100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
vSIM Vernon Watkins - Post-op Hemicolectomy: Pulmonary Embolism / Surgical Case 4: Vernon Watkins Documentation Assignments (answered) CA$12.16   Add to cart
Quickly navigate to
Preview
  2.  
  3. Johnston Community College
  4.  
  5. VSim for Nursing | Medical-Surgical (NURSING111)

Other

vSIM Vernon Watkins - Post-op Hemicolectomy: Pulmonary Embolism / Surgical Case 4: Vernon Watkins Documentation Assignments (answered)

1 review
 3789 views  3 purchases
  • Course
  • VSim for Nursing | Medical-Surgical (NURSING111)
  • Institution
  • Johnston Community College

vSIM Vernon Watkins - Post-op Hemicolectomy: Pulmonary Embolism / Surgical Case 4: Vernon Watkins Documentation Assignments (answered) Surgical Case 4: Vernon Watkins Documentation Assignments 1. Document Vernon Watkins’ respiratory assessment that occurred in the case. 2. Document the ac...

[Show more]

Preview 1 out of 3  pages

Document information

  • February 25, 2021
  • 3
  • 2024/2025
  • Other
  • Unknown

Subjects

  • vernon watkins post op hemicolectomy pulmonary embolism

Written for

  • Johnston Community College
  • VSim for Nursing | Medical-Surgical (NURSING111)
All documents for this subject (8)

1  review

review-writer-avatar

By: hulksterkiss072 • 1 month ago

Seller

avatar-seller
dennys

Reviews received

Content preview

Surgical Case 4: Vernon Watkins
Documentation Assignments


1. Document Vernon Watkins’ respiratory assessment that occurred in the case. Pt. breathing
with equal chest rise and fall, lung sounds clear and equal bilateral. Pt RR 24 Pt is speaking
in full sentences however, Pt appears anxious with increased work of breathing. SP02 read
90% on room air. Pt states that it is painful to breath Pt rates pain at 3 out of 10 on the pain
scale.
2. Document the actions during the acute respiratory distress episode. Upon completing Pt
respiratory assessment Pt was assisted to the sitting position to better Pt breathing. 02 was
started 15lpm via non rebreather mask, and the provider was advised of the change in the
patient’s condition. The provider ordered a 12 lead EKG, chest Xray, Spiral CT of Pt chest,
ABG, venous blood sample. 6400 units of heparin were given IV bolus and a maintenance
drip of heparin was started in D5W rate 1440 units per hour.
3. Document the changes in Vernon Watkins’ vital signs throughout the scenario. Pt. initial
SP02 read 90% on room air upon initiating 02 therapy pt SP02 rose to 94% and Pt condition
improved. Pt seems more at ease with decreased anxiety noted. Pt breathing rate and
quality remained unchanged after treatment RR 24 with equal chest rise and fall. Pt heart
rhythm and rate remained sinus tach rate 102. Pt is still complaining of pain when breathing
and leg pain.
4. Identify and document key nursing diagnoses for Vernon Watkins. Impaired gas exchange
related to ventilation-perfusion imbalance as evidenced by dyspnea, restlessness and
apprehension
5. Referring to your feedback log, document the nursing care you provided. Upon speaking to
Pt a general impression of the patient was obtained. The patient was complaining of
difficulty in breathing while I washed my hands and obtained consent to treat. Pt was
positioned upright to facilitate breathing and an SP02 reading was obtained with 3 lead ECG
monitoring attached. SP02 read 90% on room air and a sinus tach rhythm on monitor was
noted rate 106 Pt RR was noted to be 24 with equal chest rise and fall lung sounds clear and
equal bilateral. 02 was administered per Dr standing orders at 15lpm via non rebreather
mask. The provider was notified of the Pt difficulty in breathing. The provider ordered a 12
lead ECG, spiral CT of the chest, a chest Xray, venous blood sample, ABG, Heparin 6400 units
loading bolus and 1440 units/hour in D5W maintenance drip. Pt vitals and pain were
monitored continuously while obtaining further Pt Hx. Pt has medical Hx of HTN and
smoking a half pack per day X50 years. Pt states that pain began suddenly in his chest and
rates the pain 3 out of 10 Pt also states that his leg hurts. Head to toe Pt assessment reveals
that Pt leg appears to be swollen and is painful. © Wolters Kluwer Health | Lippincott
Williams & Wilkins

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 dennys. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$12.16. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67866 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
CA$12.16  3x  sold
  • (1)
  Add to cart