Exam (elaborations)
Vsim Sabina Vasquez Dialogue; Feedback Log(Asthma & Pneumonia) Score 100%
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Vsim Sabina Vasquez Dialogue; Feedback Log(Asthma & Pneumonia) Score 100%
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Sabina VasquezAge: 5 years
Diagnosis: Asthma and pneumonia
Score
1
0
90
1
%
Feedback Log
0:00 You arrived at the child.
0:00 You introduced yourself.
0:10 You washed your hands. To maintain patient safety it is important to wash your
hands as soon as you enter the room.
0:10 Child status - ECG: Sinus tachycardia. Heart rate: 144. Pulse: Present. Blood pressure:
121/81 mmHg. Respiration: 25. Conscious state: Appropriate. SpO2: 94%. Temp: 39.2
C
0:54 You identified the child. To maintain patient safety it is important that you
quickly identify the child.
, 1:03 You identified the relatives. This is important, as the patient is below 18 years of
age.
1:10 Child status - ECG: Sinus tachycardia. Heart rate: 144. Pulse: Present. Blood pressure:
122/82 mmHg. Respiration: 26. Conscious state: Appropriate. SpO2: 93%. Temp: 39.2
C
1:27 You obtained legal consent from the child's relative. This was reasonable.
2:10 Child status - ECG: Sinus tachycardia. Heart rate: 145. Pulse: Present. Blood
pressure:
121/82 mmHg. Respiration: 27. Conscious state: Appropriate. SpO2: 93%. Temp: 39.1 C
2:34 You asked the parent: Does she have any known allergies? The parent
replied: 'No. I don't think so.'
2:55 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff.
This will allow you to reassess the child continuously.
3:10 Child status - ECG: Sinus tachycardia. Heart rate: 145. Pulse: Present. Blood pressure:
124/83 mmHg. Respiration: 28. Conscious state: Appropriate. SpO2: 92%. Temp: 39.1
C
3:49 You attached the <Pulseoximeter>pulse oximeter.<> This was indicated
by order.
4:06 You measured the <Temperature>temperature<> in the ear.
The temperature was 39.1 C.
4:10 Child status - ECG: Sinus tachycardia. Heart rate: 145. Pulse: Present. Blood pressure:
123/83 mmHg. Respiration: 29. Conscious state: Appropriate. SpO2: 92%. Temp: 39.1
C
4:14 You looked for normal breathing. She is breathing at 29 breaths per minute. There
are a few audible wheezes. The chest is moving equally.
4:38 You checked the pulse at the brachial artery. The pulse is strong, 145 per minute
and regular. It is correct to assess the child's vital signs.
5:04 You assessed the pain level using the FACES scale. The child answered 1 on
the FACES pain scale with a range of 0 to 5.
5:10 Child status - ECG: Sinus tachycardia. Heart rate: 145. Pulse: Present. Blood pressure:
127/85 mmHg. Respiration: 29. Conscious state: Appropriate. SpO2: 92%. Temp: 39.1
C
5:36 You listened to the lungs of the child. There are reduced breath sounds at the
right lung base. There are a few audible wheezes. In the clinical situation you
should auscultate the lungs both anteriorly and posteriorly.
6:08 You assessed the mucous membranes. This was reasonable.
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