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Pediatric Case 4: Sabina Vasquez (Complex) Guided Reflection Questions Opening Questions How did the simulated experience of Sabina Vasquez’s case make you feel? As any other VSIM, Sabina made me feel uncomfortable. Sabina adds another level of complexity, where a child comes in with respiratory disease, already has a condition that can amplify possible problems. I think Sabina is an excellent introduction to a real-life patient scenario. They most likely have multiple issues wrong with them and the nurse has to think of how disease processes will interact and how will that apply to the patient. Sabina had two inflammatory disease, pneumonia as an acute infection, and asthma as chronic inflammatory condition. Describe the actions you felt went well in this scenario. I feel like I followed through the orders correctly and efficiently. I recognized that Sabina was in distress, and she needed another dose of albuterol. I contacted the doctor to deal with the problem at hand, and I had no problem picking what medication was the priority. Albuterol took the first place, to alleviate girls bronhospasm, then I proceeded with medication to treat the fever and antibiotics. Even though this is not available in this simulation, one of my first thoughts was a need for an interpreter. I knew that we should provide them with appropriate language services in case they weren’t comfortable with english. Scenario Analysis Questions[*] EBP List in order of priority your initial nursing actions for Sabina Vasquez based on physical findings and family interaction. 1) Elevate the head of the bed to provide a position of comfort and to relieve respiratory distress, 2) increase oxygen to 4 L via a nasal cannula, 3) administer albuterol, 4) notify the primary care provider.