Ms C Emergency Department (ED) Rhythm Problem Case Study - Nursing Assignment Help

Assignment Task
 

Task

Ms C is a 44-year-old accountant. She has two young children, and is the family's main breadwinner. She has been admitted to the Emergency Department (ED) with a cardiac rhythm problem. RN Z has drawn up two syringes, one containing normal saline to flush the patient's IV line and the other potassium chloride (KCI) to add to a burette. RN W has checked the ampoules, but the ED is busy and she does not accompany RN Z to the cubicle to confirm correct administration. RN Z mistakenly injects the KCI as a bolus into the IV line and Patient C has a cardiac arrest. • Mrs. J, an 74-year-old woman with severe emphysema, is found unresponsive by the nursing staff at her place of residence. Since she has no living will or advance directive, an ambulance is called. She has no living relatives. Once stable, she is taken to the local hospital for treatment of pneumonia and respiratory failure, where staff perform endotracheal intubation and resuscitate her successfully. After treatment for her medical conditions, she cannot be weaned from the ventilator although sedation has been minimised. The patient is able to communicate her wishes by using hand signals and writing notes. After 9 days of treatment, she asks that the respiratory support be discontinued and she be allowed to die. Mrs. J. states that she would not have wanted to be resuscitated in the first place. She had discussed this wish with the other residents in the aged care facility however she had never put these wishes in writing. • Mr 0 is a 52 year old male brought into your emergency department by his son, with severe chest pain. Mr D is has been drinking throughout the day and is obviously affected by alcohol. He is dismissive, claiming his son is over-protective and the pain is just indigestion. His son insists, and on examination it becomes obvious Mr D is having an infarct. The emergency doctors order cannulation and preparation for treatment. As you begin to set up, Mr D becomes agitated, saying it is nothing and that he wants to go home. You attempt to explain the need for treatment, but he is determined to leave in spite of ongoing signs of central chest pain. 

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