NURS 267 Med-Surg Rashid Ahmed Feedback Log & Score Dehydration and Hypokalemia

NURS 267 Med-Surg Rashid Ahmed Feedback Log & Score Dehydration and Hypokalemia Completion Jul 18, 2020 09:22 AM Rashid Ahmed Age: 50 years Diagnosis: Dehydration and Hypokalemia Score 0 0 0 100%          Feedback Log 0:00 You arrived at the patient's side. 0:00 You reviewed the patient information. 0:00 You reviewed the patient log. 0:00 You reviewed the diagnostics. 0:00 You reviewed the clinical observations. This study source was downloaded by from CourseH on :30:52 GMT -05:00 This study resource was shared via CourseH 7/22/2020 Feedback Log & Score — Rashid Ahmed Jul 18, 2020 09:22 AM 0:00 You reviewed the MAR. 0:00 You reviewed the orders. 0:00 You reviewed the intake and output. 0:05 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 0:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 120. Pulse: Present. Blood pressure: 98/70 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 97%. Temp: 101 F (38.5 C) 1:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 120. Pulse: Present. Blood pressure: 97/71 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 97%. Temp: 101 F (38.5 C) 1:30 You introduced yourself. This was reasonable. 1:45 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 1:55 You asked if the patient was Allergyallergic to anything. He replied: 'No, I am not allergic to anything.' 2:05 You asked the patient how he felt. He replied: 'I am so sick. I feel really weak and dizzy.' 2:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 120. Pulse: Present. Blood pressure: 98/71 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 96%. Temp: 101 F (38.4 C) 2:11 You asked what happened. He replied: 'I have had diarrhea for 2 to 3 days; it has been very severe, liquidy, and brown.' 2:25 You asked the patient what other symptoms he had. He replied: 'Tired and weak.' 2:29 You asked the patient if he had had anything to eat or drink today. He replied: 'I am so thirsty, but I haven't been able to keep down water or food. I had some ice chips earlier.' 2:41 You asked the patient if he felt nauseated. He replied: 'I was very nauseated but I feel better now.' 3:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 121. Pulse: Present. Blood pressure: 98/71 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 96%. Temp: 101 F (38.4 C) 3:19 You educated the patient about activities, safety, and fall risk. 3:40 You checked the Temperaturetemperature at the ear. The temperature was 101 F (38.4 C). 4:03 You attached the Pulseoximeterpulse oximeter. It is a good idea to monitor the saturation and pulse here. This will allow you to reassess the patient        This study source was downloaded by from CourseH on :30:52 GMT -05:00 This study resource was shared via CourseH 7/22/2020 Feedback Log & Score — Rashid Ahmed Jul 18, 2020 09:22 AM continuously. 4:05 You looked for normal breathing. He is breathing at 29 breaths per minute. The chest is moving equally. 4:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 121. Pulse: Present. Blood pressure: 100/72 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 96%. Temp: 101 F (38.4 C) 4:28 You checked the radial pulse. The pulse is strong, 120 per minute, and irregular. It is correct to assess the patient's vital signs. 4:55 You measured the Bloodpressureblood pressure at 98/70 mm Hg. It is appropriate to monitor the patient by measuring the blood pressure. 5:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 121. Pulse: Present. Blood pressure: 99/71 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 96%. Temp: 101 F (38.4 C) 5:25 You examined the patient's skin. There is tenting sign of the skin. His skin is warm and dry. 5:41 You checked the pedal pulse. The pulse is strong, 120 per minute, and irregular. 5:58 You asked the patient if he had any pain. He replied: 'Yes, I have some pain.' 6:05 You asked the patient if he could describe his pain. He replied: 'Yes, I have had a headache and stomach cramps.' 6:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 121. Pulse: Present. Blood pressure: 100/72 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 95%. Temp: 101 F (38.4 C) 6:11 You asked the patient if anything made the pain better. He replied: 'No, not really.' 6:15 You asked the patient if anything made the pain worse. He replied: 'No, not really.' 6:19 You asked: How would you rate your pain? He replied: 'Not too bad; it's about a 4. ' 6:26 You asked the patient if he needed anything for the pain. He replied: 'No.' 6:46 You assessed the patient's neurological status. 7:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 121. Pulse: Present. Blood pressure: 101/72 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 95%. Temp: 101 F (38.4 C) 7:57 You put on gloves. 8:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 122. Pulse: Present. Blood pressure: 99/71 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 95%. Temp: 101 F (38.4 C)           This study source was downloaded by from CourseH on :30:52 GMT -05:00 This study resource was shared via CourseH 7/22/2020 Feedback Log & Score — Rashid Ahmed Jul 18, 2020 09:22 AM 8:11 You assessed the mucous membranes. This was reasonable. 8:20 You removed the gloves. 8:23 You put on gloves. 8:47 You assessed the patient's IV. The site had no redness, swelling, infiltration, bleeding, or drainage. The dressing was dry and intact. This is correct. Assessing any IVs the patient has is always important. 9:05 You removed the gloves. 9:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 122. Pulse: Present. Blood pressure: 101/73 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 95%. Temp: 101 F (38.4 C) 9:21 You asked the patient if he had had anything to eat or drink today. He replied: 'I am so thirsty, but I haven't been able to keep down water or food. I had some ice chips earlier.' 9:31 You asked the patient if he felt nauseated. He replied: 'I was very nauseated but I feel better now.' 9:45 You put on gloves. 10:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 122. Pulse: Present. Blood pressure: 100/72 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 95%. Temp: 101 F (38.4 C) 10:19 You compared the medication label with MAR. This was reasonable. 10:27 You started a 1000 mL infusion of dextrose 5% in normal saline with 20 mEq KCL at 125 mL/hr. It is important to use the basic rights of medication administration to ensure proper drug therapy. This was indicated by order. 10:28 Depending on your level of ability giving IV drugs might not be within the scope of your practice. Please consult with your instructor if in doubt. 10:37 You removed the gloves. 10:45 You washed your hands. 11:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 122. Pulse: Present. Blood pressure: 99/71 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 95%. Temp: 101 F (38.4 C) 12:04 You compared the medication label with MAR. This was reasonable. 12:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 122. Pulse: Present. Blood pressure: 101/72 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 94%. Temp: 101 F (38.4 C) 12:13 A 1-tablet dose of trimethoprim/Sulfamethoxazole 160/800 mg was given orally. This was indicated by order.       