Chest pain example the case study

Case Formulation, Paramedic, Examine Guide, Discomfort Management

Excerpt from Example:

In line with the text by simply Sanders (2011), the Venturi Mask may very well be the most appropriate assistive device in this process. Sanders indicates that this particular apparatus is “advised for sufferers who count on hypoxic respiratory drive. This can include, for example , people with COPD. The main benefit of the Venturi Mask is that it allows specific regulation of the FiO2. Additionally, it permits the paramedic to titrate fresh air for the individual with COPD so as not to exceed the patient’s hypoxic drive whilst allowing enrichment of additional oxygen. ” (Sanders, p. 422)

In addition the Venturi Mask to help to change pulmonary activity, the patient is additionally experiencing a productive cough with thicker yellow sputum. The presence of excessive mucus is additionally likely adding to Mr. Hay’s airway blockages. This would be an appropriate place to use the Yankeur sucker in order to help remove liquids that might be rendering it more difficult intended for the patient to breathe independently.

Patient Problem 3: Soreness

Also of critical importance once the patient’s vital indicators and breathing have been stabilized is the management of pain. This is especially hitting in an more mature patient with indicators of high blood pressure and other abnormal heart failure abnormalities. Abnormal pain may stress the subject’s body and result in an rise of different more uncomfortable symptoms.

Two particular sources of pain need management and attention. First and foremost, the subject’s chest pain has to be reduced so as to improve the person’s comfort and reduce the risk that this could support into a even more pressing concern of individual distress as well as attendant possibility of true stroke. In this case, the recommended treatment is a Vasodilator. Provided that zero conflict can be discovered between existing prescriptions such as the COPD antibiotic, and provided that no patient allergies can be found, Sanders gives a rationale in this approach as a means of reducing chest pain symptoms. As a beneficial side-effect, the properly picked Vasodilator could also reduce the person’s demonstrated proclivity for hypertension. According to the text message by Sanders, “in conjunction with their employ as antihypertensives, some vasodilator drugs job to treat anginas pectoris (ischemic chest pain). For example , nitrates dilate problematic veins and arteries. the subsequent decline in wall pressure helps to decrease myocardial o2 demand and in addition relieves the chest pain of myocardial ischemia. ” (Sanders, p. 314)

Also essential for pain managing is take care of pressure accidental injuries produced by the subject’s show up and unconsciousness. This should consist of x-rays with the sited points of the hip, ankle and shoulder, proper stabilization of impacted factors and the health professional prescribed of an anti-inflammatory presuming, once again, that no drug issues or allergies can be determined.

Realization:

The three affected person problems and treatment strategies outlined previously mentioned should also be used to issue the patient an extensive plan for followup treatment and self-care subsequent discharge.

Functions Cited:

Australian Nursing and Midwifery Council. (2006). Nationwide competency specifications for the midwife. Gathered from: http://www.nursingmidwiferyboard.gov.au/Codes-and-Guidelines.aspx#competencystandards

Ambulance Victoria. (2012). Secours Victoria medical practice suggestions for mat and BRICIOLA paramedics. Recovered from: http://www.ambulance.vic.gov.au/Paramedics/Qualified-Paramedic-Training/Clinical-Practice-Guidelines.html.

Courtney, Meters. (2005). Data for nursing practice. Marrickville NSW: Livingstone Churchill Elsevier. Page nineteen of 24.

Johnson, L. Taylor, T. (2010). Abilities for midwifery practice (3rd ed. ). Edinburgh: Elsevier.

Sanders, M. J. (ed. ) (2011). Mosby’s paramedic practice (4th ed. ). St . John, MO: Elsevier.

Tweet