Week 1: Complex wounds Situation: <\/strong>Mr. Jennings, a 67-year-old male and he was presented with emergency laparotomy on day 4 post-operatively with a midline abdominal incision. He has a medical history of T2DM. Obesity, hypertension, and osteoarthritis.<\/p>\n\n\n\n Collect Cues<\/strong><\/p>\n\n\n\n \u00b7T2DM, hypertension, and others indicate a complex medical history. His medication regimen includes Metformin, Paracetamol, and Lisinopril.<\/p>\n\n\n\n \u00b7Vital signs reveal: BP: 132\/88 mmHg, RR: 22 bpm, Spo2: 95% on room temperature, HR: 104 bpm, and the body temperature was Temp: 38.3\u00b0C. Wound swab has been requested to order.<\/p>\n\n\n\n \u00b7Indicates post-operative complications or pulmonary embolism<\/p>\n\n\n\n Processing<\/strong><\/p>\n\n\n\n \u00b7Data analysis confirms that the patient has fever and elevated heart rate, and RR reveals potential infection.<\/p>\n\n\n\n \u00b7Vital signs monitoring and wound assessment are highly relevant, but reviewing medical history in this case might not be relevant (Vyas et al., 2024).<\/p>\n\n\n\n \u00b7Indicates post-operative complication.<\/p>\n\n\n\n \u00b7Strong connection to wound infection or Pulmonary embolism.<\/p>\n\n\n\n Issues<\/strong> Actual issue would be PE or wound infection, whereas potential issues might be sepsis or organ failure.<\/p>\n\n\n\n Goals<\/strong><\/p>\n\n\n\n \u00b7To treat the patient\u2019s complications effectively.<\/p>\n\n\n\n \u00b7To achieve the treatment outcome by stabilizing the RR and HR within the next 2 hours by 40%.<\/p>\n\n\n\n \u00b7Collaboration with the healthcare professionals to implement tests to develop a treatment plan.<\/p>\n\n\n\n \u00b7Recognizing the urgency as a response to the patient\u2019s clinical deterioration.<\/p>\n\n\n\n \u00b7Completing the entire treatment diagnosis within the next 2 hours.<\/p>\n\n\n\n Action:<\/strong><\/p>\n\n\n\n \u00b7Informing the healthcare team.<\/p>\n\n\n\n \u00b7Diagnostic tests, including X-ray, CBC, and others.<\/p>\n\n\n\n \u00b7Giving antibiotics to manage pain.<\/p>\n\n\n\n Evaluate<\/strong><\/p>\n\n\n\n \u00b7Monitoring signs and symptoms.<\/p>\n\n\n\n \u00b7Observation checklists to evaluate the effectiveness of the treatment.<\/p>\n\n\n\n Reflect:<\/strong><\/p>\n\n\n\n \u00b7Opportunities related to the improvement of clinical deterioration through a strategic roadmap have been identified.<\/p>\n\n\n\n \u00b7Understanding the importance of collaboration with the medical team.<\/p>\n\n\n\n Scenario 2<\/strong><\/p>\n\n\n\n Situation: <\/strong>Mrs. Marino, a 74-year-old female, reported to the hospital with a venous leg ulcer on the portion of medial left portion of the ankle.<\/p>\n\n\n\n Collect Cues<\/strong><\/p>\n\n\n\n \u00b7Venous leg ulcer that worsened over the past 2 weeks, history of hypertension, venous insufficiency, and DVT. The medication regimen includes Paracetamol, Amlodipine, and Aspirin.<\/p>\n\n\n\n \u00b7BP: 142\/86 mmHg, RR: 18 BPM, HR: 88 bpm, SpO\u2082: 97% on room air. Her wound becomes red, with moderate serous exudate, and maceration of her peri-wound skin.