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Responsiveness to Fluid Therapy
Responsiveness to Fluid Therapy
CC is a previously healthy 27-year-old man admitted to the critical care unit after an accident in which he was hit by a car and dragged along the pavement for nearly 100 feet. He suffered a frontal contusion, fractured clavicle and ribs, and extensive abrasions on his arms, legs, side, back, and buttocks. On admission, he was tachycardic, hypotensive, unresponsive, and ventilating poorly. He was placed on a mechanical ventilator and given IV fluids for the treatment of his shock. CC responded well to fluids, with an increase in blood pressure and an improvement in urine output.
1. Based on his case history and responsiveness to fluid therapy, what type of shock was CC experiencing?
2. What other clinical findings would be helpful in confirming the type of shock? Why?
3. Because of his many open wounds and invasive lines, CC is at risk for sepsis and septic shock. What clinical findings would suggest that this complication has developed?
4. What is the link between sepsis and multiple organ dysfunction syndrome (MODS)?
Responsiveness to Fluid Therapy
Week 1 Journal
As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your practicum experience. By applying the concepts you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment such as a Journal Entry or SOAP Note that prompts you to reflect on your practicum experiences and relate them to the material presented in the classroom. This week, you begin documenting your practicum experiences in your Practicum Journal. To prepare for this course’s Practicum Experience, address the following in your practicum journal:
Select an aging theory to guide your practice.
Develop goals and objectives for the Practicum Experience in this course. Be sure to consider geriatric competencies.
Create a timeline of practicum activities based on your practicum requirements.
Week 2 Journal
To prepare for this course’s Practicum Experience, reflect on implications of age-related changes in geriatric patients. Explain how you might differentiate between normal behaviors/disorders due to aging and abnormal behavior/disorders that are not age related. Include how functional assessments might help distinguish “normal” from “abnormal.”
Week 4 Journal
Reflect on medication adherence issues you have encountered with geriatric patients in your practicum setting. Explain implications of these issues on patient health, as well as strategies to improve medication adherence for geriatric patients. If you did not have an opportunity to evaluate a patient with this background during the last 4 weeks, you can select a related case study or reflect on previous clinical experiences.
*Please use APA format. Cite references within the paper along with a reference list at the end.