University:
American Career College
Course:
NURS-113 | Beginning Medical/Surgical Nursing
Academic year:

2020
Views:

487

Pages:

2
Author:

Leilani Contreras

Medical Case 1: Kenneth Bronson Guided Reflection Questions 1. How did the scenario make you feel? This scenario helped me learn and really made me think about the steps I would perform and follow in a real-life situation where a patient experiences an anaphylactic reaction. 2. What signs and symptoms led you to the conclusion that Kenneth Bronson was experiencing an allergic reaction? Apart from the patient saying he could not breathe, vital signs such as, heart rate, respiration and blood pressure all increased immediately after the administration of Ceftriaxone. 3. Discuss the differences between mild, moderate, and severe anaphylactic reactions. A mild anaphylactic reaction can include symptoms such as a runny nose, sneezing, break out of a few hives with itch. A moderate anaphylactic reaction can turn into coughing or wheezing, pallor, tachycardia and sweating. A severe anaphylactic reaction is life threatening. It consists of severe wheezing that can quickly change to stridor, patient can go into shock, cardiac and respiratory arrest and can lead to death. 4. Discuss the importance of follow-up assessments post-reaction. It is important to have a follow up assessment post reaction because it is critical to check if vital signs returned to normal, patient is breathing properly without signs of bronchoconstriction and no signs of patient going into shock. 5. What further needs does Kenneth Bronson have at the end of the scenario that future nursing care should address? The nurse should take note that the patient has a newfound allergy and should make sure to chart it to make sure the patient is not to be administered that medication ever again. Another nursing care that I would provide is patient education on this new allergy. The patient should also remain under close monitoring in case of another reaction. 6. Reflect on how you would communicate with family members in an emergency situation if they were present at the bedside. I would explain the situation to the family and clarify that the patient had a moderate anaphylactic reaction to the medication administered. I would advise them to remain calm while the physician is called for further instruction. 7. After completing the simulation and reflecting on your experience, what would you do differently (or the same) for the patient experiencing acute respiratory distress? I would proceed with the same steps I did and immediately discontinue the medication. I would remain calm but act faster. I would call the doctor for further instructions. 8. How could you prepare for clinical in order to plan ahead for potential patient emergencies? I would constantly keep up to date with what I have been taught in clinicals and my classes, so I know how to further deal with situations as such. you never know what could happen at a clinical, it is best to be prepared for anything and this is what nursing school is trying to teach you.