. What was your overall feeling or impression of what happened with this simulation. Include your thoughts, feeling, fears and maybe proud moments?

2.Upon assessment of this patient, what interventions did you employ or think about employing? Can you relate those assessment findings to your interventions?

3. Which of these interventions were priority assessments and actions/ can you describe these?

4. Can you describe the step by step process that should be applied to a patient experiencing septic shock?

5. When did you consider oxygen therapy and ventilation and why? How did you evaluate its effectiveness?

6. Can you reflect on any ethical considerations that were involved in this case?

7. Can you reflect on the communication and safety involved with this scenario?

8. Can you identify any reason as to why certain aspects of this scenario were not carried out to the best of your ability and can you think of why that was?

9. If you had a chance to revisit this scenario, would you try something different? Why or why not?

10. Can you imagine how this scenario could be presented in another way and could you imagine your response?

Answer 1

1, Simulation help to evaluate patient response and outcomes. It provided teaching opportunity and it is a good strategy for our work. it provides an opportunity for interaction with no risk of the patient. It avoids fear and harm for the patient. it builds knowledge and management for the patient with their disease condition. using a high technology tool helps more in the stimulation process. the patient also enjoyed learning with active participation.
2, Assess the patient pain level and hydration level. Administer intravenous fluids to maintain fluid volume and administer nonopioid pain medication to relieve pain. Assess patient infection level with serum pancreatic enzyme level, administer antibiotics to prevent further complication and infection. Keep the patient in NPO and check the patient nutriion status and electrolyte level, administer TPN polymeric formula eternal nutrition to help meet the nutrition requirement and avoid infection and complication. administer proton pump inhibitors. check patient intake and output to evaluate the hydration status. Keep the patient nasogastric tube suctioning patent to avoid pain and abdomen distention.
3, priority assessment and action include maintaining nutrition status and administering TPN nutrition and evaluate the electrolyte status. providing adequate nutritional supplements important for the patient when the patient is in NPO.
4,- Identify the signs of shock like low urine output, clammy skin, and cool extremities.
- Administer IV fluids, antibiotics, and check blood test for culture to identity t the severity
-Monitor the vital signs and measure blood pressure
-administer vasopressor and corticosteroids to maintain blood pressure
-Assess patient condition every 4 to 6 hours.