NUR 3410_ VSIM Simulation for Nursing Medical Scenario 5_ Skyler Hansen 2021

:10 Patient status - ECG: Sinus rhythm. Heart rate: 91. Pulse: Present. Blood pressure: 129/77 mm Hg. Respiration: 19. Conscious state: Somnolent. SpO2: 97%. Temp: 99 F (37 C) 2:10 Patient status - ECG: Sinus rhythm. Heart rate: 91. Pulse: Present. Blood pressure: 128/77 mm Hg. Respiration: 19. Conscious state: Somnolent. SpO2: 97%. Temp: 99 F (37 C) 2:19 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 2:29 You looked for normal breathing. He is breathing at 19 breaths per minute. The chest is moving normally on both sides. 2:58 You attached the pulse oximeter. It is a good idea to monitor the saturation and pulse here. This will allow you to reassess the patient continuously. 3:10 Patient status - ECG: Sinus rhythm. Heart rate: 92. Pulse: Present. Blood pressure: 128/76 mm Hg. Respiration: 19. Conscious state: Somnolent. SpO2: 97%. Temp: 99 F (37 C) 3:11 You checked the radial pulse. The pulse is strong, 90 per minute and regular. It is correct to assess the patient's vital signs. 3:40 You measured the blood pressure at 128/76 mm Hg. It is appropriate to monitor the patient by measuring the blood pressure. 4:10 Patient status - ECG: Sinus rhythm. Heart rate: 92. Pulse: Present. Blood pressure: 129/77 mm Hg. Respiration: 19. Conscious state: Somnolent. SpO2: 96%. Temp: 99 F (37 C) 4:19 You asked the patient if he had any pain. He replied: 'No, I don't have any pain.' 4:37 You examined the patient's head. There is no obvious airway obstruction. There is normal skin turgor. His skin is cool, and he is very sweaty. 4:51 You examined the patient's chest. He is breathing at 19 breaths per minute. The chest is moving normally on both sides. 5:02 The patient went into hypoglycemic crisis. 5:03 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 127/76 mm Hg. Respiration: 20. Conscious state: Unconscious. SpO2: 96%. Temp: 99 F (37 C) 5:11 You checked the temperature at the mouth. The temperature was 99 F (37 C). 5:23 You performed head tilt/chin lift. This is the correct action here. 5:33 You inserted a nasopharyngeal airway. 5:53 You phoned the provider in order to discuss the patient. 6:03 Patient status - ECG: Sinus tachycardia. Heart rate: 107. Pulse: Present. Blood pressure: 134/80 mm Hg. Respiration: 20. Conscious state: Unconscious. SpO2: 94%. Temp: 99 F (37 C) 7:03 Patient status - ECG: Sinus tachycardia. Heart rate: 109. Pulse: Present. Blood pressure: 140/83 mm Hg. Respiration: 23. Conscious state: Unconscious. SpO2: 93%. Temp: 99 F (37 C) 7:23 You checked the blood glucose. It was 44 mg/dL. It was sensible to check the blood glucose here. 7:49 You obtained IV access in the arm. 7:59 You flushed the cannula. It is reasonable to flush the cannula here. 8:03 Patient status - ECG: Sinus tachycardia. Heart rate: 111. Pulse: Present. Blood pressure: 140/84 mm Hg. Respiration: 25. Conscious state: Unconscious. SpO2: 91%. Temp: 99 F (37 C) 8:16 You administered 50 mL of dextrose 50% in water IV. Dextrose 50% in water was indicated here. It is important to use the basic rights of medication administration to ensure proper drug therapy.. 8:23 Patient status - ECG: Sinus tachycardia. Heart rate: 110. Pulse: Present. Blood pressure: 140/84 mm Hg. Respiration: 28. Conscious state: Somnolent. SpO2: 91%. Temp: 99 F (37 C) 8:33 .......................................continued