Running Head: Nursing
Running Head: Nursing
Running Head: Nursing
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
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
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
Nursing 3
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
References
Kelley, D. M. (2005). Hypovolemic shock: an overview. Critical care nursing quarterly, 28(1),
2- 19.