Medical Case 01 Kenneth Bronson Guided Reflection PDF

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Medical Case 1: Kenneth Bronson Guided Reflection Questions 1. How did the scenario make you feel? The simulation was interesting and intense. Despite the fact that we have done it last semester, it was very informative to reproduce everything again. Now I know that my knowledge remained with me and did not disappear later. 2. What signs and symptoms led you to the conclusion that Kenneth Bronson was experiencing an allergic reaction? First of all, antibiotics are the most common drug allergy. The nurse always should monitor the patient’s reaction to medication administration. In this case scenario: Immediately after medication administration Kenneth Bronson started complaining on shortness of breath, difficulty breathing. Few minutes later the rash on his neck was noticed. He had fever already, so it was not a reliable symptom. 3. Discuss the differences between mild, moderate, and severe anaphylactic reactions. We can classify symptoms of allergy as mild, moderate and severe. In case of mild allergic reactions, the symptoms are usually local and affect specific part or area of the body and don’t spread to other parts of the body. It can be hives, rash, watery eyes, red eyes, runny nose, or itchiness. Second one, moderate allergic reactions show symptoms that spread to other parts of the body. The symptom could be the same as in mild reactions (hives, rash, itchiness) or could be more severe, such as trouble breathing and swelling, but not life-threatening . Anaphylaxis is defined as a severe, life-threatening, generalized hypersensitivity reaction. Anaphylaxis, the most severe allergic reaction, is a life-threatening emergency. In this case the human body responses to the allergen suddenly. This kind of reaction affects the whole body. This reactions could start with itching of the eyes and face. Than more serious symptoms appear (such as angioedema, swelling of the throat, which can cause problems with breathing, and swallowing). The patient could experience symptoms like abdominal pain, cramps, vomiting, diarrhea, mental confusion, dizziness, drop in blood pressure.

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4. Discuss the importance of follow-up assessments post-reaction. Anaphylaxis is defined as a severe, life-threatening, generalized hypersensitivity reaction. Anaphylaxis, the most severe allergic reaction, is a life-threatening emergency. So, after successful emergency interventions and treatment the patient should be closely monitored. Delayed reaction can occur. Patient should be observed for 6-12 hours after the onset of allergic reaction and symptoms of it, because of the risk of relapse. Need to be done: Referral to an allergy specialist An adrenaline/epinephrine injector device should be prescribed by doctor before discharge from the hospital Educate the patient and the patient’s family about allergy, symptoms, treatment, prevention… 5. What further needs does Kenneth Bronson have at the end of the scenario that future nursing care should address? After successful emergency interventions and treatment Kenneth Bronson should be closely monitored next 6-12 hours because of relapse and delayed reaction can occur. The future nursing care should be also focused on pain and fever management, Adequate hydration, and education. 6. Reflect on how you would communicate with family members in an emergency situation if they were present at the bedside. I would explain that allergic reaction take place and medical personnel would do everything needed. After successful emergency intervention and treatment (when Kenneth’s condition is stabilized), I would provide information to family members about type of allergic reaction, causes, and would educate about managing this allergy.

7. After completing the simulation and reflecting on your experience, what would you do differently (or the same) for the patient experiencing acute respiratory distress? I would do everything the same. I don’t think that any changes should be made. 8. How could you prepare for clinical in order to plan ahead for potential patient emergencies? In my opinion, the only way to be at least partially prepared for potential emergencies in the clinical settings is to know all possible and the most common complications, the methods of managing that situations. We can not predict everything, however the nurses should be knowledgeable about different disease, complications, and symptoms. © Wolters Kluwer Health | Lippincott Williams & Wilkins...