Crazy Room Reflection

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This week was the first time passing medications at metro. One of my patient came in for a rib and shoulder injury because he fell 20 feet to the floor while working. The priority was to assess the neurovascular: pain, pulse, numbness and circulation: cap refills, check for edema. I assessed his pain level while he was laying down and he stated that it was a 3/10. Later when he was ready to ambulate, he had a pain level of 7/10. We gave him his PRN pain med.
My other patient came in because he had a pulmonary embolism after falling after he was discharged. The priority of care was to monitor respiration: auscultate lung sounds, monitor oxygen saturations, LOC. Before going into my next patient’s room, I remember reading on the chart that he was in denial that he had hypertension. I looked at his BP and found that it would fluctuate around 140s and 150s / 90s. He was scheduled to receive an ACE inhibitor …show more content…
My patient who was admitted for Triple A ruptured 11 cm. They ended up doing an Endovascular graft where they made a large incision in his groin, went in to put a stent to keep the artery from rupturing. I went to assess him and found that he had ecchymosis, which is from the incision. The priority was to assess the pulses because he had a graft in one of the major arteries. Other neurovascular checks such as pain, numbness. In addition, checking circulation such as capillary refills, signs of poor perfusion such as cold and clammy skin. Patient just had surgery, so it is important to check for infections. That includes, checking the vitals if the patient has fever, monitoring for redness, heat, swelling, WBC count. During assessment, I found that his abdomen was distended. What I have learned from my clinical instructor was that it may be related to leakage from the incision. That is why CT scan of the abdomen is ordered to make sure there is not any

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