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Pre-Brief Assignment
Describe the pathophysiology of bowel obstruction and the fluid shifts that occur.
Describe causes of intestinal obstruction & differentiate mechanical from non-mechanical obstructions
Compare the pathophysiology, manifestations and diagnosis of a patient with a high versus low intestinal obstruction
What are the nursing responsibilities in monitoring fluid and electrolyte balance?
What are the nursing responsibilities in maintaining gastric or intestinal tubes used for decompression of the bowel?
Post-Simulation Assignment (completed and submitted after the simulation; 75 points)
Situation: Clearly and briefly define the situation. For example, ‘Mr. Jones has multiple prescriptions of Coumadin in his home and he is unclear as to which ones he is supposed to take.’
Background: Provide clear, relevant background information that relates to the situation. In the example above, you should consider including the patient’s diagnosis, the prescribing physicians, and the dates and dosages of the medications.
Assessment: A statement of your professional conclusion.Â
Recommendation:Â What do you need from this individual? For example, ‘Please clarify which is the correct dose of Coumadin for Mr. Jones to take and which physician will be responsible for managing his anticoagulant therapy?’
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Please complete medication cards:
Ondansetron
Fentanyl
Potassium Chloride
Â
Example of the Drug card expected:
Ropinirole HCL (Requip)
Class:Â Dopamine Receptor Agonist; Antiparkinson
Actions: effectiveness  indicated  by  improvement  in  idiopathic  Parkinson’s  disease.  Peak:  1-2hr. Half-life: 6hr.
Indications: Idiopathic  Parkinson’s  disease,  restless  leg  syndrome Norm. Dosage, Freq, Route, Range: PO 0.25-4mg Max: 4mg
Side Effects:Â Â fatigue, viral infection, dizziness, somnolence, sudden sleep attacks, syncope, nausea, vomiting, dyspepsia
Nursing Considerations:Â Lab tests: periodically monitor BUN and creatinine, hepatic function and cardiac status
SCIENCE
HEALTH SCIENCE
NURSING
NURSING MISC
