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Essay / Research Paper Abstract
A 4 page nursing article summary that addresses 2 articles applicable to step-down care in a cardiac care unit. Bibliography lists 2 sources.
Page Count:
4 pages (~225 words per page)
File: D0_khcsd.rtf
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Unformatted sample text from the term paper:
inform the reader as to "pitfalls" in practice that pertain to I.V. therapy. The beginning of the article offers a detailed account of the care that Beatrice Smoltz, 64, received
on November 14, 2002, after being admitted from an emergency department (ED) to a cardiac step-down unit. With the time notation of 17:30, the author notes Smoltzs symptoms and condition
and the fact that she has been hospitalized frequently and treated with I.V. inotropic medications. Smoltzs doctor order I.V. dobutamine and furosemide. In the ED, patient begins receiving medication via
I.V.; however, this device is accidentally pulled out during transfer and the nurses cannot locate another suitable peripheral vein in her arms and hands. Charge nurse, Caroline Scott,, RN, calls
the patients doctor, who orders state placement of a central venous catheter (CVC). However, both the ED attending physician and the general surgeon on call are busy with other patients.
When the patients doctor doe snot respond to a page, at 18:45, Scott inserts an 18-gauge peripheral I.V. catheter into Smoltzs right foot. The general surgeon removes this at 21:20
and inserts a CVC in Smoltzs right internal jugular vein. The patients condition improves, but on November 17, Mrs. Smoltz collapses in the bathroom and cannot be resuscitated. At autopsy,
it is discovered that her death was called by a massive pulmonary embolism. Two years later, her husband files suit against the nurses responsible for his wifes care in
the step-down unit. Scott acknowledged that she was aware of the hospitals policy prohibiting nurses from starting I.V. lines in the feet or legs, but was only dimly aware
at the time that this practice can increase the risk of phlebitis, which in the case directly contributed to the patients death. The lessons to be learned from this case
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