The green text are the teachers comment’my answers are in bold

Question text
You are on night shift and have been attending to you hourly rounds. As you are doing your 0500 checks you notice that one of your patients Mr Ryan Greens’ chests is not rising and falling. On closer inspection you realise that he is not breathing and is unconscious.
The Emergency response team administer adrenaline – why might this be given to Mr Green?
Adrenaline provides inotropic support during chronic heart failure and septic shock. it contracts with the blood vessels in the skin and mucous membranes. It has a direct-acting sympathomimetic agent and it is used to treat cardiac arrest. It also prolongs action, delays systemic absorption and reduces the danger of toxicity of local anaesthetics.
ref.
Tiazini,A.(2013) Nursing Guide To drugs(8th ed.)Chatswood, NSW:Elsevier Australia
Comments
Comment:
I need you to explain what you mean using your own words. What is “inotropic support”? If you include medical terminology you need to explain what it means so that I know you understand it. How does venous constriction help and what is mucous membrane contraction? . This term does not make sense. “It also prolongs action, delays systemic absorption and reduces the danger of toxicity of local anaesthetics.” The pt has not had an anaesthetic hence how does this help someone who’s heart has stopped beating? You mention chronic heart failure and septic shock however this was not included in the scenario hence why have you entered this information. Please relate your answers to the question rather than copy information you read in the text books.
I’m not convinced you understand the role of adrenaline in a cardiac arrest.
We needed;
• First drug to be given in cases of cardiac arrest.
• Vasoconstricts leading to an increase in blood flow to heart and brain these must remain perfused to improve any chance of survival.
• Increases cardiac output, heart rate and blood pressure. Helps to increase chance of the hearts rhythm/normal rhythm returning.
• It is usually administered every second loop of CPR (approximately 4 minutes)
Question 9
Complete
Mark 0.25 out of 1.00
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Question text
You are on night shift and have been attending to you hourly rounds. As you are doing your 0500 checks you notice that one of your patients Mr Ryan Greens’ chests is not rising and falling. On closer inspection you realise that he is not breathing and is unconscious.
After the resuscitation what are the responsibilities of the team with regards to checking and maintaining the resuscitation trolley?
The resuscitation trolley where equipment such as the defibrillator, air viva, oropharyngeal (guedel) airway, laryngoscope, endotracheal tubes (ETT) need to be check and follow policy before putting and or replacing into the trolley.
The drugs that have been used need to be replaced.(check expiry date)
The suction and tubing that has been used, this is also to be replaced and ensuring it is in a working condition.
Ensuring sharps container need to be changed and or follow policy and procedure.
The oxygen cylinders to be check before putting them back on the trolley.
the trays that have been used need to be replaced with the new ones
Comments
Comment:
“The resuscitation trolley where equipment such as the defibrillator, air viva, oropharyngeal (guedel) airway, laryngoscope, endotracheal tubes (ETT) need to be check ” – checked for what? Some of these items are disposable and cannot be used again hence what are you checking.
“The oxygen cylinders to be check before putting them back on the trolley.” – checked for what?
“the trays that have been used need to be replaced with the new ones” – what trays? You need to explain your answers in detail Marjorie. ” Check” doesn’t explain what I am checking for.
For full marks we needed;
• Daily check of as per facility policy
• Perform defibrillator check to ensure working and charged
• Check the expiry dates on all contents including medication and sterile stock eg endotracheal tubes
• Ensure that all contents of the trolley match the checklist and replace items as required
• Check laryngoscope function
• Check oxygen cylinder and replace when half full
• Ensure suction is working
• Replace sharps containers if more than half full

Question 10
Complete
Mark 0.75 out of 1.00
Question text
What are some of the physical and psychological impacts on a person with an acute health problem on their activities of daily living?
physical impacts on a person with acute health problems on daily living that they may have limited physical activities or unable to move due to pain such as toileting or showering and even eating. loss of independence. and psychologically, they have to rely on family members and or carers for their activities of daily living which lead bring to the uncertainty of many things such as financial strain due to loss of job and or low self-esteem of being sick and burden to others and so their lifestyle is not the same as it used to be.
Comments
Comment:
“psychologically, they have to rely on family members and or carers for their activities of daily living” – psychologically relates to emotions and the mind, not physical activities of daily living, hence this does not make sense.
For full marks, we needed;
Physical impacts of acute illness include: decreased mobility, pain, restricted movement, and fatigue, loss of independence, functional decline, and difficulty performing ADLs such as showering, dressing, eating, using the toilet and transferring.
Psychological impacts of acute illness include: reliance on family members and/or carers to provide assistance with activities of daily living. This could lead to altered self-concept, risk of depression, low mood, isolation from peers and others, withdrawing from socialising, strain on relationships, feeling as though the patient is a burden to others, financial losses due to inability to work and alterations in lifestyle

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