Issues with the heating and cooling system of your home can be relatively benign matters that are addressed easily enough with the help of a visiting technician. But in cases of extreme weather conditions or delayed attention, these matters can seriously threaten the health of the home or its occupants.
Similarly, extreme cardiovascular conditions can pose very serious health risks. Hypertension can lead to severe health complications and increase the risk of heart disease, stroke, and sometimes death. Shock can damage the bodys organs and can also be life-threatening. Effective diagnosis and treatment of hypertension and shock can, therefore, be a critically important and even life-saving endeavor.
This week, you will assess and develop management plans for patients with hypertension, including urgent and emergent conditions. You will review how to differentiate shock states and examine hemodynamic values for those shock states when evaluating treatment goals.
Assignment: Branching Exercise: Cardiac Case 2
For this Assignment, you will review the interactive media piece/branching exercise provided in the Learning Resources. As you examine the patient case, consider how you might assess and treat patients with the symptoms and conditions presented.
To prepare:
Review the interactive media piece/branching exercise provided in the Learning Resources.
Reflect on the patients symptoms and aspects of disorders that may be present in the interactive media piece/branching exercise.
Consider how you might assess, perform diagnostic tests, and recommend medications to treat patients presenting with the symptoms in the interactive media piece/branching exercise.
You will be asked to develop a set of admission orders based on the patient in the branching exercise.
The Assignment
Using the Required Admission Orders Template, write a full set of admission orders for the patient in the branching exercise.
Be sure to address each aspect of the order template
Write the orders as you would in the patients chart
Make sure the order is complete and applicable to the patient
Any rationale you feel the need to supply should be done at the end of the order set not included with the order
Please do not write per protocol. We do not know what your protocol is and you need to demonstrate what is appropriate standard of care for this patient.
A minimum of three current, evidenced based references are required.
Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., Machado, F. R., Mcintyre, L., Ostermann, M., Prescott, H. C., Schorr, C., Simpson, S., Wiersinga, W. J., Alshamsi, F., Angus, D. C., Arabi, Y., Azevedo, L., Beale, R., Beilman, G., Levy, M. (2021). Surviving sepsis campaign. Critical Care Medicine, Publish Ahead of Print. https://doi.org/10.1097/ccm.0000000000005337
https://journals.lww.com/ccmjournal/Fulltext/2021/11000/Surviving_Sepsis_Campaign__International.21.aspx
Farkas, J. (2020, February 20). Vasopressors. EMCrit Project. Retrieved October 20, 2021, from https://emcrit.org/ibcc/pressors/.
Required Media (click to expand/reduce)
MedCram. (2018, August 19). Vasopressors explained clearly: Norepinephrine, Epinephrine, Vasopressin, Dobutamine [Video file]. Retrieved from https://www.youtube.com/watch?v=zf28Rjbu3VM
MedCram. (2017, November 19). Hypertension guidelines explained clearly – 2017 HTN guidelines [Video file]. Retrieved from
MedCram. (2017, November 9). Shock and sepsis explained clearly (remastered) symptoms, causes, and pathophysiology [Video file]. Retrieved from https://www.youtube.com/watch?v=sTdrIlOGnfI
MedCram. (2014, December 23). Hypertension explained clearly, 2 of 2 [Video file]. Retrieved from https://www.youtube.com/watch?v=NgMfZVEWQd8
MedCram. (2012, September 12). Hypertension explained clearly causes, diagnosis, medications, treatment [Video file]. Retrieved from https://www.youtube.com/watch?v=OmKVteeuQj0
MedCram. (2012, July 17). Shock explained clearly cardiogenic, hypovolemic, and septic [Video file]. Retrieved from https://www.youtube.com/watch?v=CbM4UihE1TQ
Walden University (Producer). (2019b). Branching exercise: Cardiac case 2 [Interactive media file]. Minneapolis, MN: Author.
https://cdn-media.waldenu.edu/2dett4d/Walden/NRNP/6566/SC03/index.html
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