A+ Skyler Hansen vSim보고서 5,6단계 (간호진단4개)

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"A+ Skyler Hansen vSim보고서 5,6단계 (간호진단4개)"에 대한 내용입니다.

목차

I. 제출5: Documentation Assignments
1. Document your focused assessment for Skyler Hansen.
2. Identify and document key nursing priorities for Skyler Hansen.
3. Document Skyler Hansen’s blood glucose levels that occurred in the scenario.
4. Document the changes in Skyler Hansen’s vital signs and clinical manifestations of hypoglycaemia throughout the scenario.
5. Referring to your feedback log, document the nursing care you provided.

II. 제출6: Guideline Reflection Questions
1. How did the scenario make you feel?
2. What management options would have been appropriate if Skyler Hansen had been alert and could swallow?
3. If Skyler Hansen’s acute hypoglycaemic episode had not been treated immediately, what could have happened?
4. If too much glucose were administered to Skyler Hansen while the health care team was trying to correct his blood glucose level, what could occur?
5. What key elements would you include in the handover report for this patient? Consider the ISBAR (introduction, situation, background, assessment, recommendation) format.
6. Describe age-appropriate patient teaching for Skyler Hansen and resources that may be helpful to him.
7. Discuss confidentiality and legal empowerment of 18-year-old patients such as in Skyler Hansen’s case.
8. What would you do differently if you were to repeat this scenario? How would your patient care change?

본문내용

1. Document your focused assessment for Skyler Hansen.
답)
1) 의식을 사정할때 대상자는 의식이 있지만, 언어가 명료하지 않았다.
2) 체온, 맥박, 혈압, 호흡수/호흡양상, 산소포화도, 피부상태, IV상태, 혈당(BST), 심장리듬(EKG)을 사정하였다.

2. Identify and document key nursing priorities for Skyler Hansen.
답)
1) 저혈당증과 관련된 심박출량 감소
2) 저혈당증과 관련된 급성혼동
3) 정보에 노출 부족과 관련된 지식부족
4) 불충분한 당뇨관리와 관련된 불안정한 혈당수치의 위험

3. Document Skyler Hansen’s blood glucose levels that occurred in the scenario.
답) 투약 전, 대상자의 혈당은 3.7mmol/L였고, 포도당 투여 후에 혈당은 11.3mmol/L로 상승하였다.

참고자료

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