vSim CLINICAL REPLACEMENT PACKET for STUDENTS | The Six Step learn flow
STUDENT LEARNING OUTCOMES
At the end of this activity, student will be able to:
1. Describe pathological events associated with the patient’s d
...
vSim CLINICAL REPLACEMENT PACKET for STUDENTS | The Six Step learn flow
STUDENT LEARNING OUTCOMES
At the end of this activity, student will be able to:
1. Describe pathological events associated with the patient’s disease process or condition.
2. Create a plan of care and prioritized nursing interventions based on patient care needs.
3. Identify anticipated diagnostic and physical assessment findings related to the identified condition or
disease process.
ASSIGNMENT
1. Log into thePoint and launch the assigned vSim, following all instructions posted on your learning
management system (LMS).
2. Review the information contained in the patient information.
3. Review the smart sense links associated with Nursing Care, Diagnostics, and Pharmacology found in the
suggested reading area.
4. Create the following “concept map”. List the pathophysiology associated with the patient’s disease
process or condition, the anticipated physical assessment findings, vital signs, diagnostics, specific nursing
interventions, and other patient information associated with the patient situation.
5. Utilize the smart sense links throughout the vSim to complete the worksheet.
6. Submit your concept map for review.
Promote smoking cessation as appropriate.
Prescribe medications that typically include bronchodilators and may include corticosteroids.
Manage exacerbations.
Provide supplemental oxygen therapy as indicated.
Chronic cough (productive or
unproductive)
Sputum production
Dyspnea
Weight loss d/t dyspnea interfering
with eating and work of breathing
Barrel chest d/t hyperinflation and
loss of lung elasticity
COPD is a preventable and treatable slowly progressive respiratory disease of airflow obstruction involving the airways,
pulmonary parenchyma, or both. The parenchyma includes any form of lung tissue, including bronchioles, bronchi, blood
vessels, interstitium, and alveoli. The airflow limitation or obstruction in COPD is not fully reversible. Most patients with
COPD present with overlapping signs and symptoms of emphysema and chronic bronchitis, which are two distinct disease
processes. The airflow limitation is both progressive and associated with the lungs’ abnormal inflammatory response to
noxious particles or gases. The inflammatory response occurs throughout the proximal and peripheral airways, lung
parenchyma, and pulmonary vasculature. In the peripheral airways (bronchioles less than 2 mm diameter), inflammation
causes thickening of the airway wall, peribronchial fibrosis, exudate in the airway, and overall airway narrowing
(obstructive bronchiolitis). Over time, this ongoing injury-and-repair process causes scar tissue formation and narrowing of
the airway lumen.
V.B is a 67 y.o. M admitted
directly from the provider’s
office several hours ago for
exacerbations of his chronic
obstructive pulmonary disease.
He is maintaining O2 sats at
94% on 2 L/min of xygen per
nasal cannula. IV of KCl in 5%
dextrose and NS is infusing at
100 mL/hr in his R. hand.
Health history
Spirometry
ABGs – assess baseline oxygenation and
gas exchanged in advanced COPD
Ruling out of asthma, HF,
bronchiectasis, TB, obliterating
bronchiolitis, and diffuse
panbronchiolitis (through health
history, severity of symptoms, and
responsiveness to bronchodilators)
[Show More]
