Stage 3: Ongoing management and monitoring of DKA 1 hour after initiation of treatment. Surgical dressings and imitation blood can support medical history. The authors of the second study reported that poor sleep quality (60% of respondents) and extreme fatigue (55% of respondents) are independently associated with safety risks on the job. Forty percent of respondents reported excessive daytime sleepiness. A strong emphasis is placed on the focused, methodical examination of a specific medical problem and the decision-based treatment options available. TheABCDEapproach can be used to perform a systematic assessment of a critically unwell patient. The students worked on the underlying physiology during a week long PBL session and are therefore familiar with the theoretical aspects of DKA. DY{Qb"(EgN$QI*%XN1F""0a5 If you'd like to support us and get something great in return, check out our awesome products: You don't need to tell us which article this feedback relates to, as we automatically capture that information for you. A pre-briefing session is conducted prior to the start of the simulation scenario. You should have another member of the clinical team aiding you in your ABCDE assessment, such a nurse, who can perform observations, take samples to the lab and catheterise if appropriate. endobj The file explaining the session is sent to instructors 1 week before the sessions. From the Department of Anesthesiology, Pennsylvania State University College of Medicine, Hershey, PA. Dr. Murray is on the Speakers Bureau of METI, Sarasota, FL. We then start the DKA state. See Appendix D, Supplemental Digital Content 4, https://links.lww.com/SIH/A4. Outcomes Educating Nursing Students Using an Evolving, Simulated Case 2. If the provider starts an IV and gives dextrose, then the patients alertness will increase, respirations will normalize and repeated blood glucose will read 210 mg/dL over a two-minute interval. Performing an ECG should not delay the emergency management of DKA. Open the patients mouth to ensure there is no foreign material that may be pushed into the larynx. For diabetic assessment involving DKA, staging may include the use of a container with a small amount of acetone placed near the manikin because many students may not know what acetone smells like but will expect to smell something. Trainee will learn to collaborate with peers to decide on appropriate interventions, tests, and therapy. Place one hand on the patients forehead and the other under the chin. If the patient isunconsciousorunresponsive, start thebasic life support(BLS)algorithmas per resuscitation guidelines.
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