92473 - Critical Care Nursing - Bryan Sim Case Study - Nursing Assignment Help

Assignment Task:

Setting the Scene:

Bryan Sim is a 26-year-old male, pulled from Bondi Beach unresponsive requiring CPR and defibrillation before having a return of spontaneous circulation (ROSC) after approximately 6-8 minutes. Ryan is then transported to the hospital where you are the receiving nurse. It is Thursday afternoon, 11th March 2020. You are working in the Emergency Department when you receive the following phone (BAT) Call from the ambulance paramedic enroute with patient Bryan Sim.

Following hand over, you complete a clinical assessment and collect the following vital signs:

Airway
• Clear
• Bryan is mumbling when asked questions by his friend, nil adventitious sounds

Breathing
• Bilaterally equal air entry with bi-basal crackles decreased at bases, symmetrical chest movements
• Use of accessory muscles
• Intercostal and subcostal recession
• RR 24 bpm (irregular)
• SpO2 92%
• non-rebreather mask in situ at 15L/min

Circulation
• Heart Rate 142 bpm
• Blood Pressure 97/54mmHg
• Pale Pink in colour
• Centrally cool to touch, peripherally cold and mottled

Disability
• Opens eyes spontaneously
• Patient moaning
• Incomprehensible sounds
• Flexion to painful stimuli
• Pupils R/L 5+

Exposure
• Temperature 34.5 degrees(axillar)
• Nil rash, bruises or other concerns noted
• 14fg PIVC in situ to right cubital fossa – VIP Score = 0, dressing dry and intact
• Wet board shorts in situ

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