<\/p>\n\n\n\n \u00b7The symptoms and vital assessment confirm that it might be the exacerbation of the symptoms of a leg ulcer, for which wound management will be necessary.<\/p>\n\n\n\n Processing<\/strong><\/p>\n\n\n\n \u00b7Marino\u2019s wound site does not heal as per the expectations.<\/p>\n\n\n\n \u00b7Wound assessment as well as medical history would be relevant in this case, as they are the common symptoms of venous insufficiency, while medications had no direct relevance to her current situation (Tan et al., 2024).<\/p>\n\n\n\n \u00b7Reveals chronic wound complications.<\/p>\n\n\n\n \u00b7Prompt intervention will be necessary by focusing on her wound site to prevent sepsis and other conditions.<\/p>\n\n\n\n Issues<\/strong><\/p>\n\n\n\n \u00b7Her wound is worsening with maceration and increased exudate.<\/p>\n\n\n\n \u00b7Risks include decreased mobility, infection, or amputation.<\/p>\n\n\n\n Goals<\/strong><\/p>\n\n\n\n \u00b7To improve her wound healing to prevent complications.<\/p>\n\n\n\n \u00b7To lower the wound exudate by 50% with wound dressing within 1 week and 80% within 2 weeks.<\/p>\n\n\n\n \u00b7Collaborating with the medical team.<\/p>\n\n\n\n \u00b7To recognize risk factors and triggers.<\/p>\n\n\n\n \u00b7To complete the wound management plan within the next 2 weeks.<\/p>\n\n\n\n Action:<\/strong><\/p>\n\n\n\n \u00b7Wound management plan<\/p>\n\n\n\n \u00b7Collaboration with other professionals.<\/p>\n\n\n\n \u00b7Patient\u2019s education<\/p>\n\n\n\n Evaluate:<\/strong><\/p>\n\n\n\n \u00b7Monitoring healing by observing the wound.<\/p>\n\n\n\n \u00b7Depth measurement will be used to evaluate the healing effectiveness.<\/p>\n\n\n\n Reflect:<\/strong><\/p>\n\n\n\n \u00b7Identification of the importance of wound management, especially when patients have a history of VI.<\/p>\n\n\n\n \u00b7Understanding the importance of the involvement of the health professionals.<\/p>\n\n\n\n Scenario 3<\/strong><\/p>\n\n\n\n Situation: <\/strong>Mr. Cadwell, an 81-year-old male, presented to the hospital with stage 3 PI (Pressure injury) over the sacrum.<\/p>\n\n\n\n Collect Cues<\/strong><\/p>\n\n\n\n \u00b7PI stage 3, situation worsening over 10 days, medical history of Parkinson\u2019s disease, Y2DM, heart disease, and mild cognitive impairment. The medication regimen includes Bisoprolol, Metformin, and Clopidogrel.<\/p>\n\n\n\n \u00b7BP: 126\/78 mmHg, SpO\u2082: 96% on room air, HR: 96 bpm, and RR: 20. Wound had moderate exudate slough, and skin was fragile.<\/p>\n\n\n\n \u00b7Pressure injury management is necessary for him, as he has limited mobility, which can further exacerbate the risks of PI.<\/p>\n\n\n\n Processing<\/strong><\/p>\n\n\n\n \u00b7No healing of PI<\/p>\n\n\n\n \u00b7Medication review was less relevant than wound assessment and evaluating the medical history (Hess, 2019). Medical history provides conditions that might be risk factors for patients, while wound assessment will help to understand the characteristics of the wound to proceed with further treatments.<\/p>\n\n\n\n \u00b7Pressure injury can be complicated based on the patient\u2019s vital signs monitoring and wound assessment, along with history.