vSim Clinical Packet_Kenneth Bronson
CONCEPT MAP WORKSHEET
DESCRIBE DISEASE PROCESS AFFECTING PATIENT
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS)
Pneumonia is an infection of the lungs that may be caused by bacteria, viruses, or fungi. The infection causes
the lungs' air sacs (alveoli) to become inflamed and fill up with fluid or pus. That can make it hard for the
oxygen you breathe in to get into your bloodstream. The symptoms of pneumonia can range from mild to
severe, and include cough, fever, chills, and trouble breathing.
Anaphylaxis is caused by an allergen which results in a possibly life-threatening reaction. The body, in response
to an allergen, releases histamine. The histamine has several effects that include restriction of the bronchioles
and edema, as well as pruritus. Allergen can be in the form of food, environmental allergens like pollen, or
from medications.
Learn About Pneumonia. (n.d.). Retrieved from https://www.lung.org/lung-health-diseases/lung-
disease- lookup/pneumonia/learn-about-pneumonia
PATIENT INFORMATION ANTICIPATED PHYSICAL
DIAGNOSTIC TESTS FINDINGS
(REASON FOR TEST AND Kenneth Bronson
27 years old • Productive cough
RESULTS)
male • Fever
• Chest X-Ray – to check
for pneumonia Who was admitted to the • Fatigue
• ECG monitoring hospital after his cough
persisted for a week and
was diagnosed with
pneumonia.
ANTICIPATED NURSING INTERVENTIONS
• Administer medication as prescribed
• Vital signs with SpO2 every 4 hours
• IV infusion of normal saline 500 ml bolus if needed for hypotension
• Continue regular diet
• Cardiac and respiratory monitoring
• Educate patient on allergic reaction of antibiotic named ceftriaxone and how to care and
avoid any drugs with cephalosporins.
,vSim Clinical Packet_Kenneth Bronson
vSim ISBAR ACTIVITY STUDENT WORKSHEET
INTRODUCTION Dan primary nurse at the medical unit in the hospital
Your name, position (RN), unit
you are working on
SITUATION Kenneth Bronson is a 27-year-old male he went to the emergency
department two hours ago with chest tightness, difficulty breathing, and a
Patient’s name, age, specific reason for productive cough for a week, and fever of 102.6 degrees Fahrenheit.
visit
BACKGROUND Chest x-ray revealed right lower lobe pneumonia he was admitted
on6/20/2020 a few hours ago. Current orders:
Patient’s primary diagnosis, date of -diet: regular, activity: up as tolerated, vital signs with SpO2 every 4 hours,
admission, current orders for patient Oxygen to maintain SpO2 greater than 92%, IV infusion of normal saline at
75 ml/hour, Ceftriaxone 1 g IVPB every 12 hours, Acetaminophen 1000 mg
PO every 6 hours PRN (if temperature greater than 101 F)—given at ER prior
to handoff
When given ceftriaxone patient appeared to have am allergic to medication
new orders as followed; Oxygen to SpO2 greater than 92%, Cardiac and
respiratory monitoring, Epinephrine 1:1000 0.5 mg IM, Diphenhydramine 50
mg IV push, Albuterol 5 mg in 3 ml normal saline via nebulizer, Ranitidine 50
mg IV infused over 30 min. every 6 hours, Normal saline 500 ml bolus if
needed for hypotension, and Methylprednisolone 125 mg IV push
ASSESSMENT BP: 136/82
RR: 17 breaths per minute
Current pertinent assessment data SpO2: 95 %
using head to toe approach, pertinent HR: 96 bpm
diagnostics, vital signs Temperature: 102 F
Normal findings throughout assessment, except for diminished breath sounds
at the right lower lobe of lungs. Chest expansion was symmetrical.
RECOMMENDATION -Smoking cessation
-Chest physiotherapy
-Incentives spirometry
Any orders or recommendations you -Suctioning
-Sputum cultures
may have for this patient
-Increase fluids
, vSim Clinical Packet_Kenneth Bronson
PHARM-4-FUN PATIENT EDUCATION WORKSHEET
NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE
MEDICATION: Acetaminophen
CLASSIFICATION: Antipyretics/Analgesics
PROTOTYPE: Tylenol
SAFE DOSE OR DOSE RANGE, SAFE ROUTE
Adults: 325 to 650 mg PO every 4 to 6 hours. Or, two extended-release caplets PO every 8 hours. Maximum, 3,250
mg daily unless under health care provider supervision,
Safe route: PO, IV, or Rectal
PURPOSE FOR TAKING THIS MEDICATION
Use for mild to moderate pain and reduce fever
PATIENT EDUCATION WHILE TAKING THIS MEDICATION
• Do not take other medications that contains acetaminophen without medical advice
• Avoid taking medication longer than 10 days
• Do not use without medical direction for fever persisting longer than 3 days over 103 F
• Do not give children more than 5 doses in 24 hours
Holland, R. (2007). Pearson Prentice Hall Rob Holland Drug Guide. Retrieved from
http://www.robholland.com/Nursing/Drug_Guide/
CONCEPT MAP WORKSHEET
DESCRIBE DISEASE PROCESS AFFECTING PATIENT
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS)
Pneumonia is an infection of the lungs that may be caused by bacteria, viruses, or fungi. The infection causes
the lungs' air sacs (alveoli) to become inflamed and fill up with fluid or pus. That can make it hard for the
oxygen you breathe in to get into your bloodstream. The symptoms of pneumonia can range from mild to
severe, and include cough, fever, chills, and trouble breathing.
Anaphylaxis is caused by an allergen which results in a possibly life-threatening reaction. The body, in response
to an allergen, releases histamine. The histamine has several effects that include restriction of the bronchioles
and edema, as well as pruritus. Allergen can be in the form of food, environmental allergens like pollen, or
from medications.
Learn About Pneumonia. (n.d.). Retrieved from https://www.lung.org/lung-health-diseases/lung-
disease- lookup/pneumonia/learn-about-pneumonia
PATIENT INFORMATION ANTICIPATED PHYSICAL
DIAGNOSTIC TESTS FINDINGS
(REASON FOR TEST AND Kenneth Bronson
27 years old • Productive cough
RESULTS)
male • Fever
• Chest X-Ray – to check
for pneumonia Who was admitted to the • Fatigue
• ECG monitoring hospital after his cough
persisted for a week and
was diagnosed with
pneumonia.
ANTICIPATED NURSING INTERVENTIONS
• Administer medication as prescribed
• Vital signs with SpO2 every 4 hours
• IV infusion of normal saline 500 ml bolus if needed for hypotension
• Continue regular diet
• Cardiac and respiratory monitoring
• Educate patient on allergic reaction of antibiotic named ceftriaxone and how to care and
avoid any drugs with cephalosporins.
,vSim Clinical Packet_Kenneth Bronson
vSim ISBAR ACTIVITY STUDENT WORKSHEET
INTRODUCTION Dan primary nurse at the medical unit in the hospital
Your name, position (RN), unit
you are working on
SITUATION Kenneth Bronson is a 27-year-old male he went to the emergency
department two hours ago with chest tightness, difficulty breathing, and a
Patient’s name, age, specific reason for productive cough for a week, and fever of 102.6 degrees Fahrenheit.
visit
BACKGROUND Chest x-ray revealed right lower lobe pneumonia he was admitted
on6/20/2020 a few hours ago. Current orders:
Patient’s primary diagnosis, date of -diet: regular, activity: up as tolerated, vital signs with SpO2 every 4 hours,
admission, current orders for patient Oxygen to maintain SpO2 greater than 92%, IV infusion of normal saline at
75 ml/hour, Ceftriaxone 1 g IVPB every 12 hours, Acetaminophen 1000 mg
PO every 6 hours PRN (if temperature greater than 101 F)—given at ER prior
to handoff
When given ceftriaxone patient appeared to have am allergic to medication
new orders as followed; Oxygen to SpO2 greater than 92%, Cardiac and
respiratory monitoring, Epinephrine 1:1000 0.5 mg IM, Diphenhydramine 50
mg IV push, Albuterol 5 mg in 3 ml normal saline via nebulizer, Ranitidine 50
mg IV infused over 30 min. every 6 hours, Normal saline 500 ml bolus if
needed for hypotension, and Methylprednisolone 125 mg IV push
ASSESSMENT BP: 136/82
RR: 17 breaths per minute
Current pertinent assessment data SpO2: 95 %
using head to toe approach, pertinent HR: 96 bpm
diagnostics, vital signs Temperature: 102 F
Normal findings throughout assessment, except for diminished breath sounds
at the right lower lobe of lungs. Chest expansion was symmetrical.
RECOMMENDATION -Smoking cessation
-Chest physiotherapy
-Incentives spirometry
Any orders or recommendations you -Suctioning
-Sputum cultures
may have for this patient
-Increase fluids
, vSim Clinical Packet_Kenneth Bronson
PHARM-4-FUN PATIENT EDUCATION WORKSHEET
NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE
MEDICATION: Acetaminophen
CLASSIFICATION: Antipyretics/Analgesics
PROTOTYPE: Tylenol
SAFE DOSE OR DOSE RANGE, SAFE ROUTE
Adults: 325 to 650 mg PO every 4 to 6 hours. Or, two extended-release caplets PO every 8 hours. Maximum, 3,250
mg daily unless under health care provider supervision,
Safe route: PO, IV, or Rectal
PURPOSE FOR TAKING THIS MEDICATION
Use for mild to moderate pain and reduce fever
PATIENT EDUCATION WHILE TAKING THIS MEDICATION
• Do not take other medications that contains acetaminophen without medical advice
• Avoid taking medication longer than 10 days
• Do not use without medical direction for fever persisting longer than 3 days over 103 F
• Do not give children more than 5 doses in 24 hours
Holland, R. (2007). Pearson Prentice Hall Rob Holland Drug Guide. Retrieved from
http://www.robholland.com/Nursing/Drug_Guide/
