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Case Study Resuscitation Clinical Dilemma, Agnes Peters, 82 years old, (Latest 2021) Correct Study Guide, Download to Score A $10.99   Add to cart
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Case Study Resuscitation Clinical Dilemma, Agnes Peters, 82 years old, (Latest 2021) Correct Study Guide, Download to Score A

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Case Study Resuscitation Clinical Dilemma, Agnes Peters, 82 years old, (Latest 2021) Correct Study Guide, Download to Score A

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  • April 16, 2021
  • 7
  • 2020/2021
  • Case
  • Doctor
  • A+

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  • Case Study Resuscitation Clinical Dilemma, Agnes Peters, 82 years old, Correct Study G
  • Case Study Resuscitation Clinical Dilemma, Agnes Peters, 82 years old, Correct Study Guide, Download to Score A

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Resuscitation Clinical Dilemma Primary Concept Perfusion Interrelated Concepts (In order of emphasis) •Collaboration •Ethics •Clinical Judgment •Communication NCLEX Client Need Categories Percentage of Items from Each
Category/Subcategory Covered in
Case Study Safe and Effective Care Environment  Management of Care 17-23%   Safety and Infection Control 9-15% Health Promotion and Maintenance 6-12% Psychosocial Integrity 6-12%  Physiological Integrity  Basic Care and Comfort 6-12%   Pharmacological and Parenteral Therapies 12-18%  Reduction of Risk Potential 9-15%   Physiological Adaptation 11-17% Copyright © 2019 Keith Rischer, d/b/a KeithRN. All Rights reserved. Agnes Peters, 82 years old This study source was downloaded by 100000816649994 from CourseHero.com on 04-16-2021 02:24:16 GMT -05:00
https://www.coursehero.com/file/74250358/clinical-week-12-saturday-case-studydocx/This study resource was
shared via CourseHero.com I. Initial Scenario History of Present Problem: Agnes Peters is an 82-year-old Caucasian female with a medical history of heart failure, COPD, and chronic kidney disease who resides in a skilled care facility. Agnes puts her call light on and says she is having chest pain and difficulty breathing. Upon entering the room, you notice that she is pale, diaphoretic and has labored breathing. Her breath sounds are diminished bilaterally and she has coarse bibasilar crackles. Her VS are T: 97.9 F/36.6 C (o) P: 98 (irreg) R: 32 BP: 148/90 O2 sat 86% room air. Recognizing a problem, you push the call for immediate assistance button and delegate another nurse to call 911. Oxygen is administered per face mask. In ten minutes an ambulance arrives and the paramedics are given report. A peripheral IV is placed by the paramedics and a 12 lead EKG reveals sinus rhythm with frequent multifocal PVCs and 3-4 mm ST elevation in leads V1-V4. She receives ASA 325 mg PO, nitroglycerin 0.4 mg subl. and is transported emergently to the emergency department (ED). Personal/Social History: Agnes is widowed and has no children. She has a brother, Dennis, who is 78 years old and visits her once a week. She has a living will which states that she is a DNI (do not intubate) but wants to be resuscitated if her heart stops. What data from the histories is important & RELEVANT; therefore it has clinical significance to the nurse? (Reduction of Risk Potential) RELEV ANT Data from Present Problem: Clinical Significance: heart failure, COPD She is already immunocompromised and her O2 is at 86% with heart failure she doesnt have a probable positive outcome, she is near her end stage of life
RELEV ANT Data from Social History: Clinical Significance: widowed with no children, brother visits once a week, has living will stating DNIIf no one is there to verify her wishes she will be intubated if the DNI is not on record II. The Dilemma Begins… Current
Concern: During transport to the ED, Agnes went into the following rhythm: Cardiac Telemetry Strip: Interpretation: vfib
Clinical Significance: Copyright © 2019 Keith Rischer, d/b/a KeithRN. All Rights reserved. This study source was downloaded by 100000816649994 from CourseHero.com on 04-16-2021 02:24:16 GMT -05:00
https://www.coursehero.com/file/74250358/clinical-week-12-saturday-case-studydocx/This study resource was
shared via CourseHero.com

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