Question

Date Student's Name Pre-Simulation Worksheet Simulated patient's Name in EHR: John Oscard Brief History: 65 y.o, male transferred to your unit from respiratory ICU. Admitted two weeks ago with exacerbation of COPD, requiring ventilator support. Tracheostomy performed day 5 of this admission for laryngeal protection. Patient weaned off ventilator 2 days ago. Remains on oxygen therapy 31% humidified via trach collar. Simulation Learning Objectives: Exhibit professional behavior at all times during the interaction with patient and family. Maintain patient and environmental safety at all times. Perform a focused respiratory assessment. Perform appropriate nursing interventions based on assessment findings. Evaluate the effectiveness of your interventions based on re-assessment. Document a nurse's note in the EHR regarding your interaction with this patient. Answer the following 6 questions prior to your simulation experience using the electronic medical record, your textbook and library resources. 1) Patient's Diagnosis: Give a brief summary of the pathophysiology of the patient's medical diagnosis (rephrase in your own words):

Answer 1

1.The causative factors of COPD generally affects the small air sacs and the cells in our pulmonary system as a result the receptors comes to rescue resulting in the trigger of cough reflex , simultaneously this leads to damaging the alveoli and its capillaries leading to impairment in oxygen exchange as a result leading to increased CO2 level .This leads to symptoms of breathing difficulties and mucus secretion because of inflammation in the bronchioles .As oxygen cannot happen effectively external oxygen in increased quantity can endanger patient's life.