Sherman u201cRedu201d Yoder, Part 2.docx - Sherman...

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Sherman “Red” Yoder, Part 2 Guided Reflection Questions Opening Questions How did the simulated experience of Red Yoder’s case make you feel? - I think it was a great experience to assess a patient as an emergency triage nurse. Assessing the same patient again but with different problem this time and evaluating his wound care interventions was a good change. I also enjoyed asking questions regarding CAM assessment. What nursing actions did you feel were appropriate within this scenario? - I feel all nursing actions were appropriate for this scenario. Administration of medication, taking vitals, assessing the wound, completing CAM and SPICES assessment tools, communicating with a family member, calling ICU and provider were all necessary actions. Scenario Analysis Questions* PCC What is the correlation between Red Yoder’s open foot wound, the diagnostic findings, and treatment modalities including fluid bolus, insulin, and antibiotic therapy? - A wound culture and sensitivity test was ordered for Red to identify the bacterial microorganisms in the wound. His diagnostic findings also suggested high white blood cells (12,000) which suggests an infection from a diabetic foot ulcer. Red was ordered to start antibiotic therapy to treat Red’s foot wound and prevent further infection from spreading. Red has type 2 diabetes which could cause nerve damage and numbness in his foot. Insulin would help control the diabetes and fluid bolus would help red to stay hydrated and promote wound healing. Fluid bolus will help to prevent the patient from

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