vSim CLINICAL REPLACEMENT PACKET for STUDENTS | The Six Step learn flow

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)