Few data points co to provide informa total points

This preview shows page 15 - 18 out of 21 pages.

-Few data points co to provide informa Total Points: (Spel ling, Gra mma r, Sent ence Struc ture) -Grammar, readability, and sentence structure is error free. grammar and/or sentence structure, not consistent throughout worksheet. -Errors do not interfere with the readability or and/or sentence structure. -Errors effect ability to comprehend informa on present on worksheet and readability. grammar and/or sentence structure throughout worksheet. -Difficult to understand informa on presented spelling, grammar and/or sentence structure, throughout worksheet. -Unable to understand comprehension of due to numerous errors. informa on presented in informa on. the worksheet.
Clinical Worksheet Date: 4/28/2020 Student Name: Angelina Hendley Assigned vSim: Andrew Davis IniI als: AD Age 56 yo Mal e Code Status: Full Code Diagnosis: Alcohol Withdrawal Syndrome Length of Stay: TBD Allergie s: No Known HCP: Petra Popovic, RN Carol Walsh, MD Consults: Psych IsolaIon: None Fall Risk : Pot enI al Tran sfer : Pot enti al IV Typ e: N/A Loc aIo n: N/A Fluid/Rate: PotenIal but no orders at this Ime CriIcal Labs: • Serum Albumin 3.1 • ALP 125 • AST 44 • Bilirubin 1.1 • ETOH 50 Other Services: N/A Consults Needed: Psych Why is your paIent in the hospital (Answer in your own words and include the History of present Illness): My paIent is here to safely detox from alcohol. He is also potenIally here to get a psych consult. He drinks a pint of vodka a day and his last drink was prior to the school board meeIng he was at prior to his arrival to the hospital. He has no significant medical history apart from an open reducIon internal fixaIon surgery to repair a humerus fracture 2 years ago. He has no known allergies. Health History/Comorbidity (that relate to this hospitalizaIon): Health history as stated above and no known comorbidiIes
Clinical Worksheet Shi Go als/ PaI ent Edu caI on Ne eds : 1. Ass ses s CI WA to pro per ly beg in sed aIo n the rap y 2. Educate paIent on medicaIon risks. Implant fall risks and seizure precauIons as necessary. 3. Reorient paIent to person/place/Ime as necessary if DT sets in 4. Reassess paIent on CIWA as o‘en as your facility protocol and medicate with benzodiazepines and PRN for nausea, vomiIng, pain, etc Path to Discharge: • Every paIent is different. Some paIents may be fully detoxed a‘er several days, and others might spend a couple of weeks in the hospital. SedaIon allows for the safe withdrawal from alcohol. Benzodiazepines are the drugs of choice in most regions because of their high therapeuIc safety index and anIconvulsant properIes. In conjuncIon with sedaIon therapy, a paIent will receive fluids, electrolytes and have their blood and serum levels monitored closely. Once the paIent is stable on all fronts, they will sully get some type of inpaIent psychiatric care or else be refereed to an outpaIent psychiatric treatment program. From there they will discharged. The nurse should educate the paIent on seeking inpaIent care if a relapse was to occur and on all the community resources available to help stay sober (such as AA).

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture