Simulation Prep Form- J. Grey (pt 1) - Student_Madison...

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Student: ___Madison Fluty__________________________________________ Texas A&M University-Corpus Christi, College of Nursing and Health Sciences NURS 3628 - SIMULATION PREPARATION for facu lty use Client name: JG Research with references Health problems identified (10 points) COPD Diabetes Mellitus (adult onset) CAD Hypertension Allergies: Penicillin Explanation of the person’s health problems clear enough that a non-medical person would understand? (20 points) COPD- Is a progressive disease that affects patient’s ability to breathe. When you breathe in air (oxygen), it travels down into your lungs bronchial tubes, which branches further into smaller bronchioles, then finally arrives at air sacs called alveoli. Alveoli are what allow gas exchange of oxygen to your blood and removal of carbon dioxide when you breathe out. Patients with COPD have damaged alveoli that are not effectively exchanging oxygen and CO2. A patient with COPD will have higher levels of CO2. Patients body adapts to being used to high CO2 levels and the normal stimulus to breathe (low O2) isn’t present in these patients. Therefore COPD patients on oxygen should not be on more than 4L O2 via nasal cannula, since COPD patient`s stimulus to breathe is high CO2 and we don’t want to disable this trigger from working. Smoking is a leading cause of COPD and causes cilia destruction mucus buildup. (What is COPD?, 2013) Diabetes mellitus: Diabetes mellitus is a disorder in which blood sugar (glucose) levels are abnormally high because the body does not produce enough insulin (brings down blood glucose levels) to meet its needs (Kishore, 2015). Symptoms of hyperglycemia (slow healing wounds, increased thirst, increased urinary output, excessive hunger) and hypoglycemia (cold, clammy, sweating, fast HR, fatigue), should be watched for to prevent complications.
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