Skyler Hansen Age: 18 years Diagnosis: Diabetes|NUR 172_Skyler Hansen Vsim.

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Skyler Hansen Age: 18 years Diagnosis: Diabetes Score 0 0 0 100% Feedback Log 0:00 You arrived at the patient's side. This study source was downloaded by 100000860583932 from CourseHero.com ... on 01-26-2023 11:34:38 GMT -06:00 https://www.coursehero.com/file/138564605/Nur-212-Skyler-Hansendocx/ 0:00 You introduced yourself. 0:09 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 rhythm. Heart rate: 90. Pulse: Present. Blood pressure: 127/76 mm Hg. Respiration: 19. Conscious state: Somnolent. SpO2: 97%. Temp: 99 F (37 C) 1:10 Patient status - ECG: Sinus rhythm. Heart rate: 91. Pulse: Present. Blood pressure: 129/77 mm Hg. Respiration: 19. Conscious state: Somnolent. SpO2: 97%. Temp: 99 F (37 C) 1:22 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 1:32 You asked if the patient was allergic to anything. He replied: 'Get me out of here!' 1:36 You sat the patient up. 2:03 You measured the blood pressure at 126/76 mm Hg. It is appropriate to monitor the patient by measuring the blood pressure. 2:10 Patient status - ECG: Sinus rhythm. Heart rate: 91. Pulse: Present. Blood pressure: 125/75 mm Hg. Respiration: 19. Conscious state: Somnolent. SpO2: 97%. Temp: 99 F (37 C) 2:22 You checked the radial pulse. The pulse is strong, 90 per minute and regular. It is correct to assess the patient's vital signs. 2:37 You looked for normal breathing. He is breathing at 19 breaths per minute. The chest is moving normally on both sides. 3:01 You checked the temperature at the mouth. The temperature was 99 F (37 C). 3:10 Patient status - ECG: Sinus rhythm. Heart rate: 92. Pulse: Present. Blood pressure: 128/76 mm Hg. Respiration: 19. Conscious state: Somnolent. SpO2: 97%. Temp: 99 F (37 C) 3:25 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. 3:54 You asked the patient if he had any medical problems. He replied: 'What am I doing here?' 4:01 You asked the patient if he knew where he was. He replied: 'I'm right here!' This study source was downloaded by 100000860583932 from CourseHero.com on 01-26-2023 11:34:38 GMT -06:00 https://www.coursehero.com/file/138564605/Nur-212-Skyler-Hansendocx/ 4:08 You asked the patient what date it was. He replied: 'What date?' 4:10 Patient status - ECG: Sinus rhythm. Heart rate: 92. Pulse: Present. Blood pressure: 127/76 mm Hg. Respiration: 19. Conscious state: Somnolent. SpO2: 96%. Temp: 99 F (37 C) 4:16 You asked the patient what year it is. He replied: 'No year.' 4:38 You checked the patient's pupils, and they were 5 mm and reactive. It is reasonable to check the pupils here. 5:01 You checked the corneal reflex. The corneal reflex was present. 5:02 The patient went into hypoglycemic crisis. 5:03 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 127/76 mm Hg. Respiration: 20. Conscious state: Unconscious. SpO2: 96%. Temp: 99 F (37 C) 5:11 You talked to the patient, and he did not respond. 5:16 You talked to the patient, and he did not respond. 5:29 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. This will allow you to reassess the patient continuously. 5:50 You listened to the lungs of the patient. The airway sounds obstructed. 6:01 You phoned the provider in order to discuss the patient. 6:03 Patient status - ECG: Sinus tachycardia. Heart rate: 118. Pulse: Present. Blood pressure: 134/81 mm Hg. Respiration: 23. Conscious state: Unconscious. SpO2: 92%. Temp: 99 F (37 C) 6:44 Patient status - ECG: Sinus tachycardia. Heart rate: 121. Pulse: Present. Blood pressure: 139/83 mm Hg. Respiration: 28. Conscious state: Unconscious. SpO2: 88%. Temp: 99 F (37 C) 7:25 You checked the blood glucose. It was 45 mg/dL. It was sensible to check the blood glucose here. 7:42 You tried to assess any IVs, but the patient didn't have any. 7:44 Patient status - ECG: Sinus tachycardia. Heart rate: 114. Pulse: Present. Blood pressure: 130/78 mm Hg. Respiration: 26. Conscious state: Unconscious. SpO2: 79%. Temp: 99 F (37 C) 8:04 You obtained IV access in the hand. This study source was downloaded by 100000860583932 from CourseHero.com on 01-26-2023 11:34:38 GMT -06:00 https://www.coursehero.com/file/138564605/Nur-212-Skyler-Hansendocx/ 8:16 You flushed the cannula. It is reasonable to flush the cannula here. 8:20 You administered 50 mL of dextrose 50% in water IV. Dextrose 50% in water was indicated here. It is important to use the basic rights of medication administration to ensure proper drug therapy.. 8:28 Patient status - ECG: Sinus tachycardia. Heart rate: 107. Pulse: Present. Blood pressure: 120/71 mm Hg. Respiration: 32. Conscious state: Unconscious. SpO2: 71%. Temp: 99 F (37 C) 8:39 You flushed the cannula. 8:48 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 113/66 mm Hg. Respiration: 36. Conscious state: Somnolent. SpO2: 70%. Temp: 99 F (37 C) 8:58 You placed a nasal oxygen cannula. This was part of your orders. 