<\/p>\n\n\n\n \u00b7Immediate attention is required.<\/p>\n\n\n\n Issues<\/strong><\/p>\n\n\n\n \u00b7PI is worsening, which is an issue, but it can further initiate sepsis or multi-organ failure as a potential complication.<\/p>\n\n\n\n Goals<\/strong><\/p>\n\n\n\n \u00b7To improve the PI healing to lower the risks of sepsis.<\/p>\n\n\n\n \u00b7To measure would exudate and to boost healing by 60% within 1 week.<\/p>\n\n\n\n \u00b7Collaboration with the healthcare team.<\/p>\n\n\n\n \u00b7To address the severity of the PI management.<\/p>\n\n\n\n \u00b7To complete the entire purpose within the 2 weeks.<\/p>\n\n\n\n Action:<\/strong><\/p>\n\n\n\n \u00b7Wound dressing and cleaning<\/p>\n\n\n\n \u00b7Educating the patient and his family members to promote health literacy.<\/p>\n\n\n\n Evaluate: <\/strong>The Bates-Jensen Wound Assessment Tool will be used to measure the progress or deterioration after implementing the action plan.<\/p>\n\n\n\n Reflect:<\/strong><\/p>\n\n\n\n \u00b7Addressed the importance of pressure injury management.<\/p>\n\n\n\n \u00b7Understanding the complex situation that the patient might face if left untreated.<\/p>\n\n\n\n Week 2A: Care of the person with altered blood sugars (scenario 1)<\/strong><\/p>\n\n\n\n Situation: <\/strong>Mr. Brown, a 50-year-old male, presented with T2DM and was admitted to the hospital 2 days ago due to a lower respiratory tract infection.<\/p>\n\n\n\n Collect Cues<\/strong><\/p>\n\n\n\n \u00b7Medical history of hypertension, obesity, as well as T2DM.<\/p>\n\n\n\n \u00b7Medication regimen includes mixed insulin, Lisinopril, and metformin.<\/p>\n\n\n\n \u00b7BGL level: 19.4 mmol\/L, no visible wound, but the patient experiences severe thirst and fatigue.<\/p>\n\n\n\n \u00b7Diabetes management is crucial, especially when BGL fluctuates.<\/p>\n\n\n\n Processing<\/strong><\/p>\n\n\n\n \u00b7BGL is high, and he might be affected by hyperglycaemia.<\/p>\n\n\n\n \u00b7BGL, vital signs, and medication doses are all relevant aspects in this case.<\/p>\n\n\n\n \u00b7Immediate intervention.<\/p>\n\n\n\n \u00b7Treatment adherence to avoid harmful consequences.<\/p>\n\n\n\n Issues<\/strong><\/p>\n\n\n\n \u00b7While BGL level shows hyperglycaemia, a risk for the patient; however, it can initiate diabetic ketoacidosis if left untreated (Berbudi et al., 2020).<\/p>\n\n\n\n Goals<\/p>\n\n\n\n \u00b7To manage hyperglycaemia<\/p>\n\n\n\n \u00b7To lower the BGL level from 19 to 4-10 mmol\/L within the next 3 hours.<\/p>\n\n\n\n \u00b7Collaborating with the healthcare team.<\/p>\n\n\n\n \u00b7Recognizing the complexities.<\/p>\n\n\n\n \u00b7To complete the entire intervention plan within the next 3 hours.<\/p>\n\n\n\n Action:<\/p>\n\n\n\n \u00b7Administering medications and mixing insulin doses.<\/p>\n\n\n\n \u00b7Providing education on diabetes complexities.<\/p>\n\n\n\n Evaluate: Monitoring BGL level until it reaches the expected outcome.<\/p>\n\n\n\n Reflect:<\/p>\n\n\n\n \u00b7Understanding the importance of addressing risk factors that trigger the BGL level to become high. The importance of vital signs monitoring has been addressed.