NU 332 Unit 4 Delegation case study

George Stanley — 70 year old male who 1s 5 days post-op coronary bypass surgery X 5. Pacing wires were discontinued 4 hours ago with no problems noted at this time. Patient is ambulating without O2 and has had no cardiac arrhythmias. Patient still requiring oral pain medication Q 6 hours. Discharge teaching is needed. Patient to be discharged in the AM. John Richards — 62 year old male who presented to the ER 22 hours previously with an ST elevated MI. Patient has had 2 coronary stents placed. Arterial femoral line 1s still in place and needs to be removed within the next 2 hours. IV nitro has been discontinued and patient is not complaining of any chest pain. Violet Smith — 40 year old female admitted 3 hours previously with cardiac arrhythmias due to possible cocaine and alcohol consumption. Patient 1s currently stable, with no signs of cardiac arrhythmias. Vital signs and patient assessment is Q30 minutes for the next 4 hours and then Q1 hour for the next 24 hours.