8:58 Patient status - ECG: Sinus rhythm. Heart rate: 83. Pulse: Present. Blood pressure: 113/65 mm Hg. Respiration: 35. Conscious state: Appropriate. SpO2: 73%. Temp: 99 F (37 C) 9:01 You turned the oxygen on. 9:02 You attached a 3-lead ECG. It is correct to attach the monitor to the patient. 9:08 Patient status - ECG: Sinus rhythm. Heart rate: 82. Pulse: Present. Blood pressure: 115/67 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 76%. Temp: 99 F (37 C) 9:19 Patient status - ECG: Sinus rhythm. Heart rate: 85. Pulse: Present. Blood pressure: 119/69 mm Hg. Respiration: 24. Conscious state: Appropriate. SpO2: 79%. Temp: 99 F (37 C) 9:23 You listened to the lungs of the patient. The breath sounds are normal. 9:29 You looked for normal breathing. He is breathing at 21 breaths per minute. The chest is moving normally on both sides. 9:36 Patient status - ECG: Sinus rhythm. Heart rate: 91. Pulse: Present. Blood pressure: 120/71 mm Hg. Respiration: 19. Conscious state: Appropriate. SpO2: 82%. Temp: 99 F (37 C) 9:54 You examined the patient's skin. There is normal skin turgor. His skin is a bit blue. 10:0 5 You asked the patient if he knew where he was. He replied: 'This is the emergency department, right?' This study source was downloaded by 100000860583932 from CourseHero.com on 01-26-2023 11:34:38 GMT -06:00 https://www.coursehero.com/file/138564605/Nur-212-Skyler-Hansendocx/ 10:1 2 You asked the patient what date it was. He replied: 'It is the 24th' 10:1 2 Patient status - ECG: Sinus rhythm. Heart rate: 97. Pulse: Present. Blood pressure: 131/77 mm Hg. Respiration: 14. Conscious state: Appropriate. SpO2: 88%. Temp: 99 F (37 C) 10:1 8 You asked the patient what year it is. He replied: 'The year is 2022.' 10:2 3 You asked the patient if he had any medical problems. He replied: 'I was diagnosed with diabetes half a year ago or so.' 10:3 1 You asked the patient what medication he was taking, if any. He replied: 'Yes, I take insulin.' 10:3 6 You asked the patient how he felt. He replied: 'I feel okay I guess.' 10:4 2 You asked the patient if he had had anything to eat or drink today. He replied: 'I had breakfast this morning.' 10:4 9 You asked the patient if he needed anything. He replied: 'I'm hungry.' 11:04 You gave the patient protein and carbs orally. This was a good idea. 11:12 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 130/77 mm Hg. Respiration: 12. Conscious state: Appropriate. SpO2: 93%. Temp: 99 F (37 C) 11:24 You checked the blood glucose. It was 183 mg/dL. 11:38 You provided patient education. This is correct. It is important to use every opportunity to provide patient education. 12:1 2 Patient status - ECG: Sinus rhythm. Heart rate: 88. Pulse: Present. Blood pressure: 125/74 mm Hg. Respiration: 12. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 12:3 1 You took a venous blood sample. This was correct as part of completing the order for a metabolic panel. 12:4 4 You looked for normal breathing. He is breathing at 12 breaths per minute. The chest is moving normally on both sides. 13:1 0 You checked the radial pulse. The pulse is strong, 85 per minute and regular. This study source was downloaded by 100000860583932 from CourseHero.com on 01-26-2023 11:34:38 GMT -06:00 https://www.coursehero.com/file/138564605/Nur-212-Skyler-Hansendocx/ 13:1 2 Patient status - ECG: Sinus rhythm. Heart rate: 84. Pulse: Present. Blood pressure: 122/73 mm Hg. Respiration: 12. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C) 13:3 4 You checked the corneal reflex. The corneal reflex was present. 13:5 1 You checked the eyelash reflex. The eyelash reflex was present. 14:1 2 You checked the patient's pupils, and they were 4 mm and reactive. 14:1 2 Patient status - ECG: Sinus rhythm. Heart rate: 82. Pulse: Present. Blood pressure: 122/73 mm Hg. Respiration: 12. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C) 14:3 2 You phoned the provider in order to discuss the patient. 15:1 2 Patient status - ECG: Sinus rhythm. Heart rate: 82. Pulse: Present. Blood pressure: 121/73 mm Hg. Respiration: 12. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 15:4 7 You asked the patient how he felt. He replied: 'I feel okay I guess.' 16:1 0 You checked the blood glucose. It was 163 mg/dL. 16:1 2 Patient status - ECG: Sinus rhythm. Heart rate: 81. Pulse: Present. Blood pressure: 122/73 mm Hg. Respiration: 12. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 16:4 3 You listened to the lungs of the patient. The breath sounds are normal. 17:0 3 You listened to the heart of the patient. There were only normal heart sounds. This is reasonable. 17:1 2 Patient status - ECG: Sinus rhythm. Heart rate: 81. Pulse: Present. Blood pressure: 124/74 mm Hg. Respiration: 12. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 18:0 4 You asked the patient if he had any pain. He replied: 'No, I don't have any pain.' 18:1 2 Patient status - ECG: Sinus rhythm. Heart rate: 81. Pulse: Present. Blood pressure [Show More]

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