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Skills Practicum

Skills Practicum

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Skills Practicum

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  1. Skills Practicum Abdominal Pain Scenario 1

  2. You • Are working in the ER as a nurse.

  3. Patient • 25 year old Female arrived at Emergency Room by private vehicle accompanied by her husband. • She states she has had abdominal pain for 3 days.

  4. What do you do?

  5. What you see • She is a little pale • She is a little anxious

  6. What she tells you • Nausea and going to the bathroom a lot • Pain in LLQ for 3 days • Decreased appetite • No fever but sweats and chilling

  7. Nursing Assessment • Temperature: 37.5 °C • Respirations: 16 • Blood Pressure: 105/65 • Pulse: 92 • Pulse Oximetry: 95% • Lungs clear bilaterally • Heart sounds S1S2 (lub dub) are regular • Bowel sounds very active throughout • Abdomen tender all over but more in LLQ • No masses felt • And….

  8. Dr.’s Assessment and Tests • Lab – CBC, Chemistry and….. • Xray? • IV at 100cc/hr • Medication

  9. Initial treatments

  10. What do you think is wrong with the patient?

  11. When you return…– Possibility 1 • Temperature: 37.5 °C • Respirations: 8 • Blood Pressure: 80/48 • Pulse: 156 • Pulse Oximetry: 85% • Patient does not respond to you

  12. When you return…– Possibility 2 • Temperature: 37.5 °C • Respirations: 16 • Blood Pressure: 105/65 • Pulse: 84 • Pulse Oximetry: 95%