Case
Thoracic Trauma Unfolding Case Study Reflection
- Course
- Institution
This unfolding case study highlights the critical importance of prompt recognition and comprehensive management of thoracic trauma to optimize patient outcomes.
[Show more]
Seller
Follow
karleescott
Content preview
Unfolding Case Study: RespiratoryTrent University
NURS 3020 Clinical Practice Acute Care
I attended my first unfolding case study with my clinical group in the DNA building
where we worked together on a case regarding a thoracic trauma. I prepared for this lab by
completing the assigned readings on Nurse Achieve and reviewed our PowerPoint slides. I also
, watched the videos and completed the six Evolve quizzes pertaining to ensuring oxygen safety,
applying nasal cannula and face mask, setting oxygen flow rates, administering IM injections,
managing pain, and dressing changes. I also watched the videos on dry suction chest drainage
units and care and maintenance of a chest drainage unit. Furthermore, I completed the modules
listed on BB under essential skills and injectable medicines therapy on Safe Medicate in order to
refresh my mind. Having completed all of the prep work, I felt confident in my ability to
navigate the presenting case study with the help of my peers.
We were first given a general description of our patient and presenting problem from
triage which was very concise and did not give us much background information. We then broke
up into pairs and took a set of vitals on each other in order to practice documenting on paper
MAR and getting an accurate manual blood pressure. Following this, we decided that a focused
respiratory assessment was necessary for this patient due to his shortness of breath and abnormal
vital signs. We each discussed what was pertinent regarding this assessment including looking
for things like diminished breath sounds, adventitious breath sounds, tactile fremitus, accessory
muscle use etc. We concluded that he had diminished lung sounds in the right lower base and
was experiencing severe pain in the area evidenced by guarding with a rating of 8/10. He had no
bruising or tenderness in his abdomen near impaction which allowed us to rule out any signs of
internal bleeding but we were aware to monitor this. At this point we discussed our potential
nursing diagnoses and decided that impaired gas exchange and ineffective breathing pattern were
of utmost priority. As a group we decided that our next step would be to send him down for a
chest-x-ray to identify the cause of his symptoms and get blood work done to look at his ABG’s.
Following this, we were given physicians orders to administer pain medication because he rated
his pain an 8/10. The order stated 30mg of Toradol q6h for short-term management of moderate
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller karleescott. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
59804 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 15 years now