Philosophy and Psychology
Submitted By timotea
Hypotension in Cardiac Catheterization Laboratory: Patient Management
Si m u l a t e d C l i n i c al E x p e r ie n c e (S CE ™) Over view Lear ning O b je c tiv e s
Location: Cardiac Catheterization Laboratory History/Information: The patient is a 57-year-old woman transferred to the cardiac catheterization laboratory for a procedure after presenting to the Emergency Department (ED) this morning with a purple and extremely tender right lower extremity. She is alert and oriented to person, place and time. Her pain rating scale is a 10/10. She told the Emergency Department staff her foot began hurting about a week ago and had been becoming more and more tender and slightly more discolored as each day passed. She thought it would “go away with time.” When she awoke this morning, her toes were purple in color, and she was unable to touch them secondary to the immense pain. Her husband drove her to the hospital immediately. Her weight is 65.0 kg. Other ﬁndings include normal heart tones, clear lung sounds, positive bowel sounds and clear yellow urine from a urinary catheter inserted in the emergency department. Her medical history consists of hypertension, partial lumpectomy of the right breast seven years ago, alcohol abuse and hyperlipidemia. She is allergic to angiotensin converting enzymes inhibitors and angiotensin receptor blockers. She takes metoprolol 25mg twice per day at home for hypertension management. She has been married for 25 years and has two adult children. She reports that she smokes one pack of cigarettes per day and generally drinks two distilled alcoholic drinks per day. Blood work was drawn, but the results are not yet available. The emergency department team has transferred the client to the cardiac catheterization laboratory after inserting left jugular venous access and a urinary catheter. Healthcare Provider’s Orders: Cath Lab orders:…...