<\/p>\n\n\n\n Scenario 2<\/strong><\/p>\n\n\n\n Situation: <\/strong>Mrs Julie Nguyen, who was a 72-year-old lady, was admitted with wrist pain, which was mild, along with hypoglycaemia.<\/p>\n\n\n\n Collect Cues<\/strong><\/p>\n\n\n\n \u00b7History of T2DM and chronic kidney disease.<\/p>\n\n\n\n \u00b7BGL was 2.8 mmol\/L.<\/p>\n\n\n\n \u00b7Experienced fatigue and light-headedness<\/p>\n\n\n\n Processing<\/strong><\/p>\n\n\n\n \u00b7Low BGL indicates hypoglycaemia. Therefore, requiring clinical assistance.<\/p>\n\n\n\n \u00b7BGL, vital signs, and other reports are quite relevant in this case.<\/p>\n\n\n\n \u00b7Immediate intervention.<\/p>\n\n\n\n \u00b7Hypoglycaemia can be life-threatening, for which instant focus will be necessary to manage complications (Harding et al., 2024).<\/p>\n\n\n\n Issues: <\/strong>Hypoglycaemia is one of the issues that the patient faces, which further creates potential complications, including coma and even death.<\/p>\n\n\n\n Goals<\/strong><\/p>\n\n\n\n \u00b7To manage hypoglycaemia to prevent risks.<\/p>\n\n\n\n \u00b7To achieve BGL level within the target range (4-10 mmol\/L) within 30 minutes.<\/p>\n\n\n\n \u00b7Effective collaboration with professionals.<\/p>\n\n\n\n \u00b7Understanding the urgency of the intervention<\/p>\n\n\n\n \u00b7To complete the plan within the next 30 minutes.<\/p>\n\n\n\n Action:<\/strong><\/p>\n\n\n\n \u00b7Glucose administration.<\/p>\n\n\n\n \u00b7Patient\u2019s evaluation<\/p>\n\n\n\n Evaluate: <\/strong>Constant monitoring of vital signs to ensure safety.<\/p>\n\n\n\n Reflect:<\/strong><\/p>\n\n\n\n \u00b7Knowledge and facts related to hypoglycaemia have been understood.<\/p>\n\n\n\n \u00b7The value of involving the medical team as a response to clinical deterioration has been addressed.<\/p>\n\n\n\n Scenario 3<\/strong><\/p>\n\n\n\n Situation: <\/strong>A patient, named Mr. Wallace, a 76-year-old male admitted with increasing confusion and dehydration,<\/p>\n\n\n\n Collect Cues<\/strong><\/p>\n\n\n\n \u00b7History of T2DM, heart failure, cognitive decline, and others. Metformin is used for T2DM with other medications (Furosemide and Amlodipine).<\/p>\n\n\n\n \u00b7BGL: 27.8 mmol\/L, patient reported dry lips, poor skin, and weak pulses, urine output from vital assessment showed 300mL of concentrated, along with dark urine.<\/p>\n\n\n\n \u00b7Managing hyperglycaemia. BP was 98\/58 mmHg, revealing hypotension.<\/p>\n\n\n\n \u00b7All of the assessments are relevant to ensure the root cause of his condition.<\/p>\n\n\n\n \u00b7Immediate attention.<\/p>\n\n\n\n \u00b7Hypoglycaemia can be risky and needs to be prioritized.<\/p>\n\n\n\n Processing:<\/strong><\/p>\n\n\n\n \u00b7BGL level elevated.<\/p>\n\n\n\n \u00b7Requiring immediate action.<\/p>\n\n\n\n \u00b7BGL, vital signs, and urine output are highly relevant in this case.<\/p>\n\n\n\n Issues: <\/strong>Risk of having DKA or sepsis (Gosmanov et al., 2021).<\/p>\n\n\n\n Goals<\/strong><\/p>\n\n\n\n \u00b7To manage hypoglycaemia as well as dehydration.