Medical Errors Case Study Prep Situation Jon Jackson 76 Y O Male Full Code Admitted Yesterday Allergies Penicillin H 1 (93.85 KiB) Viewed 28 times
Medical Errors Case Study Prep Situation Jon Jackson, 76 y/o male, full code, admitted yesterday Allergies Penicillin (hives) Vicodin (sleepy) Background + Past Medical History Diabetes Mellitus Type 2, insulin dependent Dementia, mild Anxiety, mild Social History Lives at Willow Glen assisted living with wife Joann. Has two children who visit often. Enjoys playing cribbage and attending bingo at the assisted living. Reason for Admission Found on the floor of the assisted living with a blood glucose of 38. He was transported via ambulance to the ED. After receiving two injections of glucagon IM his blood sugar rebounded to 515mg/dl. A . . . . Assessment . . . . He is on hourly blood sugars with an insulin drip. He has 0.45% NaCl + KCI 20 mEq/L fluids running at 250 mL/hr. His last hourly blood sugar was 250mg/dl so his insulin is running at 2 units/hr. His wife, Joann, is staying with him but took a break to get food in the cafeteria. • He gets confused at times and can get anxious. His current medications at admission included: • Lorazepam 2mg daily Benazepril 20mg daily • Memantine 10mg tab twice daily Multivitamin daily Insulin glargine (Lantus) 20 units SQ daily • Novolog insulin per sliding scale. 0 . . He generally takes his medications on his own but has been getting more confused recently, so his wife tries to help 1
kat is the true Using your Medical/Surgical Nursing Text, answer and upload to CANVAS the following questions prior to simulation: 1. What data is RELEVANT that must be recognized as clinically significant to the nurse (list all relevant data)? a. What relationship does each piece of RELEVANT data have to the primary medical problem? 2. What safety risks do you anticipate as the nurse caring for this patient. 3. What is the medical problem that your patient is most likely presenting with? a. What is the potential underlying cause/pathophysiology of this concern? b. Do not just describe the cause/problem, discuss what is happening at the CELLULAR level). 4. What interventions will you initiate based on this pri concern(s) (include both nursing and medical)? 5. What body systems will you most thoroughly assess based on the patient's chief complaint and priority concern? 6. What is the worst possible complication to anticipate? a. Why? b. What would you do to address this? 2
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