Gero: Sim Student Prep Questions Name________________
Patient Description
Name
Age, Gender
Weight
Height Sarah Marshall
74 y/o female
61kg
63cm
Background
Metastatic lung cancer, increasing shortness of breath, anemia, change in mental status, former smoker
Report Report Students Will Receive Before Simulation
Time: 1500
Mrs. Marshall is a 75 y.o female that presented in the ER a few minutes before the shift changed; she was brought in by EMS for increasing shortness of breath, change in mental status and lethargy. Her daughter is at the bedside. She has a PMH of metastatic lung cancer, anemia and hypothyroidism. Her vital signs are, BP-70/40; HR-42, Resp-30 (shallow with periods of apnea); O2 sat 89%; she is on a non-rebreather mask. A #20 gauge to her left AC. Dr. Hanson is aware of her vitals and is putting in some orders for fluid bolus but her family (especially her daughter) is being very protective of her and has been refusing for a few things to be done. She is a DNR.
Patient Information
*Medications
*Allergies
*PCP
Synthroid 0.125mg po qam,
NKDA
Dr. Hanson
1. Is there anything of concern in this patientβs records?
2. What would be the nursing plan of care for this patient based on your assessment given by report.