Impact on Haemodynamic Responses - Clinical Manifestations and Management of Hypovolemic - Nursing Assignment Help

Assignment Task :

1. Develop the ability to recognise a deteriorating patient and implement interventions to support the patient and their family 

2. Describe the lifespan changes and their impact on haemodynamic responses

3. Develop the capacity to interpret normal and abnormal haemodynamic values and correlate these to the underlying pathophysiology of the patient's condition.

4. Compare and contrast the aetiology, clinical manifestations and management of hypovolemic, cardiogenic and anaphylaxis 

5. Discuss the evidence-based treatment goals for shock states.

6. Outline the rationale for the pharmacological treatment of cardiogenic, anaphylactic  and hypovolemic shock 

Q1. Caine is a 45 year old male who has presented to the emergency department with increased bruising after tripping over a his cat at home.

 Subjective data:

Reports of painful mouth ulcers – on assessment you note white patches covering his tongue

He has a 2 month history of fatigue, malaise and flu-like symptoms.

 Objective data:

• Bruises and ecchymosis present to arms and legs attributed to his fall
• Gingiva with petechiae and patchy white spots
• Temperature 39 degrees
• Haemoglobin 88 d/L (normal range 110-125 d/L)
• White blood cell count 12 (normal range 4-9.8)
•  What are the priorities for teaching Caine regarding his newly diagnosis  acute myelogenous leukemia?

Q2. A patient with suspected cardiogenic shock is found to be in rapid atrial fibrillation as per a recent ECG with a heart rate of 122 beats per minute. Discuss the adverse effects this would have on the patients cardiac output. ?

Q3. Caine is a 45 year old male who has presented to the emergency department with increased bruising after tripping over a his cat at home.

Subjective data:

Reports of painful mouth ulcers – on assessment you note white patches covering his tongue

He has a 2 month history of fatigue, malaise and flu-like symptoms.

 Objective data:

Bruises and ecchymosis present to arms and legs attributed to his fall

Gingiva with petechiae and patchy white spots

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