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Immediate management of the melaena
Immediate management of the melaena
on
- Your patient who was admitted with melaena and is currently only taking fluids has returned from the bathroom feeling dizzy and short of breath. What will your actions be?
Explain your answer in detail including your assessment, hypotheses and rationales for actions. (500 words) Detailed description in logical order of the assessment factors considered in the immediate management of the chosen scenario Comprehensive consideration of the range of likely hypotheses related to the chosen scenario and assessment processes Complete description of optimal interventions and rationales for same associated with the assessment, hypotheses and immediate management of chosen scenario - Prioritization
After morning handover of your 4 patients you have reviewed the charts and have entered the room to greet your patients. It is 0730 and breakfast is usually delivered at 0740. Before you can introduce yourself, the following demands on your time occur concurrently:
Patient 1 Mrs Peterson is asking for help to the ensuite to use her bowels. You know Mrs Peterson had a stroke 2 weeks ago and has a moderate left hemiplegia and needs assistance to move. She is classified as a high falls risk.
Patient 2 Mrs Walters is going to theatre at 0800 and is not yet ready
Patient 3 Mr Young is nil by mouth and has IV therapy running at 167mls per hour. The infusion pump alarm is sounding and the IV flask appears to be close to empty, Mr Young is also complaining of pain.
Patient 4 Mr Stavropoulous has been admitted for acute asthma. He is due for ventlin and prednisolone at 0800. His BGL at 0700 was 4.6mmol/l.
The ANUM is searching for Mrs Walters pre-operative checklist and want to know if you have seen it.
In what order would you address these requests? Describe your rationale for each decision.(500 words)
Detailed account of the correct priority order in which each of the nominated tasks would be addressed related to the rationales