Outcome 2,8,11,12 and 13 Essay Example | Topics and Well Written Essays - 1000 words

Outcome 2,8,11,12 and 13 - Essay ExampleOn examination, his pulse reckon was cxx per minute and his blood pressure was 80/50mmHg. I immediately made a diagnosis of anaphylactic reaction and stopped the compress drip. I started oxygen and initiated plain saline drip. I gave 10ml per kg bolus. I then called the house officer who was appreciative of my immediate response to the reaction that saved the unhurried. Intravenous iron therapy is associated with risk of anaphylactic reactions that after part be fatal. hence it is of the essence(predicate) to closely monitor any patient on intravenous iron therapy. The patient was worried and asked me as to what was the problem. I told him that he reacted to the drug that was administered to him. he then asked me as to what would be the other means of increasing his hemoglobin and I told him that the next filling would be blood transfusion. Outcome 8 12 year old Annah, a known fictitious character of acute lymphatic leukemia was brough t to the emergency department with complaints of fever. She has been on chemotherapy for the past 3 months. She has no other complaints bar for feeling of weakness. On examination, her pulse rate was 120 per minute and the pulses were bounding. She was febrile and even respiratory rate was high. Her blood pressures were11/90mmHg. She appe ared toxic. She also looked pale. Examination of the systems revelaaed no abnormality. I suspected neutropenia in this patient secondary to chemotherapy. I send blood samples for complete blood picture including neutrophil count, blood culture and urine culture. In view of rise in respiratory rate, I checked her saturations which were normal. I asked for an X-ray. The reports revealed neutropenia. I made a diagnosis of febrile neutropneia and called the oncologist who ordered to initiate broad spectrum anitbiotics ceftazidime and gentamycin, while awaiting culture results. The parents were worried and asked me around the cause of fever. I told th em that due to cancer treatment, the defense mechanisms were lost which contributed to increased risk of infections. It is very important for a nurse taking care of hematological cancer patients to be aware of the most satisfying and disastrous complication, febrile nuetropenia which needs admission and small-armagement in the hospital. Febrile neutropenia can lead to sepsis (Bedbie et al, 2000). If untreated, it can lead to severe sepsis and shock. Annahs parents were worried that she might go into shock. I understood the concerns of the patient and directed them to the physicians put up to meet the physician who was more qualified to address the needs of the parents. Outcome 11 In our out-patient department, we a good deal would encounter patients with iron deficiency anemia who would be started on oral iron supplements. Iron supplements are very nasty because they can cause many side effects like abdominal pain, nausea, vomit up and constipation, because of which compliance is very poor. There was one particular 55 year old gentle man who had persistent low hemoglobin levels despite iron therapy. Infact, we were planning to evaluate for other causes of hemoglobin when his wife told us that he was not taking his medication regularly because of side effects. I then told the patient into confidence and educated him or so the important and benefits of iron therapy. I told him to take iron medication about one hour after meals to minimise side effects and also to have the best submergence possible. I told the patient to drink some orange juice after taking iron