MS -9 Keola Akana - assignment PDF

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Session: NUR 201 Scenario: Heart Failure/ Digoxin Toxicity and Hypokalemia MS-9-Keola Akana-Heart Failure/Digoxin Toxicity and Hypokalemia OBJECTIVES: 

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Instructor:

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Recognize and respect the individual’s and family’s cultural beliefs when providing nursing care. (SLO - 3, 6) Demonstrate effective communication skills with individuals, families, peers, and other health care providers. (SLO – 3, 6) Develop, implement, and evaluate individualized teaching plans for individuals in acute and community based settings. (SLO -4, 5, 6) Collaborate with individuals, families, and other health care providers in planning and implementing nursing care. (SLO - 6 ) Demonstrate responsibility and accountability in the provision of nursing care. (SLO -7, 8)

Admission Ticket Grade: Medication Card Grade: Average: Please review the following PRIOR to your simulation experience: How to perform a complete physical assessment, including a focused cardiac assessment How to identify abnormal findings and discusses implications The pathophysiology of heart failure The manifestations of both right and left sided heart failure

Medications: Digoxin, Furosemide, Potassium Chloride Answer these questions prior to Simulation Session (Attach answers to this ticket for admission to simulation session. Without this ticket and completed questions you will not be allowed to participate in the scheduled scenarios). 1. 2. 3. 4. 5. 6.

What is the difference between right and left sided heart failure? What are the clinical manifestations of heart failure? What are the complications of heart failure? How is heart failure treated? What does pink tinged sputum represent in a patient with heart failure, and what will you do if you see pink tinged sputum? What is digoxin toxicity, and how do we treat it?

Simulation Admission Ticket

1. What is the difference between right and left sided heart failure? Right side heart failure can cause fluid to back up into abdomen (causing weight gain and edema), legs, and feet. Increased heart rate, hepatomegaly, fatigue, anxiety, depression, upper quadrant pain, and anorexia. Left sided heart failure includes decreased Pa02, slight increase in PaC02, crackles, pulmonary edema,S3 and S4 heart sounds, pleural effusion, changes in mental status, restlessness, confusion, 2.

What are the clinical manifestations of heart failure? Some Manifestation of heart failure would be shortness of breath during exertion or lying down, fatigue, weakness, lower extremities edema.

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What are the complications of heart failure? Some complications of heart failure could be arrhythmias, heart valve problems, Anemia, liver damage, fluid buildup and impaired kidney function.

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How is heart failure treated? Heart failure is treated in different ways depending on the type of heart failure it is. Some treatment may use of medications: Nitrates for chest pain, statins to help lower cholesterol, blood-thinner prevent blood prevent blood clots, and diuretics to reduce fluid buildup. Diet changes also possible placement of a defibrillator or pacemaker.

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What does pink tinged sputum represent in a patient with heart failure, and what will you do if you see pink tinged sputum? A pink tinged sputum can come from pulmonary edema, this is an acute life - threatening situation, in which the lung alveoli become filled with serosanguineous fluid. Most common cause is left sided heart failure that has become severe. Auscultation of the lungs for crackles and wheezing.

Simulation Admission Ticket 6.

What is digoxin toxicity, and how do we treat it? Digoxin toxicity is when there is a buildup of Digoxin in your blood from medications used for heart condition treatment. Signs and symptoms include: nausea, vomiting, diarrhea, and irregular heartbeat. Treatment for this toxicity is digoxin immune fab, and it is an anti-digoxin immunoglobulin....