MedicalCase01_KennethBronson_GRQ_Edited
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Lee College *
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1251
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Medicine
Date
Dec 6, 2023
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docx
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Medical Case 1: Kenneth Bronson
Guided Reflection Questions
1.
How did the scenario make you feel?
This simulation made me feel comfortable in being able to treat a patient experiencing
anaphylactic shock.
2.
What signs and symptoms led you to the conclusion that Kenneth Bronson was experiencing
an allergic reaction?
Difficulty breathing, tachycardia immediately after starting infusion.
3.
Discuss the differences between mild, moderate, and severe anaphylactic reactions.
Mild and moderate signs include swelling of lips, face, eyes, hives and welts, itchiness,
skin redness, chest tightness, tingling in mouth, abdominal pain, and vomiting
Severe signs include difficulty breathing, swelling of tongue, swelling of the throat,
difficulty talking/hoarseness, wheezing and persistent cough, unconsciousness, rapid
pulse, loss of oxygen, shock, cardiac arrest, and respiratory distress
4.
Discuss the importance of follow-up assessments post-reaction.
Follow up assessments can help determine if the patient is experiencing any delayed
reactions.
5.
What further needs does Kenneth Bronson have at the end of the scenario that future
nursing care should address?
The patient will need an allergy alert band and doctor will need to be informed of allergy.
Further medication should be administered to reduce edema such as a corticosteroid or
antihistamine. Breathing needs to be continuously monitored, along with cardiac
monitoring. Patient will need to be educated on signs and symptoms of anaphylaxis and
how to manage the new allergy.
6.
Reflect on how you would communicate with family members in an emergency situation if
they were present at the bedside.
I would make sure the family is aware of the patient having an allergic reaction and what
it has caused. I would also inform the family of the measures being taken to reverse the
reaction, as well as provide reassurance.
7.
After completing the simulation and reflecting on your experience, what would you do
differently (or the same) for the patient experiencing acute respiratory distress?
I don’t believe I would do anything differently in this case.
8.
How could you prepare for clinical in order to plan ahead for potential patient emergencies?
I would make sure I am aware of the signs and symptoms of mild, moderate, and severe
allergic reactions in order to rapidly act on them.
© Wolters Kluwer Health | Lippincott Williams & Wilkins
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