lOMoAR cPSD| 56342273
GI Bleed/Hypovolemic Shock
UNFOLDING Reasoning
Jim Olson, 45 years old
Primary Concept
Perfusion
Interrelated Concepts (In order of
emphasis)
● Clotting
● Clinical Judgment
● Patient Education
NCLEX Client Need Categories Percentage of Items from Covered
Each in Case
Category/Subcategory Study
, lOMoAR cPSD| 56342273
Safe and Effective Care Environment
17-23%
✔ Management of Care ✔
9-15%
✔ Safety and Infection Control
Health Promotion and Maintenance 6-12%
✔
Psychosocial Integrity 6-12%
✔
Physiological Integrity
6-12%
✔ Basic Care and Comfort ✔
✔ Pharmacological and Parenteral 12-18% ✔
Therapies
9-15%
✔ Reduction of Risk Potential ✔
11-17%
✔ Physiological Adaptation ✔
, lOMoAR cPSD| 56342273
GIB Hypovolemic Shock
Log into Docucare
Open the assigned Block 4 MedSurg Chart
1. What is the History of Present Illness:
2. What is the Personal/Social History:
3. What histories are RELEVANT and clinically significant
RELEVANT Data from Present Problem: Clinical Significance:
1. Hx of cirrhosis 1. Progression of disease
2. Hx of ETOH abuse 2. Cause/contributing factor to reason of admission
3. Bright red vomit 3. GI bleed (current/new/continuous/upper)
4. Dark red/tarry stools 4. GI bleed (old/current/lower)
RELEVANT Data from Social History: Clinical Significance:
1. Recently lost job 1. Depression/Increased ETOH consumption
2. Hasn’t seen doctor in 10 years 2. Need for education r/t lifestyle modifications
3. Girlfriend Sheila 3. Consider including her in patient education/lifestyle
modification teaching
4. Collect VS
Current VS: P-Q-R-S-T Pain Assessment:
T: 36.8 C Provoking/ Pt denies pain
Palliative:
P: 138 Quality: Pt denies pain
R: 28 Region/Radiation: Pt denies pain
BP: 74/30 Severity: Pt denies pain
O2 sat: 95% Timing: Pt denies pain
5. What VS data is RELEVANT and clinically significant?
RELEVANT VS Data: Clinical Significance:
GI Bleed/Hypovolemic Shock
UNFOLDING Reasoning
Jim Olson, 45 years old
Primary Concept
Perfusion
Interrelated Concepts (In order of
emphasis)
● Clotting
● Clinical Judgment
● Patient Education
NCLEX Client Need Categories Percentage of Items from Covered
Each in Case
Category/Subcategory Study
, lOMoAR cPSD| 56342273
Safe and Effective Care Environment
17-23%
✔ Management of Care ✔
9-15%
✔ Safety and Infection Control
Health Promotion and Maintenance 6-12%
✔
Psychosocial Integrity 6-12%
✔
Physiological Integrity
6-12%
✔ Basic Care and Comfort ✔
✔ Pharmacological and Parenteral 12-18% ✔
Therapies
9-15%
✔ Reduction of Risk Potential ✔
11-17%
✔ Physiological Adaptation ✔
, lOMoAR cPSD| 56342273
GIB Hypovolemic Shock
Log into Docucare
Open the assigned Block 4 MedSurg Chart
1. What is the History of Present Illness:
2. What is the Personal/Social History:
3. What histories are RELEVANT and clinically significant
RELEVANT Data from Present Problem: Clinical Significance:
1. Hx of cirrhosis 1. Progression of disease
2. Hx of ETOH abuse 2. Cause/contributing factor to reason of admission
3. Bright red vomit 3. GI bleed (current/new/continuous/upper)
4. Dark red/tarry stools 4. GI bleed (old/current/lower)
RELEVANT Data from Social History: Clinical Significance:
1. Recently lost job 1. Depression/Increased ETOH consumption
2. Hasn’t seen doctor in 10 years 2. Need for education r/t lifestyle modifications
3. Girlfriend Sheila 3. Consider including her in patient education/lifestyle
modification teaching
4. Collect VS
Current VS: P-Q-R-S-T Pain Assessment:
T: 36.8 C Provoking/ Pt denies pain
Palliative:
P: 138 Quality: Pt denies pain
R: 28 Region/Radiation: Pt denies pain
BP: 74/30 Severity: Pt denies pain
O2 sat: 95% Timing: Pt denies pain
5. What VS data is RELEVANT and clinically significant?
RELEVANT VS Data: Clinical Significance:
