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Please help Today we will do simulation about the patient with Diagnosis: Severe necrotizing pancreatitis. Last...

Please help

Today we will do simulation about the patient with Diagnosis: Severe necrotizing pancreatitis. Last week we did the same case

Please help to answer these questions below

1. Describe one action or decision you would like to improve upon for today’s repeat simulation

2. Identify one complication that may occur today that did not occur last week

3, Explain 2 reasons for chest tube therapy

4, Explain 1 emergency related to chest tube therapy

5, Describe a patient scenario where chest tube therapy would be used

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Answer #1

Simulation : Simulation is a process of imitation. Also considered as experiential learning i.e. artificially creating a life situation.

Severe Necrotizing Pancreatitis :

Consider a situation where patient came to hospital with deep epigastric pain which is radiating , nausea and vomiting and has drunk.He is with tachycardia, hypotension,feveretc.

Student Actions :

1 question : Decision or action to be improved.

Consider below points if any were missed in the last session.

  • Ask for all the labs to be immediately done such as arterial blood gas analysis, blood examinations, haematology for WBC ,chemical profile for blood urea nitrogen, creatinine and bilirubin levels.
  • Ask for a CT scan of pancreas.
  • start antibiotics , IV fluids
  • Also should place the patient on NG tube feeding.​​​​​​​

​​​​​​​2. Identify one complication which may occur today which does not occur last week.

complications were described below and identify the complicatio which had not occurred last week.

  • Pseudocyst : sacs of fluid may develop on the surface of the pancreas.
  • Pancreatic necrotitis: where blood supply lacks and the death takes place.
  • Chronic pancreatitis : the condition where permanent damage occurs for pancreas.

3. Describe 2 reasons for chest tube therapy

To decrease pancreatic exocrine secretions.

This treatment method closes fistulas and also treats Pseudocyst.

4. 1 emergency related to chest tube therapy.

chest tube falling out is an emergency and immediate applying of pressure is necessary over the chest.

5. Patient scenario where chest tube therapy can be placed.

Patient presented to the emergency department with severe vomitings,tachycardia and fever. Physician ordered for chest tube therapy.

This can be placed in between the ribs and in to the space between inner and outer linings of the chest cavity.

Hope these answers would help you.

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