Question

Patient information Patient name: Maria Gonzales Diagnosis: Severe necrotizing pancreatitis Age: 64 Ht: 5 ft 2 in Wt: 175 lbs (79.5 kg) Gender: Female Medications: - IV access - IV fluid: D5.45%NS with 20 meq/L at 100 ml/hour - IV medication: - Esomeprazole 20 mg IV - Hydromorphone 0.5 mg IVP/2 hours - Promethazine 25 mg IVP/6 hours - Sliding scale insulin - BS > 200 call PCP - BS < 60 give Dextrose 50% 50 ml IVP General orders: - Advanced directives: Full Code - Diet: NPO - Fall precautions: - Restraints: - Isolation precautions: Unit: Progressive ICU Family: Daughter Rosanna Phone: xxx xxx xxxx Immunizations: Up to date Medication from home: None Monitoring: - I & O every hour - Vital signs every 15 minutes until stable then every hour - ECG monitor - SpO2 monitor Diagnostics: - Lab: BMP, Calcium, Magnesium, CBC, Amylase, lipase - ABG - X-ray: CXR Respiratory: - Incentive spirometer every hour - O2 titrate to keep SpO2 > 92% - Cannula - Oxygen mask - Non-Rebreather mask - Bag-mask ventilator - Nebulizer Social history: - Daughter next of kin - History of smoking 20 years ago - History of ETOH moderate - Employed: Sales manager - Ethnicity: Hispanic - Religion: Catholic Maria Gonzales Simulation Learning Objectives OBJECTIVES: 1. Identifies the primary nursing diagnosis 2. Identifies relevant patient history information 3. Implements patient safety measures 4. Explains physical assessment findings and diagnostics related to patient condition, specifically pancreatitis and septic shock 5. Implements clinician's orders appropriately 6. Implements nursing interventions based on patient care needs 7. Prioritizes nursing interventions 8. Identifies indications, contraindications, and potential adverse effects of prescribed medications 9. Demonstrates correct medication administration 10. Implements a focused cardiac and respiratory assessment 11. Explains clinical findings and critical lab values relating to pancreatitis and sepsis 12. Summarizes potential complications for patients with acute pancreatitis 13. Demonstrates appropriate nursing interventions for a patient with pancreatitis and sepsis 14. Provides relevant patient/family education and teaching 15. Demonstrates therapeutic and confidential communication 16. Demonstrates direct and accurate communication with interprofessional team members 17. Demonstrates effective teamwork Groups will be divided according to clinical groups.

Patient information
Patient name: Maria Gonzales
Diagnosis: Severe necrotizing pancreatitis
Age: 64
Ht: 5 ft 2 in
Wt: 175 lbs (79.5 kg)
Gender: Female

Medications:
- IV access
- IV fluid: D5.45%NS with 20 meq/L at 100 ml/hour
- IV medication:
- Esomeprazole 20 mg IV
- Hydromorphone 0.5 mg IVP/2 hours
- Promethazine 25 mg IVP/6 hours
- Sliding scale insulin
- BS > 200 call PCP
- BS < 60 give Dextrose 50% 50 ml IVP

General orders:
- Advanced directives: Full Code
- Diet: NPO
- Fall precautions:
- Restraints:
- Isolation precautions:

Unit: Progressive ICU
Family: Daughter Rosanna
Phone: xxx xxx xxxx
Immunizations: Up to date
Medication from home: None

Monitoring:
- I & O every hour
- Vital signs every 15 minutes until stable then every hour
- ECG monitor
- SpO2 monitor

Diagnostics:
- Lab: BMP, Calcium, Magnesium, CBC, Amylase, lipase
- ABG
- X-ray: CXR

Respiratory:
- Incentive spirometer every hour
- O2 titrate to keep SpO2 > 92%
- Cannula
- Oxygen mask
- Non-Rebreather mask
- Bag-mask ventilator
- Nebulizer

Social history:
- Daughter next of kin
- History of smoking 20 years ago
- History of ETOH moderate
- Employed: Sales manager
- Ethnicity: Hispanic
- Religion: Catholic

Maria Gonzales Simulation Learning Objectives

OBJECTIVES:
1. Identifies the primary nursing diagnosis
2. Identifies relevant patient history information
3. Implements patient safety measures
4. Explains physical assessment findings and diagnostics related to patient condition, specifically pancreatitis and septic shock
5. Implements clinician's orders appropriately
6. Implements nursing interventions based on patient care needs
7. Prioritizes nursing interventions
8. Identifies indications, contraindications, and potential adverse effects of prescribed medications
9. Demonstrates correct medication administration
10. Implements a focused cardiac and respiratory assessment
11. Explains clinical findings and critical lab values relating to pancreatitis and sepsis
12. Summarizes potential complications for patients with acute pancreatitis
13. Demonstrates appropriate nursing interventions for a patient with pancreatitis and sepsis
14. Provides relevant patient/family education and teaching
15. Demonstrates therapeutic and confidential communication
16. Demonstrates direct and accurate communication with interprofessional team members
17. Demonstrates effective teamwork

Groups will be divided according to clinical groups.

Added by Eric V.

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