<\/p>\n\n\n\n \u00b7To lower the BGL level from 27.8 to 4 or 10 mmol\/L within the next 3 hours.<\/p>\n\n\n\n \u00b7Collaboration with experts.<\/p>\n\n\n\n \u00b7To recognize the severe complications that can be risky for the patient.<\/p>\n\n\n\n \u00b7To complete within the next 2 to 3 hours.<\/p>\n\n\n\n Action:<\/strong><\/p>\n\n\n\n \u00b7IV administration<\/p>\n\n\n\n \u00b7Antibiotic therapy to suppress UTI.<\/p>\n\n\n\n Evaluate: <\/strong>Monitoring BGL level and patient\u2019s hydration status.<\/p>\n\n\n\n Reflect:<\/strong><\/p>\n\n\n\n \u00b7Understanding the risks after developing hyperglycaemia<\/p>\n\n\n\n \u00b7Understood the importance of focusing on communicating with healthcare experts during MET activation.<\/p>\n\n\n\n Week 2B: Endocrine (Scenario 1)<\/p>\n\n\n\n Situation: <\/strong>Mrs Helen, a 63-year-old woman, reported to the hospital due to her recent fall, and she was previously diagnosed with Graves\u2019 Disease.<\/p>\n\n\n\n Collect Cues<\/strong><\/p>\n\n\n\n \u00b7HR 130 bpm, RR 24 bpm, and BP 148\/88 mmHg, and Spo2 level was normal (97%). She experienced symptoms including restlessness, weight loss. Palpitations, insomnia, and others. Medications include Propranolol to manage thyroid, Carbimazole, which also works to inhibit the synthesis of thyroid hormone, which affirms that, patient has hypothyroidism.<\/p>\n\n\n\n \u00b7Polyuria and thirst confirm mild dehydration or hyperglycaemia.<\/p>\n\n\n\n \u00b7Graves\u2019 disease is a common outcome for patients with thyroid issues due to the stimulation of autoantibodies.<\/p>\n\n\n\n Processing<\/strong><\/p>\n\n\n\n \u00b7HR: 130 bpm, sweating, and weight loss are symptoms that recommend worsening of hyperthyroidism. Excess thyroid hormone might enhance the tendency towards restlessness and insomnia as a neurological symptom.<\/p>\n\n\n\n \u00b7Most important cues are considered as tremors, anxiety, excessive thirst, and others, whereas Spo2 levels and temperature are less critical to the patient.<\/p>\n\n\n\n \u00b7Polyuria might be considered a side effect of hyperthyroidism without including diabetes.<\/p>\n\n\n\n \u00b7Her fall incidence might be related to tremors, tachycardia-induced dizziness, or fatigue.<\/p>\n\n\n\n \u00b7This report is consistent with the aspect of poorly controlled Graves\u2019 disease instead of any pharmacological treatment.<\/p>\n\n\n\n \u00b7If left untreated, the patient can face the risk of cardiac failure.<\/p>\n\n\n\n Issues<\/strong><\/p>\n\n\n\n \u00b7Hyperthyroidism<\/p>\n\n\n\n \u00b7cardiovascular instability Fatigue and fall risk<\/p>\n\n\n\n Goals<\/strong><\/p>\n\n\n\n \u00b7To stabilize the heart rate by monitoring the cardiac output.<\/p>\n\n\n\n \u00b7To measure the heart rate to ensure it will reduce from 130 to below 100 within 10 minutes to avoid tachycardia.<\/p>\n\n\n\n \u00b7To collaborate with GP immediately to implement the plan<\/p>\n\n\n\n \u00b7Monitoring heartbeat for 30 minutes for the next 2 days.<\/p>\n\n\n\n \u00b7To stabilize the patient\u2019s condition within 2 days.<\/p>\n\n\n\n Action:<\/strong><\/p>\n\n\n\n \u00b7Notifying the entire medical team regarding the worsening situation.