Homework Answers
Assessment findings that are already documented would be
physical findings:
- respiratory distress
- persistent cough ,worsening in the mornings
- wheezing
- fingernail clubbing
- taking longer to exhale
- personal history
- smoker
- recent attack of flu
objective findings:
- chest x ray showing expansion of lungs, bronchial wall thickening.
- Spirometry showing FEV1 less than 50%
- ABG showing respiratory acidosis.
My priority assessment would be spirometry test as it reveals the severity of the disease.
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I help answering this question with this information. 2) Assessment of the Patient: What assessment findings have...
Date Student's Name Pre-Simulation Worksheet Simulated patient's Name in EHR: John Oscard Brief History: 65 y.o, ma...
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...
Pre-Simulation Worksheet Simulated patient's Name in EHR: John Oscard Brief History: 65 y.o, male transferred to y...
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...
Assessment of the Patient: What assessment findings have already been documented regarding this patient in the...
Assessment of the Patient: What assessment findings have already been documented regarding this patient in the electronic medical record? What would your priority assessment be? 68 year old male admitted to ER with acute respiratory distress, has history of congestive heart failure (CHF). Patient complains of shortness of breath, weight gain, fatigue, and bilateral ankle edema. Crackles heard 1/2 way up from bases. placed on NC @ 4L. O2 sat 93%. IV started in R arm, labs drawn and sent...
An assessment based on the situation for example for the falls you would assess the laceration,...
An assessment based on the situation for example for
the falls you would assess the laceration, size swelling and amount
of bleeding , around area, assess the ankle for pain scale,
swelling, mobility. Do a complete skin assessment. Assess what they
were doing before fall, going to the bathroom, reaching for
personal item.
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Document the information in objective and subjective data and abnormalities. It is respiratory documentation. Physical assessment...
Document the information in objective and subjective
data and abnormalities. It is respiratory documentation.
Physical assessment
Resp Pt The patient is a 60-year-old white female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago with an acute, chronic obstructive pulmonary disease (COPD) exacerbation requiring hospitalization. She denies fever, chills, cough, wheezing, sputum...
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2-15 THE PATIENT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE 0700 Handoff Report: Mr. Y, a 66-year-old man,...
2-15 THE PATIENT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE 0700 Handoff Report: Mr. Y, a 66-year-old man, was admitted with exacerbation of his chronic obstructive pulmonary disease (COPD). He has been agitated during the night and is dyspneic this morning. The 0600 vital signs are 1 98.8°F, P 102, R 32, BP 146/98, pain level 0-1. pulse ox was 89% (room air). He has an IV of D5W infusing at 75 ml/hr. Oxygen was started at 2 L/min/nasal cannula and the...
Mrs. A. is a 65-year-old woman with type 2 diabetes who comes into the emergency department;...
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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...
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...
An assessment based on the situation for example for
the falls you would assess the laceration, size swelling and amount
of bleeding , around area, assess the ankle for pain scale,
swelling, mobility. Do a complete skin assessment. Assess what they
were doing before fall, going to the bathroom, reaching for
personal item.
SBAR. COPD-4 125% Zoom Add Page Table Chart Text Shape Media Comment SBAR: COPD S: Exacerbation of symptoms. Increased sputum production (thick with yellow color). Increased SOB...
Document the information in objective and subjective
data and abnormalities. It is respiratory documentation.
Physical assessment
Resp Pt The patient is a 60-year-old white female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago with an acute, chronic obstructive pulmonary disease (COPD) exacerbation requiring hospitalization. She denies fever, chills, cough, wheezing, sputum...
2-15 THE PATIENT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE 0700 Handoff Report: Mr. Y, a 66-year-old man, was admitted with exacerbation of his chronic obstructive pulmonary disease (COPD). He has been agitated during the night and is dyspneic this morning. The 0600 vital signs are 1 98.8°F, P 102, R 32, BP 146/98, pain level 0-1. pulse ox was 89% (room air). He has an IV of D5W infusing at 75 ml/hr. Oxygen was started at 2 L/min/nasal cannula and the...
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