Scott Becker shadow health Transcript

Scott Becker Shadow Health Transcript

Transcript

Greetings,

09/18/23 1:54 PM EDT

Hello there.

May I inquire about your reason for visiting today?

Inquiry

09/18/23 1:55 PM EDT

I’ve been experiencing significant abdominal discomfort, unusual fatigue, and alarming symptoms like vomiting blood. Consequently, I thought it was prudent to seek medical attention.

To order ShadowHealth or an examination, please proceed here.

I am genuinely concerned about your…

Values are consistent with baseline measurements. Continue the transfusion and monitor the patient’s progress.

Scott Becker Shadow Health Transcript – Inquiry

09/30/23 6:13 PM EDT

You’ve spent a quarter of an hour with the patient. Now, assess the patient’s vital signs and compare them to the initial baseline observations.

Examination Action

09/30/23 6:13 PM EDT

The initial vital signs were as follows: Temperature 37.0°C; Blood Pressure 110/98; Heart Rate 110; Respiratory Rate 20; Oxygen Saturation 97%.

Examination Action

09/30/23 6:13 PM EDT

The current vital signs are: Temperature 37.1°C; Blood Pressure 111/97; Heart Rate 108; Respiratory Rate 20; Oxygen Saturation 97%.

Examination Action

09/30/23 6:13 PM EDT

Scott Becker Shadow Health Transcript – How are you feeling, Mr. Becker?

Inquiry

09/30/23 6:13 PM EDT

Scott: I’m still doing okay. No significant changes, which is a positive sign.

After closely observing the patient for fifteen minutes, you’ve increased the transfusion rate to 200 mL/hr.

Examination Action

09/30/23 6:13 PM EDT

Please choose the following option that best explains the reason for raising the transfusion rate after the initial fifteen minutes.

Examination Action

09/30/23 6:13 PM EDT

The transfusion rate is increased to strike a balance between patient safety and ensuring the transfusion is completed within the four-hour window.

Inquiry

09/30/23 6:15 PM EDT

Proceed with the examination.

Inquiry

09/30/23 6:16 PM EDT

After adjusting the transfusion rate, follow the hospital’s guidelines for monitoring the patient during transfusion. Keep in mind that these protocols may differ between facilities, so be aware of the standards in place when working in a new location.

Examination Action

09/30/23 6:16 PM EDT

Scott Becker Shadow Health Transcript – How are you feeling, Mr. Becker?

Inquiry

09/30/23 6:16 PM EDT

Scott: I’m still here, and I’m definitely feeling better than before.

Following the patient’s report, proceed to auscultate the patient’s lung sounds.

Examination Action

09/30/23 6:16 PM EDT

Auscultate all areas; no abnormal sounds detected.

Examination Action

09/30/23 6:16 PM EDT

The patient has not shown any signs of a transfusion reaction. Lung sounds are clear, and no abnormal sounds are present.

Inquiry

09/30/23 6:16 PM EDT

Why is it crucial to auscultate the patient’s lungs during a blood transfusion?

Examination Action

09/30/23 6:16 PM EDT

Please select the option that provides the best response.

Examination Action

09/30/23 6:16 PM EDT

Excess fluid in the bloodstream can exit into the lungs, which may manifest audibly during auscultation.

Preceptor Diana: Before transferring the patient for an endoscopy, please answer the following questions:

Preceptor Diana: If the patient’s temperature had increased by less than a degree Celsius, what would be your next course of action?

Examination Action

09/30/23 6:19 PM EDT

Continue monitoring vital signs and stay with the patient.

Inquiry

09/30/23 6:22 PM EDT

Preceptor Diana: If the patient’s temperature had risen by five degrees during the initial fifteen minutes of observation, what immediate steps should you take?

Halt the transfusion immediately and replace all IV tubing.

Inquiry

09/30/23 6:26 PM EDT

Preceptor Diana: After halting the transfusion and replacing all IV tubing for a patient potentially experiencing a transfusion reaction, what are the subsequent actions you need to undertake? Scott Becker Shadow Health Transcript

Notify the blood bank and the healthcare provider regarding the reaction. Continue patient monitoring. Retain the blood bag and tubing and send them to the blood bank. Perform a urinalysis and send it to the lab to check for hemoglobin.

Inquiry

09/30/23 6:30 PM EDT

Proceed.

Inquiry

09/30/23 6:31 PM EDT

Preceptor Diana: Please respond to the following three questions in your own words. When providing answers, consider your scope of practice and the information covered in this activity.

How do you determine the success of the transfusion (cite evidence from tests and patient interactions)?

Examination Action

09/30/23 6:31 PM EDT

The transfusion can be considered successful based on the patient’s improved condition and their report of feeling better post-procedure.

Inquiry

09/30/23 6:31 PM EDT

Proceed.

Inquiry

09/30/23 6:32 PM EDT

What should you do if there is no transfusion reaction, but the patient’s condition has not improved?

Examination Action

09/30/23 6:32 PM EDT

The patient should be closely monitored, and an antibody screening test should be conducted.

Inquiry

09/30/23 6:39 PM EDT

Proceed.

Inquiry

09/30/23 6:39 PM EDT

Under what circumstances would you request additional blood?

Examination Action

09/30/23 6:39 PM EDT

Additional blood should be requested when a patient is suffering from severe anemia or has experienced significant blood loss due to injury. Scott Becker Shadow Health Transcript

Inquiry

09/30/23 6:41 PM EDT

Proceed.

Inquiry

09/30/23 6:41 PM EDT

Congratulations! You have successfully completed the Blood Transfusion Activity for Scott Becker. Scott Becker Shadow Health Transcript.

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