<\/p>\n\n\n\n \u00b7Performing ECG monitoring<\/p>\n\n\n\n \u00b7Monitoring fluid intake.<\/p>\n\n\n\n Evaluate: <\/strong>Monitoring patients’ vital signs by observing sleep cycle, tremors, fatigue, and other symptoms after 3 days.<\/p>\n\n\n\n Reflect:<\/strong><\/p>\n\n\n\n \u00b7Early recognition of deterioration is necessary, which has been understood from this scenario.<\/p>\n\n\n\n \u00b7Vital signs abnormalities must be considered as endocrine crisis, even if the patient is stable.<\/p>\n\n\n\n Week 3: Hepatic (Scenario 1)<\/strong><\/p>\n\n\n\n Situation: <\/strong>Mr. Collins, a 35-year-old male, presented with Hepatitis B infection, which was further confirmed by lab procedures.<\/p>\n\n\n\n Collect Cues<\/strong><\/p>\n\n\n\n \u00b7His medical history confirms that he is quite fit but occasionally involved in alcohol usage. His medication regimen is paracetamol.<\/p>\n\n\n\n \u00b7BP: 110\/68 mmHg, indicates normal, but the patient reported tallow eyes and the skin colour is like jaundiced skin, dark urine, and abdominal pain.<\/p>\n\n\n\n \u00b7Understanding the pathophysiology of the infection to develop treatment.<\/p>\n\n\n\n Processing<\/strong><\/p>\n\n\n\n \u00b7Acute hepatitis B infection.<\/p>\n\n\n\n \u00b7The levels of bilirubin and liver enzymes are elevated.<\/p>\n\n\n\n \u00b7These are the common symptoms of Hepatitis B.<\/p>\n\n\n\n \u00b7Ongoing monitoring is necessary.<\/p>\n\n\n\n Issues: <\/strong>High levels of bilirubin and liver enzymes, which can be transmitted from his body to another (WHO, 2024).<\/p>\n\n\n\n Goals<\/strong><\/p>\n\n\n\n \u00b7To manage his condition by preventing the illness from spreading.<\/p>\n\n\n\n \u00b7To reduce the level of liver enzymes within 3 weeks.<\/p>\n\n\n\n \u00b7To communicate with a healthcare professional.<\/p>\n\n\n\n \u00b7Understanding the importance of ongoing vital assessments.<\/p>\n\n\n\n \u00b73 weeks will be the timeframe for the strategic treatment implementation.<\/p>\n\n\n\n Action:<\/strong><\/p>\n\n\n\n \u00b7Antiviral therapy<\/p>\n\n\n\n \u00b7Patient\u2019s education<\/p>\n\n\n\n Evaluate: <\/strong>Assessing the infection control measures to ensure to meet the objectives.<\/p>\n\n\n\n Reflect:<\/strong><\/p>\n\n\n\n \u00b7Recognized the severity of hepatitis B infection, especially when patients are at high risk.<\/p>\n\n\n\n \u00b7Successfully understood to prioritize collaboration to release the overburden from the nursing staff.<\/p>\n\n\n\n Scenario 2<\/strong><\/p>\n\n\n\n Situation<\/strong>: Mr Reyes, a 59-year-old male, reported with chronic hepatitis C along with liver cirrhosis.<\/p>\n\n\n\n Collect Cues<\/strong><\/p>\n\n\n\n \u00b7Medical history; Chronic hepatitis B, T2DM, and liver cirrhosis. Medications include lactulose, metformin, and others.<\/p>\n\n\n\n \u00b7Patient\u2019s report confusion as well as slurred speech.<\/p>\n\n\n\n \u00b7Cirrhosis<\/p>\n\n\n\n Processing<\/strong><\/p>\n\n\n\n \u00b7Elevated ammonia is evidence that worsens liver conditions among patients.<\/p>\n\n\n\n \u00b7BP: 94\/60 mmHg<\/p>\n\n\n\n \u00b7Lab results as well as clinical findings are relevant.