Special conditions: upper gastrointestinal surgical specialty Essay Assignment Paper

Special conditions: upper gastrointestinal surgical specialty Essay Assignment Paper

Special conditions: upper gastrointestinal surgical specialty Essay Assignment Paper

Case Details

As a new graduate nurse on your last rotation, you are working on a busy 50 bed surgical ward (upper
gastrointestinal surgical specialty). You have arrived for an evening shift and receive handoverfrom
the stafffrom the previous

shift.

You have been allocated 6 patients to care for. Their details are as follows:

Bed 1: Linda is a 40 year old female that presented

with a 24 hour history of gradual upper

abdominal pain radiating to the right upper quadrant. She is now febrile 38.7.

Bed 2: Jayne is a

35 year old female with vague upper abdominal discomfort over several days and

noticed skin and eyes turning yellow and urine becoming

dark. She has a past history (PHx)

of intravenous drug user (IVDU).

Bed 3: Max is a 20 year old male with recurrent peptic ulcer disease

who presented with

haematemesis; he is currently on a Pantoprazole infusion via a syringe driver (concentration:

1mg per ml running at

5mls per hr).

Bed 4: Phillip is a 55 year old male with oesophageal cancerthat was surgically excised yesterday,
he has a tracheostomy

insitu that requires regular suctioning.

Bed 5: Colleen is a 50 year old female with severe alcoholic liver disease brought in by ambulance
(BIBA) following severe haematemesis and melaena – she required an ICU admission for
haemorrhage control and administration of blood

products. She was transferred from the ICU

to yourward earlier on in the day.

Bed 6: Tony is a 55 year male with history of severe

epigastric pain that is associated with nausea.

He has a past history of non-compliant Type 2 Diabetes. He is scheduled for an endoscopy

and is currently nil by mouth. He has a 5% Dextrose infusion running at 1oomls/hr and an

insulin infusion (Actrapid 50 units in 5omls)

running at 4 units per hourvia a syringe driver.

O1. Prioritise and discuss how you will initially assess your

care according to your patients’ conditions

and treatment (500 words).

02. While assessing your patients, you record a blood glucose

level (BGL) on patient 6. Your reading

on the BGL monitor returns a level of1.5 mmol/L. The patient responds to voice on the AVPU
scale,

he is cool and clammy to touch. What is the significance ofthis result? Referring to the
ward protocol attached (page 24), rationalise

your actions (500 words).

03. It is now 20oohrs. You find that much ofthe nursing care you are trying to provide to your patients
is

taking longerthan you expected and you haven’t had an opportunity to record your 18oohr
observations or administer your medications.

Discuss why it is important to seek assistance and

identify who may be the resource people that can assist you (250 words).

04. The alarm

sounds on the infusion pump with your patient in bed 3. You find that the Pantoprazole
infusion has completed and you are required to draw

up a new one. You then notice the patient

across the room in bed 4 has been coughing consistently and vigorously, and notice blood
stained

sputum from the tracheostomy. What would be your interventions in this case scenario
and what would be the priority for your actions? (250) words

The time to relieve your academic stress is now. Never again should you struggle with your pressing nursing assignments when the best nursing essay writers got you covered. Our Top Nursing Essays writing service got your back!

If you need help with your nursing paper, We are your ultimate nursing assignment writing helper. Our professional top nursing paper writers are always ready to tackle even the hardest of nursing papers. Get in touch. Order today and Always.

Best site that aces nursing assignments and the best place to get top nursing essays done.

Our top nursing essay writers are well experienced in writing nursing papers and are thereby able to tackle any topic around Nursing, Biochemistry, Biology, Chemistry, Pedagogy, Gynecological, Medicine & Health, Healthcare, Nutrition, or Pharmacology.

We guarantee customer satisfaction to all our clients.

Order nursing papers crafted by our top nursing essay writers for a guaranteed A++ nursing paper.

Let our professional nursing paper writers be there for you. Our top nursing essay writing service comprises 100% Plagiarism-Free Papers, On-Time Delivery, 24/7 Support, and Full Confidentiality.

Factors that make us special:

  • We handle assignments for all nursing courses. So, don’t worry about the topic of the essay you want, we are ready to help you with your assignment regardless of the course or topic.
  • Our writers read, understand, and follow one by one, the instructions provided to deliver the most accurate essays. We offer the correct form and style of essays.
  • You can be sure the paper will have proper references based on the type of citation style you choose.
  • You can always work with the same writer you liked. You can include the writer’s ID in the order form and we will ensure your expectations are met. We have writers who are experienced in all areas of study.
  • Affordable services. Relax! we are not expensive, by the way, our prices are fair for the writers, but affordable to you as a customer. We will offer you a discount to try our services. Become part of our loyalty discount program by coming back for more and more services.
  • We have a very flexible pricing system. The good news is that we let you choose from five quality levels, from High School to Ph.D. We also let you choose from different deadlines, from 5/6 hours to 20 days.

Ultra Fast Custom Nursing Homework Writing Help

Fast online nursing essay help

error: