Kenneth Bronson; vSim for Nursing | Medical-Surgical / Kenneth Bronson - Pneumonia: Severe Reaction to Antibiotic (answered)

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Age: 27 years Diagnosis: Pneumonia Score 3 0 0 93%          Feedback Log 0:00 You arrived at the patient's side. 0:00 You introduced yourself. 0:10 Patient stat... us - ECG: Sinus rhythm. Heart rate: 97. Pulse: Present. Blood pressure: 136/82 mm Hg. Respiration: 19. Conscious state: Appropriate. SpO2: 95%. Temp: 103 F (39.2 C) 0:14 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 1:10 Patient status - ECG: Sinus rhythm. Heart rate: 97. Pulse: Present. Blood pressure: 137/82 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 95%. Temp: 103 F (39.2 C) 1:28 You identified the patient. To maintain patient safety, it is important that you  This study source was downloaded by 100000860583932 from CourseHero.com on 01-26-2023 08:35:47 GMT -06:00 https://www.coursehero.com/file/100482371/Kenneth-Bronson-VSIM-Medical-Surgicalpdf/ quickly identify the patient. 1:36 You asked if the patient was allergic to anything. He replied: 'No, I am not allergic to anything.' 1:43 You asked the patient if he had any pain. He replied: 'Yes, I have some pain.' 1:47 You asked the patient where the pain was located. He replied: 'It's in the right side of my chest.' 1:52 You asked the patient if he could describe his pain. He replied: 'It stings a bit in my chest.' 1:57 You asked: How bad is the pain? He replied: 'Not too bad, it's about a 2.' 2:07 You asked the patient how long he had pain for. He replied: 'For about a week.' 2:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 137/82 mm Hg. Respiration: 17. Conscious state: Appropriate. SpO2: 95%. Temp: 103 F (39.2 C) 2:13 You asked the patient when the symptoms started. He replied: 'About a week ago, I started having a fever and a really bad cough' 2:20 You asked the patient if he had any difficulty in breathing. He replied: 'Yes, I have been coughing really badly.' 2:27 You asked the patient what other symptoms he had. He replied: 'I feel kind of tired and have some chest tightness.' 2:35 You asked the patient what medication he was taking, if any. He replied: 'No, I don't take any medication.' 2:40 You asked the patient if he had any medical problems. He replied: 'No, I don't have any medical problems.' 2:46 You asked the patient if he was a smoker. He replied: 'Yes. I have been smoking 2 packs a day for the past 10 years.' 2:56 You asked the patient what year it is. He replied: 'The year is 2020.' 3:01 You asked the patient if he knew where he was. He replied: 'At the hospital.' 3:04 You asked the patient what date it was. He replied: 'It is the 17th' 3:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 137/82 mm Hg. Respiration: 17. Conscious state: Appropriate. SpO2: 95%. Temp: 102 F (39.2 C) 3:25 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. 3:51 You examined the patient's chest. He is breathing at 17 breaths per minute. The chest is moving normally on both sides. There is normal skin turgor. He is sweating, and his skin is warm. 4:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 136/81 mm Hg. Respiration: 17. Conscious state: Appropriate. SpO2: 95%. Temp: 102 F (39.1 C) 4:26 You listened to the lungs of the patient. There are reduced breath sounds at the         This study source was downloaded by 100000860583932 from CourseHero.com on 01-26-2023 08:35:47 GMT -06:00 https://www.coursehero.com/file/100482371/Kenneth-Bronson-VSIM-Medical-Surgicalpdf/ right lung base. 4:47 You attached the pulse oximeter. It is a good idea to monitor the saturation and pulse here. This will allow you to reassess the patient continuously. 5:06 You measured the blood pressure at 136/82 mm Hg. It is appropriate to monitor the patient by measuring the blood pressure. 5:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 138/83 mm Hg. Respiration: 17. Conscious state: Appropriate. SpO2: 95%. Temp: 102 F (39.1 C) 5:24 You looked for normal breathing. He is breathing at 17 breaths per minute. The chest is moving normally on both sides. You should consider measuring the temperature of the patient at this point as part of checking the vital signs. 5:56 You started infusing ceftriaxone. This is part of the correct treatment of this condition, and you typically infuse this over 30 minutes. It is important to use the basic rights of medication administration to ensure proper drug therapy.. 5:56 The patient started developing an allergic reaction to the antibiotic. 6:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 135/82 mm Hg. Respiration: 17. Conscious state: Appropriate. SpO2: 95%. Temp: 102 F (39.1 C) 6:22 You stopped infusing ceftriaxone. Correct. It is very important to stop any infusions when an anaphylactic reaction has developed. 6:38 You attached a 3-lead ECG. It is correct to attach the monitor to the patient. 6:45 Patient status - ECG: Sinus tachycardia. Heart rate: 115. Pulse: Present. Blood pressure: 136/77 mm Hg. Respiration: 22. Conscious state: Appropriate. SpO2: 94%. Temp: 102 F (39.1 C) 6:48 You sat the patient up. It is correct to do so. 6:58 You phoned the provider in order to discuss the patient. 7:34 Patient status - ECG: Sinus tachycardia. Heart rate: 123. Pulse: Present. Blood pressure: 134/72 mm Hg. Respiration: 27. Conscious state: Appropriate. SpO2: 93%. Temp: 102 F (39.1 C) 8:19 You administered 0.5 mg of epinephrine 1:1000 intramuscularly. 8:34 Patient status - ECG: Sinus tachycardia. Heart rate: 132. Pulse: Present. Blood pressure: 133/68 mm Hg. Respiration: 32. Conscious state: Appropriate. SpO2: 91%. Temp: 102 F (39.1 C) 8:40 You flushed the cannula [Show More]

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