<\/p>\n\n\n\n \u00b7Coagulopathy reveals hepatic encephalopathy.<\/p>\n\n\n\n \u00b7Immediate attention.<\/p>\n\n\n\n Issues<\/strong><\/p>\n\n\n\n \u00b7Hepatic encephalopathy can initiate neurological risks as a potential complication (Oana S\u0103ndulescu et al., 2024).<\/p>\n\n\n\n \u00b7The risk of bleeding can be higher. Life-threatening complication.<\/p>\n\n\n\n Goals<\/strong><\/p>\n\n\n\n \u00b7To manage hepatic encephalopathy<\/p>\n\n\n\n \u00b7To reduce the ammonia level within the next 20 hours by using lactulose.<\/p>\n\n\n\n \u00b7Collaborating with a medical professional.<\/p>\n\n\n\n \u00b7To address ongoing monitoring.<\/p>\n\n\n\n \u00b720 hours.<\/p>\n\n\n\n Action<\/strong>:<\/p>\n\n\n\n \u00b7Lactulose administration.<\/p>\n\n\n\n \u00b7Monitoring the mental status of the patient.<\/p>\n\n\n\n \u00b7Provide supportive care<\/p>\n\n\n\n Evaluate: <\/strong>Monitoring mental status and vital signs<\/p>\n\n\n\n Reflect:<\/strong><\/p>\n\n\n\n \u00b7Understanding hepatic encephalopathy as a risk factor that can be life-threatening if left untreated.<\/p>\n\n\n\n \u00b7Evaluated the importance of patients\u2019 education.<\/p>\n\n\n\n Scenario 3<\/strong><\/p>\n\n\n\n Situation: <\/strong>Mr. Miller, a 74-year-old female, possesses a history of iron deficiency, osteoarthritis, and heart failure.<\/p>\n\n\n\n Collect Cues<\/strong><\/p>\n\n\n\n \u00b7Her medication regimen includes ferrous sulphate, paracetamol, and furosemide.<\/p>\n\n\n\n \u00b7Experienced lower back pain, chest tightness, and feeling flushed.<\/p>\n\n\n\n \u00b7Must have knowledge of blood management for transfusion.<\/p>\n\n\n\n Processing<\/strong><\/p>\n\n\n\n \u00b7Possible blood transfusion reaction noted from the vital signs.<\/p>\n\n\n\n \u00b7Clinical findings and vital signs are completely relevant in this case.<\/p>\n\n\n\n \u00b7Immediate attention will be necessary.<\/p>\n\n\n\n Issues<\/strong><\/p>\n\n\n\n \u00b7Elevated body temperature, heart rate (112 bpm), and blood pressure (94\/60 mmHg).<\/p>\n\n\n\n \u00b7Potential issues can be renal failure and cardiovascular issues.<\/p>\n\n\n\n Goals<\/strong><\/p>\n\n\n\n \u00b7To manage haemolytic transfusion to safeguard the RBCs to prevent complications (Harewood and Master, 2023).<\/p>\n\n\n\n \u00b7To lower the body temperature while increasing BP, as it reveals hypotension within the next 30 minutes.<\/p>\n\n\n\n \u00b7Collaboration with healthcare staff to hinder blood transfusion.<\/p>\n\n\n\n \u00b7To recognize the requirement of blood transfusion management.<\/p>\n\n\n\n \u00b730 minutes.<\/p>\n\n\n\n Action:<\/strong><\/p>\n\n\n\n \u00b7Stopping blood transfusion<\/p>\n\n\n\n \u00b7Antipyretics administration<\/p>\n\n\n\n \u00b7Oxygen therapy and cardiac monitoring.<\/p>\n\n\n\n Evaluate: <\/strong>Monitoring vital assessment (A-E framework)<\/p>\n\n\n\n Reflect:<\/strong><\/p>\n\n\n\n
Scenario 1:<\/strong><\/p>\n\n\n\n![\"\"](\"https:\/\/myassignmenthelp.info\/assignments\/wp-content\/uploads\/2025\/08\/image.png\")
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