Reflective analysis case studies Essay Example | Topics and Well Written Essays - 2250 words

Reflective analysis case studies - Essay ExampleOn the night in question, as a range manager, I was dealing with admissions and bed allocations. A colleague who was working opposite was the first responder that night. She received a call from the Critical Care building block (CCU) at 2300 hours the CCU nurses narrated that a female diligent was having ongoing chest pains following the use of the commode nurses also reported changes in the patients ECG reading the CCU nurses also reported that the patient was given a glyceryl trinitrate (GTN) spray. My colleague and I already met the patient the previous night at the essential Medical Care (EMC) unit when she was admitted for shortness of breath (SOB), palpitations, and was having pleural effusions drained. Before we left for the ward, we fast beeped the doctor about the patient. We knew from the patients admission that she was 64 years old and had a Coronary Artery Bypass Graft (CABG) and an Aortic Valve Replacement (AVR) surger y 13 days prior to her admission. When we got to the CCU, the patient was exceedingly anxious and frightened was very short of breath was having chest pains and was speaking in short sentences. The patient was also not sweating. The CCU nurses already spue her on 15L Oxygen non-rebreath mask. I immediately made my A to G assessment while my friend helped to calm and reassure the patient. The doctor arrived a hardly a(prenominal) minutes after we did and he saw the patient briefly, auscultated her chest, and went to the nurses station to write down his orders on the patients chart. I went to the nurses station to confer with the doctor about his initial findings and his orders. The doctor ordered Digoxin 500 mcg to be given immediately to the patient he also ordered an gain in the treatment dose of clexane to 90 mg. He also ordered another 12 lead ECG to be done on the patient in 2 hours time another dose of Digoxin in 6 hours time IV