VSim Rashid Ahmed (week 3 documentation PDF

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documentation assignment from virtual simulation course used during covid 19 online zoom lectures. Great content and can be helpful....

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Do c ume nt a t i o nAs s i g nme nt sRASHI DAHMED 1 .Do c ume nty o urfindi ng sr e l a t e dt ot hef o c us e da s s e s s me ntr e g a r di ngMr . Ahme d’ s flui da nde l e c t r o l y t es t a t us . Ic o n d u c t e dah e a d t o t o ea s s e s s me n to fMr . Ah me da n dc o n c l u d e dh ewa sd e h yd r a t e db yt h e t e nt i n go fh i ss ki nb e i n gwa r ma n dd r ya n dh i smu c ou sme mb r a newa sa l s od r y . Hewa s c o ns c i ou sd u r i n gh i sn e u r o l o g i c a la s s e s s me n tb u th a dr e d uc e dmu s c l es t r e n g t hi nh i sl e g sa n d a r mswi t hn o r ma ls e n s a t i on . Mr . Ah me dpr e s e n t e dwi t ha ni r r e g u l a rp u l s er a t eof1 2 0b e a t s p e rmi n u t ewi t hat e mp e r a t u r eof3 8 . 4d e gr e e sCe l s i u s . Heha dar e s p i r a t i o no f2 9b r e a t he s p e rmi n u t ewi t hc l e a ra n de q u a ls o u n d sb i l a t e r a l l y .Heh a daur i n eo ut p ut o f70c ca n d c o mp l a i n e do fd i z z i ne s s . Ia s k e di fh en e e d e da n y t hi n gt od r i n ks i n c eheh a sl o s tal o to f flu i d s , b u th ed e c l i n e d, u n a b l et ok e e pf oo dorwa t e rd o wnwi t ht h es l i g h tn a u s e o us n e s s . He r a t e dh i spa i na4o u to f1 0a n ds t a t e dhedi dno tn e e da n y t hi n gf o rh i sp a i n . 2 .Re c o g ni z ea ndr e po r tc l i ni c a lma ni f e s t a t i o nso fhypo ka l e mi aa ndhy po na t r e mi a . Hy po n a t r e mi ah a st h ec l i n i c a lma n i f e s t a t i o n so fc a r d i a ca r r h y t hmi a s ,c a r d i a ca r r e s t , a n o r e x i a , n a us e a ,c o n s t i p a t i o n , f a t i g u e , mu s c l et wi t c h& we a kn e s s , c r a mp s , s h a l l o wr e s p i r a t i o n s , p o l y u r i a , n oc t u r i a , e l e v a t e dp H(a l k a l os i s) . Hy p e r k a l e mi ah a st h ec l i n i c a lma n i f e s t a t i o n so f a r r h y t hmi a s , c a r d i a ca r r e s t , n a u s e a ,di a r r h e a , mu s c l ewe a kn e s s , p a r a l y s i si nt h el e g s , p a r e s t he s i a , o l i g u r i a , s h o r t ne s so fb r e a t h ,c h e s tpa i n , p a l p a t i o n s , a n dad e c r e a s e dp H (a c i do s i s) Is t a r t e do ffb ywa s h i n gmyh a n d s , i de n t i fie dt h epa t i e nta ndi nt r o d u c e dmys e l f . As ke di f t h ep th a da nya l l e r gyt oa n yt h i n g , a n dh er e p l i e dt ha th ei sn o ta l l e r g i ct oa ny t hi n g . As k e di fh eh a da n yp a i n . Her e p l i e dt h a th edo e sha v ep a i ni nh i ss t oma c ha n da h e a d a c h ea tapa i ns c a l eo f4a n dd i dn o twa n ta n yt h i n gf o rt h ep a i n . Mo n i t o r e dh i s b r e a t h i n ga ndr e c o r d e d2 9b r e a t h s / mi n . At t a c h e dt h eO2mon i t o rwi t hO2s a t sa t9 6 %. Ch e c k e dp u l s ea tr e c o r d e da t1 2 0b p m. Ch e c k e dBPa ndr e c o r de da t1 0 0 / 7 2 .Re c o r d e d t e mp e r a t u r ea t1 0 1F . Af t e rc h e c ki ngv i t a l sIe d u c a t e dh i mo na c t i v i t i e s , s a f e t y , a n df a l l r i s k s , d e h y d r a t i on , mo n i t or i n gi n p u t sa n do u t p u t s ,a ndme d i c a t i o n s . Co mp l e t e dah e a dt o t o ea s s e s s me n twi t hmuc o u sme mb r a n e sdr y , p u l s ei r r e g u l a r ,b o we ls o un d shy p e r a c t i v e , s k i nt e nt i n ga swe l la swa r ma n dd r y , c a pr e fil l of4s e c s . As s e s s e dt h eI Vs i t ewi t h n o t h i ngo ut o fn o r ma l . As s e s s e dt h eu r i neo u t p u t n o t i c i n gi twa sd a r ka n da mbe rwi t h7 0 mlr e c o r d e d .Ad mi n i s t e r e dh i sme di c a t i o na n dc o mp a r e dt h e mt ot h eMARb e f o r e Is t a r t e do ffb ywa s h i n gmyh a n d s , i de n t i fie dt h epa t i e nta ndi nt r o d u c e dmys e l f . As ke di f t h ep th a da nya l l e r gyt oa n yt h i n g , a n dh er e p l i e dt ha th ei sn o ta l l e r g i ct oa ny t hi n g . As k e di fh eh a da n yp a i n . Her e p l i e dt h a th edo e sha v ep a i ni nh i ss t oma c ha n da h e a d a c h ea tapa i ns c a l eo f4a n dd i dn o twa n ta n yt h i n gf o rt h ep a i n . Mo n i t o r e dh i s b r e a t h i n ga ndr e c o r d e d2 9b r e a t h s / mi n . At t a c h e dt h eO2mon i t o rwi t hO2s a t sa t9 6 %. Ch e c k e dp u l s ea tr e c o r d e da t1 2 0b p m. Ch e c k e dBPa ndr e c o r de da t1 0 0 / 7 2 .Re c o r d e d t e mp e r a t u r ea t1 0 1F . Af t e rc h e c ki ngv i t a l sIe d u c a t e dh i mo na c t i v i t i e s , s a f e t y , a n df a l l r i s k s , d e h y d r a t i on , mo n i t or i n gi n p u t sa n do u t p u t s ,a ndme d i c a t i o n s . Co mp l e t e dah e a dt o

