*NURSING > Presentation > marilyn-hughes-age-45-years-diagnosis-lower-leg-fracture-complete-log. (1)_removed (All)
You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 2:10 Patient status - ECG: Sinus rhythm. Heart rate: 99. Pulse: Present. Blood pressure... : 156/93 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 2:14 You asked the patient how she felt. She replied: 'Not too good.' 2:30 You asked if the patient was allergic to anything. She replied: 'No, I am not allergic to anything.' 3:08 You attached the pulse oximeter. It is a good idea to monitor the saturation and pulse here. This will allow you to reassess the patient continuously. 3:10 Patient status - ECG: Sinus tachycardia. Heart rate: 100. Pulse: Present. Blood pressure: 154/92 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 3:31 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. This will allow you to reassess the patient continuously. 3:48 You looked for normal breathing. She is breathing at 21 breaths per minute. The chest is moving normally on both sides. 4:10 Patient status - ECG: Sinus tachycardia. Heart rate: 100. Pulse: Present. Blood pressure: 156/94 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 4:15 You checked the temperature at the mouth. The temperature was 99 F (37 C). 4:32 You checked the radial pulse. The pulse is strong, 100 per minute and regular. It is correct to assess the patient's vital signs. 4:58 You examined the patient's skin. There is normal skin turgor. Her skin is cool, and she is very sweaty. 5:10 Patient status - ECG: Sinus tachycardia. Heart rate: 101. Pulse: Present. Blood pressure: 159/94 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 5:24 You listened to the lungs of the patient. The breath sounds are normal. 5:46 You listened to the heart of the patient. There were only normal heart sounds. This is reasonable. 6:04 You assessed the patient's IV. The site had no redness, swelling, infiltration, bleeding, or drainage. The dressing was dry and intact. This is correct. Assessing any IVs the patient has is always important. 6:10 Patient status - ECG: Sinus tachycardia. Heart rate: 101. Pulse: Present. Blood pressure: 155/93 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 6:20 You asked the patient if she had any pain. She replied: 'Yes! Ahh...' 6:32 You asked the patient where the pain was located. She replied: 'It's in my left leg.' [Show More]
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Apr 22, 2021
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