Case Study Scenario You are a Newly Registered Nurse - Medical Science Assignment Help

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Case Study Scenario
You are a newly registered nurse working in a large metropolitan hospital on an early shift in a busy ED/medical assessment unit. You have been allocated John Thompson to care for as a 1:1 special in a single bed side-room. You are given the following hand-over by the night duty RN: John is a 28 year old man admitted yesterday after an overdose of Clonazepam, Sodium Valproate and Quetiapine. John has a diagnosis of Bipolar Disorder and is currently a referred patient on a Form 1A of the Western Australia Mental Health Act 2014. Overnight John has been occasionally drowsy, but at other times very restless and agitated. His conversation has some delusional content at times. He appears confused and is likely to be experiencing a delirium related to the intentional overdose of prescribed medications. John has an intravenous line of normal saline 1 litre over 8 hours – started 4 hours ago. The last ECG showed lengthening of the Q-T interval and a repeat ECG is booked for 10:00 AM today. TPR & BP are within normal limits – check vital signs 4 hourly along with neurological observations until reviewed by the treating Medical team. John's behaviour has not presented any significant management problems overnight in the ward. However, when he presented to the Emergency Department he was in a severely agitated state and a Code Black (Aggressive incident & security response) was initiated. Because of John's fluctuating sensorium he is to be considered 'at risk' and steps are needed to ensure his protection. John is not to be given any medication unless severely agitated.

Introduction
Introduce the main purpose of the case study and briefly outline the overall problem to be solved. 
Description
Write a brief description of the case under discussion giving an outline of the main issues involved.  Always assume that your reader knows nothing of the assignment task and provide enough information to give a context for your discussion of the issues.

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