Amira is a 27.docx - 1 How will you prioritize your care of...

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1. How will you prioritize your care of Amira, what assessments will you complete, and in what order? Please provide rationale for choosing this order. As a nurse, I will always prioritize the care of patient by managing emergent things first and then move to non-emergent ones. Since Amira do not speak English, I will need an interpreter to take her complete history and prioritizing her condition and care. In our hospital we used video remote interpreting (VRI) to communicate with the patient who do not speak English. Amira was brought in the emergency with acute blood loss and pain. So, my first priority is taking complete sets of vitals and assessing her emergent situation which starts with airway, breathing, circulation, bleed control and controlling her pain. I would put her on a cardiac monitor to rule out for arrythmia as hypovolemia can cause arrythmia. Next, I would give her oxygen inhalation if her oxygen level is low. If she is on hypovolemic shock, giving her intravenous fluid (IVF) bolus will help. Getting stat lab work such as CBC, CMP, platelets, grouping, type and screen, APTT, PT/ INR, and complete bleeding profile test etc. Transfusing blood and blood product as per her lab results. Managing her pain with pain medications. After managing her emergent problems, I will work on her non-emergent problem such as- ruling out the causes of bleeding and pain which can either be from gynecological or gastrointestinal. I will take a history of her abdominal pain which includes its onset, location, duration, characteristics, aggravating factors, relieving factors and treatment. I would asking
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  • Fall '19
  • Shana Freehill
  • Health care provider, Physical examination, Amira

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