Medical History
Montgomery College School of Nursing- Simulation
Sepsis
| James Daniels-
Came to the emergency room with complaints of fatigue, fever and malaise for 1 week. He reports he was alternating Acetaminophen and Ibuprofen every 4-6 hours for the fevers. |
Past Medical History:
Pre-hypertension, Raynaud’s syndrome
He has not received any medications while in the hospital. He is currently waiting for his ride.
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| When the nurse obtains vital signs, what are your concerns? Does anything jump out at you that the nurse should be paying close attention to?
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| What would you say differently to the Nurse Practitioner to get a more positive response?
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| The CNA comes to the nurse and reports James sat up to void and said he felt like he wants to pass out.
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The nurse and the Nurse Practitioner immediately go into the room. |
| What interventions should be performed at this time? |
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| The Nurse Practitioner order labs:
Lactate CBC Chem 7 Blood Cultures ABGs
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What labs would we want to look at that are specific to infection?
Dehydration? Sepsis? Why do we obtain blood cultures? How long does it take to result a blood culture? |
| Infection? |
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| Dehydration?
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| Acute Kidney Injury? |
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| Sepsis? |
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| Why do we obtain blood cultures?
How long does it take to result a blood culture?
At what point in the patient care does the blood culture need to be obtained? |
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| What does a Lactate of 7 mean to this patient? |
