SIM prep form - Tim Roberts - Student_Danielle Bruns Texas...

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Student: _____Danielle Bruns_________ Texas A&M University-Corpus Christi, College of Nursing and Health Sciences NURS 3628 - SIMULATION PREPARATION for facu lty use Client name: TR Research with references Health problems identified (10 points) Congestive Heart Failure Type II Diabetes Mellitus Mild Respiratory Distress Fatigue Dependent Pitting Edema (ankles, feet) Cardiomegaly Bilateral perihilar infiltrates Sinus Tachycardia Explanation of the person’s health problems clear enough that a non-medical person would understand? (20 points) CHF – congestive heart failure – The heart doesn’t pump properly, which leads to the heart being incapable of maintaining enough blood flow through the body. Symptoms include extremity swelling, shortness of breath, dizziness, heart pounding, being easily fatigued, wt gain, cough/wheeze, increased urination (especially at night), bloating, and nausea. Causes include CAD, heart attack, cardiomyopathy, diabetes, and diseases/conditions that overwork the heart (Kulick, Wedro). Type II Diabetes Mellitus – This is a metabolic disorder that causes high blood glucose levels. Insulin is supposed to regulate these levels, but it is not made in enough quantity or it is resisted in those w/ Type II Diabetes. Symptoms include increased thirst, increased hunger, and increased urination, weight loss, blurred vision, and slow wound healing. The cause is thought to be influenced by genetics and environmental factors, including being overweight and inactive (An Overview of Diabetes). Mild Respiratory Distress – Trouble breathing due to chronic illness, infection, or inhaling toxins. Symptoms include trouble breathing while lying down and on exertion, and abnormal lung sounds (Tilney). Fatigue – Extreme tiredness, usually made worse by exercise. Causes include anemia, depression, diabetes, and CHF (Ellis). Dependent Pitting Edema (ankles, feet) – Swelling of affected area due to build-up of fluid under the skin, caused by the pt’s extra fluid from CHF. Other symptoms include tightening and shininess of skin. Causes include low albumin, allergic reaction, obstruction of flow, severe burns, and sever infection (Mathur). Cardiomegaly – Means the heart is enlarged. It can lead to CHF. Causes include HTN, CAD, certain infections, genetics, and alcohol and cocaine abuse. S/S include SOB, leg swelling, increased abdominal girth, wt gain, fatigue, and heart pounding or flutters (What is an Enlarged Heart). Bilateral peripheral infiltrates –When something that isn’t supposed to be inside the lung gets inside a certain part of the lung called the perihilar sections. Causes include pertussis, trachomatis, pneumonia, Herpes simplex virus, and cytomegalovirus. Symptoms may include cough, SOB, chest tightness/pain, coughing up blood, chills, and noisy breathing (What are Perihilar Infiltrates).
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