Reflective analysis case studies Essay Example | Topics and Well Written Essays - 2250 words

Reflective analysis case studies - Essay Example On the night in question, as a site manager, I was dealing with admissions and bed allocations. A colleague who was working opposite was the first responder that night. She received a call from the Critical Care Unit (CCU) at 2300 hours; the CCU nurses narrated that a female patient was having ongoing chest pains following the use of the commode; nurses also reported changes in the patient’s ECG reading; the CCU nurses also reported that the patient was given a glyceryl trinitrate (GTN) spray. My colleague and I already met the patient the previous night at the Emergency Medical Care (EMC) unit when she was admitted for shortness of breath (SOB), palpitations, and was having pleural effusions drained. Before we left for the ward, we fast beeped the doctor about the patient. We knew from the patient’s admission that she was 64 years old and had a Coronary Artery Bypass Graft (CABG) and an Aortic Valve Replacement (AVR) surgery 13 days prior to her admission. When we got to the CCU, the patient was extremely anxious and frightened; was very short of breath; was having chest pains; and was speaking in short sentences. The patient was also not sweating. The CCU nurses already put her on 15L Oxygen non-rebreath mask. I immediately made my A to G assessment while my friend helped to calm and reassure the patient. The doctor arrived a few minutes after we did and he saw the patient briefly, auscultated her chest, and went to the nurses’ station to write down his orders on the patient’s chart. I went to the nurses’ station to confer with the doctor about his initial findings and his orders. The doctor ordered Digoxin 500 mcg to be given immediately to the patient; he also ordered an increase in the treatment dose of clexane to 90 mg. He also ordered another 12 lead ECG to be done on the patient in 2 hours time; another dose of Digoxin in 6 hours time; IV