t o ea s s e s s me n twi t hmuc o u sme mb r a n e sdr y , p u l s ei r r e g u l a r ,b o we ls o un d shy p e r a c t i v e , s k i nt e nt i n ga swe l la swa r ma n dd r y , c a pr e fil l of4s e c s . As s e s s e dt h eI Vs i t ewi t h n o t h i ngo ut o fn o r ma l . As s e s s e dt h eu r i neo u t p u t n o t i c i n gi twa sd a r ka n da mbe rwi t h7 0 mlr e c o r d e d .Ad mi n i s t e r e dh i sme di c a t i o na n dc o mp a r e dt h e mt ot h eMARb e f o r e 3 .Re f e r r i ngt oy o urf e e dba c kl o g , do c ume nta l lnur s i ngc a r epr o v i de d,i nc l udi ng ma na g e me ntofflui dba l a nc ewi tI Vt he r a py , a ndMr .Ahme d’ sr e s pons et ot hi sc a r e . Ib e g a nwi t hh a n dh y g i e n ea n di n t r o d u c i n gmy s e l ft oMr . Ah me d . Ia s kf o rh i sna mea ndd a t e o fbi r t ht oe n s u r et h a tIh a dt h ec o r r e c tp a t i e n t .Ia s k e dI fh eh a da n ykn o wna l l e r g i e s , wh i c h h es t a t e dh ed i dn o t .It he np r o c e e d e dt ot a k et h epa t i e nt sv i t a ls i g n sa n da s s e s s e dt hep a t i e n t ’ s mu c o u sme mb r a n ea swe l la sl e g s ,c o nd u c t e dane u r o l o g i c a la s s e s s me n td u et oh i s d e h y d r a t i o n. It h e ne du c a t e dt h ep a t i e n to ns a f e t ya n df a l lp r e c a u t i o n s , e d u c a t e dh i mo n d e h y d r a t i o n, a n dhi sor d e r e dme d i c a t i o n s .Hes t a t e dh ef e l td i z z ya n da g r e e dt oa s s i s t a n c e wh e nt r y i n gt omo v ef r o mh i sb e d . 4 .Do c ume nta l lpa t i e ntt e a c hi ngr e g a r di ngc a r e ,me di c a t i ons , a nds a f e t yi s s ue s pr o v i de dt oMr . Ahme da ndhi sr e s po ns et oe duc at i o n. Ie d u c a t e da b o uta c t i v i t i e s , s a f e t y , a n df a l lr i s k .Hes t a t e dt h a th ef e l td i z z ya n dIe x p l a i n e dh i s d i z z i n e s si sf r o mde h y d r a t i ona n dh es h o u l dc a l lmy s e l fo ra n yo t he rs t a fft oh e l phi m mo v e a r o u n di nb e di fn e e db et op r e v e ntf a l l i n g . It h e np r o c e e de dt oe d u c a t eh i mo nd e h y d r a t i o na n d e x p l a i n e dt h a th el o s tal otofflu i d si nt h ep a s tc o u p l ed a y s , a n dt h a twea r ea d mi n i s t e r i n gflu i d s t h r o u g hh i sI Vi no r de rt ono r ma l i z eh i sl e v e l s .Ie xp r e s s e dt oh i mt h a th ewo ul df e e lb e t t e rs o on a n di fh ei su pt oh a v i n gad r i n ko fwa t e r , Ic a npr o v i d ei t . Hed e c l i n e dt h ewa t e rb u t u nd e r s t o od a b o u td e hy d r a t i o n .Ie x p l a i n e dt ha twewe r er e c o r d i n gh i si n t a k ea n do u t pu tl e v e l sa n dt h a ti ti s i mp or t a n tf o rh i mt ol e tu sk n o wwh e nh eh a sd r u n k e nwa t e ra n du r i n a t e d . Ie d uc a t e dh i ma b o ut h i sme d i c a t i o n sa n dt o l dh i mt h a th ei sb e i n gs t a r t e do no r a la n t i b i ot i c sa n de l e c t r o l y t e r e pl a c e me n tt ot r e a th i sde h yd r a t i on . Hewa sv e r yc o mp l i a n tt h r o u g h o u tmye n t i r ea s s e s t me n t ....