Running Head: Nursing

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Running head: Nursing

Nursing- cardiac, shock

Student’s Name

Institution
Nursing 2

Discussion 1.

The heart is one of the most important organs in the body as it pumps blood throughout

the body providing oxygen and nutrients. It is critical for a nurse to understand the anatomy of

the heart and the function as it helps to recognize and monitor the symptoms in a patient. The

functioning of the heart will also influence the treatment received by the patient. The nurse

should be able to recognize normal and abnormal cardiac rhythms also known as dysrhythmias.

Clinicians will use the basic cardiac monitoring to understand the changes the patient is

experiencing. In a clinical setting, a basic cardiac assessment at the start of my shift helped to

recognize the changes that may not have been documented before about the patient. Such

changes are important for the reflection on what changed in the patient and what treatment needs

to be initiated (Copstead & Banasik, 2013).

Where a patient has dysrhythmia, it is important to start by getting the full history on the

patient. Check if they have an MI recently or if they have undergone any procedure before.

Gathering the history helps to understand the medication they were on before and how it affects

the heart rhythm. After identifying the cause of dysrhythmia, you can now identify the best

treatment plan for the patient. After the treatment is initiated, continuous monitoring is necessary

to determine the patient response to medication and observe any changes.

Discussion 2

1. The patient was experiencing hypovolemic shock due to the abrasion sustained and the amount

of blood loss.

2. Some clinical findings to support the hypovolemic findings would be slow capillary refill,

anxiety, tenting on skin turgor, pale skin due to perfusion, feeling dizzy, faint nauseated or very
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thirsty, hypotension, and tachycardia. The return on urine output after fluid therapy is an

important clinical finding. It is important for the nurse to confirm the signs as some of the vital

signs do no change until 30% of the circulating blood volume is lost (Kelly, 2005).

3. For CC the clinical findings that would suggest sepsis and septic shock would be elevated

temperature, heart rate, respiration rate and the WBC level. The monitoring of vital signs is

essential to ensure the patient does not progress form sepsis to septic shock.

4. The link between sepsis and the multiple organ dysfunction is that MODS is the end result of

the patient going into septic shock if untreated. The signs for MODS is the failure of two or more

organs due to the body’s inability to maintain a homeostatic environment.


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References

Copstead-Kirkhorn, L. E. C., & Banasik, J. L. (2013). Study Guide for Pathophysiology-E-Book.

Elsevier Health Sciences.

Kelley, D. M. (2005). Hypovolemic shock: an overview. Critical care nursing quarterly, 28(1),

2- 19.

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