Assignment:
Please give this work to Dr Vidhya Bhushan
Pharmacology Scenario: Juan Carlos Guided Reflection Questions
Opening Questions
How did the simulated experience of Juan Carlos's case make you feel?
Tell me the actions you felt went well within this scenario.
Reflecting on Juan Carlos's case, were there any actions you would do differently if you were to repeat this scenario? If so, how would your patient care change?
Scenario Analysis Questions[1]
PCC/EBP What priority problem(s) did you identify for Juan Carlos? Did your priorities change during the scenario? Why?
EBP/S What data that was presented to you or that you gathered indicated a need for more education for Juan Carlos in regard to diabetes management?
PCC/T&C List and discuss the importance of patient education on proper diabetic control.
T&C/S What other interprofessional team members should be involved in Juan Carlos's care?
Concluding Questions
Describe some specific strategies you would use to apply the knowledge and skills that you obtained in Juan Carlos's case to an actual patient care situation.
Patient Introduction
The patient, Juan Carlos, has just returned after surgical debridement of a diabetic foot ulcer on his right great toe. The procedure was done under local anesthesia, and I would like to give you a report on him before I hand him over to you.
Mr. Carlos is a 52-year-old Hispanic male with a history of type 2 diabetes mellitus, hypertension, and hyperlipidemia who presented in the emergency department last night complaining of pain in a wound on his right great toe. He states he dropped a large rock on his toe several weeks ago and sustained an open wound. The pain had been increasing over the last days, and he was unable to get the pain under control. He was then admitted for surgical debridement of what showed to be a diabetic ulcer and to receive antibiotic treatment.
This morning at 0730 Mr. Carlos's blood sugar was 225 and he received 4 units of insulin aspart, a sliding scale insulin, along with his regular medications before the surgery. It is all in the MAR. He also received his antibiotic treatment this morning as prescribed. The surgery was performed under local anesthesia. He was given one tablet of oxycodone 5 mg/acetaminophen 325 mg for his pain after surgery. He now reports his pain to be 3 out of 10. He has a dressing on the toe and a right forearm IV that is saline locked. The dressing on his toe is dry and intact. He seems to be doing well, and his wife has just been here to see him.
He is due for a check of blood sugar level and vital signs. The provider has just updated the orders, so please take a look at the patient chart to see all details.
Treatments
1. Expert Clinical Content from Lippincott Advisor
2. Debridement Debridement
Diseases and Conditions
1. Diabetes mellitus, type 2 Diabetes mellitus, type 2
2. Hypoglycemia Hypoglycemia
Diagnostic Tests
1. Hemoglobin A1c (HbA1c) Hemoglobin A1c (HbA1c)
Drugs
1. glyBURIDE glyBURIDE
2. Glucagon Glucagon
3. Insulins (rapid acting) Insulins (rapid acting)