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Discussion

help with simulation

so we're having simulations at our school today and i was preparing for different scenarios and i have a little problem with CVA (we didnt really study about it yet) my patient is post R intracerebral bleed, has L hemiplegia and complete aphagia. He is receiving D5 1/2 NS at 40 ml and has tube feedings via NGT at 60 ml per hour. he is awake and lethargic and responsive to simple commands, when i enter the room he has moderate amount of dyspnea and is coughing frequently and skin is warm to the touch. I dont really know what can this be related to. I would rise the HOB to ease breathing and assess lung sounds, pulse Ox, and other vital signs but dont really know what i am looking for here. Any input anyone? I appreciate any help :bowingpur

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Hint: what do you want to check with GT feeds related to coughing? What could be happening here?

Along with the possible complications of tube feedings, what are the possible complications of immobility that would present with these symptoms?

  • Author

thanks guys, they didnt even go to that scenario but i think the pt was coughing because of the feeding, she was probably aspirating the gastric contents. anyways the patient i got was post thyroidectomy but started bleeding from the site and her pulse ox went down to like low 80s unfortunately i didnt really know what to do except to call rapid response :uhoh21:(should've gotten the ambu bag and tracheotomy tray (?) but it was a good experience, i learned a lot!

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