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Scott Becker shadow health Transcript
Hello.
What brings you here today?
Question
09/18/23 1:55 PM EDT
I’ve been having some pretty serious stomach pain. I’ve been strangely tired. And when I threw up and there was blood in it . . . I figured things were serious enough that I should finally get checked out.
NU 685 Comprehensive Medical Assessment I (Full Comprehensive Medical Assessment)
I am sorry to hear that you are….
…
Values are consistent with baseline measurements. Continue transfusion and observation.
Scott Becker shadow health Transcript Question
09/30/23 6:13 PM EDT
You have been in the room with the patient for fifteen minutes. Check the patient’s vitals and make note of any changes from your baseline observation.
Exam Action
09/30/23 6:13 PM EDT
The patient’s baseline vitals were: Temp 37.0° C; BP 110/98; HR 110; RR 20; O2 Sat 97%.
Exam Action
09/30/23 6:13 PM EDT
The patient’s current vitals are: Temp 37.1° C; BP 111/97; HR 108; RR 20; O2 Sat 97%
Emergency Care Nursing: An Overview
Exam Action
09/30/23 6:13 PM EDT
Scott Becker shadow health Transcript How are you feeling, Mr. Becker?
Question
09/30/23 6:13 PM EDT
Scott: Still hanging around. I still don’t feel any different, which I guess is good.
You have observed the patient for fifteen minutes. The patient has had no adverse reactions and you have increased the transfusion rate to 200 mL/hr.
Exam Action
09/30/23 6:13 PM EDT
Select the following option that explains why you increase the transfusion rate after the first fifteen minutes.
Exam Action
09/30/23 6:13 PM EDT
The transfusion rate is increased because it allows for the greatest balance between patient safety and completing the transfusion within the four hour window for transfusions.
Question
09/30/23 6:15 PM EDT
Proceed
Question
09/30/23 6:16 PM EDT
After adjusting the transfusion rate, you check in with the patient following the guidelines for patient observation during transfusions set by the hospital. Keep in mind that these policies may vary from location to location, so it is best practice to familiarize yourself with these standards whenever working in a new facility.
Exam Action
09/30/23 6:16 PM EDT
How are you feeling, Mr. Becker?
Question
09/30/23 6:16 PM EDT
Scott: I’m still here, and I’m definitely feeling better than before Scott Becker shadow health Transcript .
After you have had the patient report their condition, auscultate the patient’s lungs.
Exam Action
09/30/23 6:16 PM EDT
Auscultated all areas; all areas clear and no adventitious sounds.
Exam Action
09/30/23 6:16 PM EDT
The patient reports no signs of a transfusion reaction. The patient’s lung sounds are clear and there are no adventitious sounds.
Question
09/30/23 6:16 PM EDT
Why is it important to auscultate the patient’s lungs during a blood transfusion?
Exam Action
09/30/23 6:16 PM EDT
Choose the option that best answers the question
Exam Action
09/30/23 6:16 PM EDT
Excess fluid in the bloodstream can exit the bloodstream in the lungs, which can present audibly when the lungs are auscultated.
Question
09/30/23 6:19 PM EDT
Preceptor Diana: Before we transfer the patient to surgery for his endoscopy, please answer the following questions:
Preceptor Diana: Had the patient’s temperature increased by less than a degree Celsius, what would your next step be?
Select one of the following options:
Exam Action
09/30/23 6:19 PM EDT
Continue to monitor vital signs and do not leave patient.
Question
09/30/23 6:22 PM EDT
Preceptor Diana: If the patient’s temperature had increased by five degrees during the first fifteen minutes of observation, what actions should you immediately take?
Stop the transfusion immediately and change all IV tubing.
Question
09/30/23 6:26 PM EDT
Preceptor Diana: After you have stopped the transfusion and changed all the IV tubing for a patient experiencing a possible transfusion reaction, what are the next steps you should take? Scott Becker shadow health Transcript
Notify the blood bank and the provider of the reaction. Continue to monitor the patient. Save blood bag and tubing and send it to blood bank. Obtain urinalysis and send to the lab to check for hemoglobin.
Question
09/30/23 6:30 PM EDT
Proceed
Question
09/30/23 6:31 PM EDT
Preceptor Diana: Please answer these last three questions in your own words. When answering, remember your scope of practice and the materials covered in this activity.
How do you know the transfusion works (cite evidence from labs/tests and from patient interaction)?
Exam Action
09/30/23 6:31 PM EDT
The transfussion worked because the patient reported to feeling better than before afteer the procedure
Question
09/30/23 6:31 PM EDT
Proceed
Question
09/30/23 6:32 PM EDT
What do you do if there is no transfusion reaction but there is also no improvement in the patient’s condition?
Exam Action
09/30/23 6:32 PM EDT
Patient should be monitored closely and an anti-body screening test should be conducted
Question
09/30/23 6:39 PM EDT
Proceed
Question
09/30/23 6:39 PM EDT
Under what conditions would you call for more blood?
Exam Action
09/30/23 6:39 PM EDT
When a patient has severe anemia or injury that has made them loose alot of blood Scott Becker shadow health Transcript
Question
09/30/23 6:41 PM EDT
Proceed
Question
09/30/23 6:41 PM EDT
Congratulations! You have completed the Blood Transfusion Activity for Scott Becker. 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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