100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
SURGICAL CASE 4: VERNON WATKINS GUIDED REFLECTION QUESTIONS ACCURATELY ANSWERED $9.79   Add to cart

Exam (elaborations)

SURGICAL CASE 4: VERNON WATKINS GUIDED REFLECTION QUESTIONS ACCURATELY ANSWERED

 1 view  0 purchase

SURGICAL CASE 4: VERNON WATKINS GUIDED REFLECTION QUESTIONS ACCURATELY ANSWERED

Preview 1 out of 3  pages

  • October 9, 2024
  • 3
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
All documents for this subject (1)
avatar-seller
Edumaxsolutions
SURGICAL CASE 4: VERNON WATKINS GUIDED REFLECTION QUESTIONS
ACCURATELY ANSWERED



1. How did the scenario make you feel?

I was more comfortable doing this vSim since I have done a few now and I am aware of
where everything is in the simulation. I was able to identify signs and symptoms of a DVT
and PE. Due to the patient’s refusal to ambulate and perform deep breathing exercises
with the incentive spirometer, he was at a greater risk to develop this complication. I
liked this scenario because we learn about DVT/PE as a post-surgical complication of
immobility and this illustrated that.

2. Discuss your use of adjunct oxygen therapy for this patient, including why you chose a
particular oxygen device, rate, and flow.

At first I applied a nasal cannula at 2L/min. I continued to titrate up to 4L/min and
6L/min, but the patient was not improving. When the patient’s O2 sat dropped below
92%, I provided 100% O2 using a non-rebreathing mask at 10 L/min.

3. Discuss Vernon Watkins’ arterial blood gas (ABG) analysis result and explain what caused
this result.

The patient’s ABG showed respiratory alkalosis with mild hypoxemia. His PaCo2 was 32
and PaO2 was 74. His alkalosis was likely due to his fast respiratory rate of 24 breaths
per minute, causing him to blow off more CO2. His body was trying to compensate for
the lack of oxygen caused by the pulmonary embolism.

4. Discuss the use of a heparin nomogram (guideline for heparin titration) and safety
related to this intervention.

The provider ordered heparin threrapy to treat the patient’s DVT/PE caused by
immobility. Nurses use a nomogram to know how many units to give the patient wihout
having to call the provider. Nurses obtain baseline labs before calculating and
administering the initial bolus dose of heparin. After administration, the nurse will
evaluate the anticoagulation labs again and titrate heparin to the therapeutic goal set by
the provider based on those labs and patient presentation. Due to heparin’s narrow
therapeutic index, a patient receiving this therapy requires close monitoring for signs
and symptoms of bleeding.

5. What key elements would you include in the handoff report for this patient? Consider
the SBAR (situation, background, assessment, recommendation) format.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 Edumaxsolutions. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $9.79. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

82871 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$9.79
  • (0)
  Add to cart