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Sim Prep

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Submitted By santh
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Simulation Preparation Information
Patient Name: Earl Dobbs 54 year old
Past Medical History: Unknown
Current Hospitalization: Currently admitted to medical-surgical unit , in the weaning phase of his tracheostomy care. He has required suctioning every four hours for a moderate amount of thin, tan secretions.
Allergies: No known drug allergies
Medications: None.
Code Status: Full Code
Social/Family History: Employed as a mail carrier; Divorced: has two adult children who live out of town, but visit frequently.

Latest Assessment:
Vital Signs: HR 82, BP 124/75, RR 14, SPO2 98% on 36% tracheostomy collar, T 99
Cardiovacular: Normal sinus rhythm
Respiratory: Breath sounds with ronchi bilaterally; equal expansion, trach tube intact, and insertion site clean and dry.
GI: normal bowel sounds, PEG tube intact dressing dry
GU: WNL
Extremities: equal bilaterally, strong peripheral pulses
Neurological: Alert and oriented to time, place and person, pupils equal and reactive to light and accommodation
Pain: no complaints of pain
Learning objectives * Perform assessment on the patient * Demonstrates appropriate tracheal suctioning techniques, including ongoing assessment of respiratory status * Intervenes appropriately to resolve acute respiratory distress in patient with tracheostomy

Preparation questions: 1. What are some of the indications for a tracheostomy? * Prolonged intubation during the course of a critical illness * Severe neck or mouth injuries * Long term unconsciousness or coma, * To maintain an airway where the ability to do this via normal mechanisms is temporarily or permanently compromised * To facilitate longer-term respiratory support such as mechanical ventilation or

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