Notes
Assessment - created from Mind Map

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Diagnosis
Consider the Patient situation
Collect cues/information
Outcome Identification
Process information
Identify Problems/Issues
Planning
Establish Goals
Implementation
Evaluation
Take action
Reflect on Process and new learning
Evaluate Outcomes
Contemplate
IV vs. PO meds for vomiting patients
Symptom relief as priority
When in doubt, shout it out
Evaluate effectiveness
Relief of nausea/vomiting and associated pain
Increased comfort and quality of life
Select a course of action
SBAR to MRP
IV bolus/anti-emetics
CCRT consult
Telemetry Monitoring
Electrolyte panel
Describe outcomes
fluid and electrtolyte balance
failure to rescue
increased comfort and quality of life from decreased pain
Symptom relief
Interpret/Discriminate/Relate Infer/Match/Predict
hypotensive/tachycardic
Abdominal pain
fluid loss
SHOCK?
Nausea/Vomiting
Anti-emetics
Fluid/electrolyte replacement
electrolyte imbalances
Synthesize facts
Describe it
Mr. Cruz, 47M, N/V x7 days following return from trip, cannot keep food down
Review/Gather/Recall information
Hypotensive/tachycardic
Abdominal pain
No significant history given
inadequate oral intake DT N/V
Recent travel history and GI illness
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- Nursing Note on Assessment - created from Mind Map, created by Alastair Howe on 30/11/2017.
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- Alastair Howe
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- Created by Alastair Howe · Nov 30, 2017
- Copied to Note by Alastair Howe · Nov 30, 2017
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