Haemodynamic Monitoring and Management of the Unstable Patient - Medical Science Assignment Help

Assignment Task

ASSESSMENT OUTCOMES:

On completion of this assignment, the student/s should be able to:

• Apply research skills to search for applicable, up-to-date literature based on haemodynamic monitoring and management of the unstable patient.
• Demonstrate an understanding of the relevance and importance of evidence-based practice.
• Demonstrate an understanding of the moral and legal responsibilities of the emergency care nurse in the care of the unstable patient.
• Apply critical-thinking and decision-making skills in the management of the unstable patient, by making appropriate referrals to the multi-disciplinary team.
• Interpret and analyse the scenario and apply critical thinking skills to answer the related questions.
• Apply specific knowledge that is relevant to a specific situation. Avoid generalising of information.
• Reflect on past experiences, new knowledge and how it could contribute to professional practice.
• Develop academic writing skills, e.g. structuring of the written report, professional language use, grammar skills, reference and bibliography skills, technological and typing skills.

Questions

1. Identify the medical condition Mr. Joe suffered from based on the diagnostic investigation findings. Rationalise your answer.

2. The ambulance crew informs you that their estimated time arrival at your hospital is within 15 minutes. Discuss your responsibilities as shift leader in the preparation for the patient’s arrival, receiving of the patient on arrival and care during the primary survey phase.

3. Clarify the interventions you would implement to attend to the needs of Mr. Joe’s wife.

4. Rationalise Mr. Joe’s vital data on scene and on arrival by referring the pathophysiology of the diagnosis identified in Q1.

5. Analyse and interpret the attached ECG for Mr. Joe.

6. Analyse and interpret the ABG of Mr. Joe.

7. Describe the following information related to the central venous catheter (CVC) for Mr. Joe:

a) Indications

b) Data parameters

c) Puncture site selection and nursing care

8. Describe the following information related to the intra-arterial catheter for Mr. Joe:

a) Indications

b) Puncture site selection and nursing care

9. Rationalise the use of the following medication to treat Mr. Joe’s medical condition, as well as the administration protocols to follow:

a) Aspirin

b) Clopidogrel

c) Clexane

10. Describe the following information related to Metalyse:

a) Working mechanism

b) Classification

c) Administration protocol

11. Describe the following related to the administration of Dobutamine for Mr. Joe:

a) Indications

b) Special considerations / specific monitoring

c) Infusion protocols

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