[SNR105US] | Practice Questions & Comprehensive
Nursing Simulation Review
Wilfred, Urosepsis and Delirium [SNR105US]
Learning Objectives
Diagnosis
Urosepsis and delirium.
Case Summary
Confusion and sepsis from urinary tract infection.
Clinical Findings
Confused, febrile, tachycardic, hypotensive
Suprapubic tenderness
Positive urine dip
Blood tests consistent with urosepsis
Technical Skills
Assessment
Complete a full set of vital signs and document on EWS chart
Establish medical history by examining medical records
Obtain collateral history from patient's daughter
Ask allergy status
Perform basic physical exam (examine abdomen, auscultate chest, check skin, neurological
exam)
Initial Investigations
, Obtain blood tests and a blood gas
Obtain a blood culture
Take urine for culture and sensitivities
Management
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, Perform SBAR report and request urgent medical review
Insert IV access
Administer all drugs and fluids (prescribed by medical team)
Commence urine output monitoring
Effectively communicate with patient and team
Apply clinical knowledge and adapt to changes in patient condition
Escalate and refer appropriately
What went well - critical aspects
Verify name and date of birth
You attempted to verify your patient's name and date of
birth
Show rationale
Quality & Safety Person-Centered Care
01:11
Standing orders
You checked for standing orders to expedite patient care
Show rationale
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