Anaphylactic Shock during Surgery (Patient Care Study)
Fundamentals of Perioperative Nursing
Word Count- 1882
By: Flormarie V. Bautista
5/1/2015
TABLE OF CONTENTS
TABLE OF CONTENTS 1
1. INTRODUCTION 1
2. PATIENT PROFILE & PRESENTING CONDITION 3
3. CLINICAL EXPERIENCE 5
4. REFLECTION 10
5. FINAL CONCLUSION 15
6. REFERENCES 16
1. INTRODUCTION
The main objective of this study is to elaborate and document a patient care in the subject of Anaphylaxis Allergy Disease; also known as Anaphylactic Shock.
According to Anaphylaxis.org.uk, “Anaphylaxis is an extreme and severe allergic reaction.” This event happens when the body reacts to an exposure of a substance which causes mild or possibly fatal allergic …show more content…
Dunn S,V, and Hansford B, (1997) stated that “The clinical learning environment (CLE) is an interactive network of forces influencing student learning outcomes in the clinical setting.” This reminds us that the clinical experience should contain a good interpersonal relationship between the nursing students and the staff or nurse educators in order to create a positive learning environment. This will stimulate the process of becoming well educated registered nurses responsible for providing safe and efficient patient care.
As for the Reflective Practice; critical incident and positive nursing care experience are analysed using the Gibbs’ Reflective Cycle model. The model technique is used to express the point of view and reflection coming from an experience. It is a model created by Professor Graham Gibbs to “help people learn from situations that they experience regularly” (Mindtools.com); most importantly to the people who find difficulties in improving and learning from their past experience. The following contents of the Gibbs’ Reflective cycle …show more content…
The Immunoglobulin E are the antibodies produced in response to allergens whereas Basophils are the white blood cells that gives inflammatory responses. In addition to that, the defence mechanisms of the body are supported by plasma proteins.
Vasodilatation occurs during anaphylactic reaction causing cardiovascular irregularity leading to increased capillary permeability and reduced venous return resulting to inadequate tissue oxygenation and hypotension. Subsequent to this event is anaphylactic shock.
III. PATHOPHYSIOLOGY OF ANAPHYLAXIS
As stated in Oxford Medical Education (Oxford Medical Education), pathophysiology of anaphylaxis is comprised of two phases. The first phase is the Sensitisation Phase; wherein the immune system comes in contact with the allergen. The immune system of the body produces immunoglobulin E to fight the allergen substance. There is no appearance of clinical features on the Sensitisation Phase.
The second phase is the Effector Phase. In this event, the vast degranulation and histamine production mediates inflammatory bronchospasm, vasodilatation, increased capillary permeability and tissue oedema (Oxford Medical Education). These event happens when the mast-cells surface is cross-linked by Immunoglobulin E and allergen.
IV. RELEVANT
Fundamentals of Perioperative Nursing
Word Count- 1882
By: Flormarie V. Bautista
5/1/2015
TABLE OF CONTENTS
TABLE OF CONTENTS 1
1. INTRODUCTION 1
2. PATIENT PROFILE & PRESENTING CONDITION 3
3. CLINICAL EXPERIENCE 5
4. REFLECTION 10
5. FINAL CONCLUSION 15
6. REFERENCES 16
1. INTRODUCTION
The main objective of this study is to elaborate and document a patient care in the subject of Anaphylaxis Allergy Disease; also known as Anaphylactic Shock.
According to Anaphylaxis.org.uk, “Anaphylaxis is an extreme and severe allergic reaction.” This event happens when the body reacts to an exposure of a substance which causes mild or possibly fatal allergic …show more content…
Dunn S,V, and Hansford B, (1997) stated that “The clinical learning environment (CLE) is an interactive network of forces influencing student learning outcomes in the clinical setting.” This reminds us that the clinical experience should contain a good interpersonal relationship between the nursing students and the staff or nurse educators in order to create a positive learning environment. This will stimulate the process of becoming well educated registered nurses responsible for providing safe and efficient patient care.
As for the Reflective Practice; critical incident and positive nursing care experience are analysed using the Gibbs’ Reflective Cycle model. The model technique is used to express the point of view and reflection coming from an experience. It is a model created by Professor Graham Gibbs to “help people learn from situations that they experience regularly” (Mindtools.com); most importantly to the people who find difficulties in improving and learning from their past experience. The following contents of the Gibbs’ Reflective cycle …show more content…
The Immunoglobulin E are the antibodies produced in response to allergens whereas Basophils are the white blood cells that gives inflammatory responses. In addition to that, the defence mechanisms of the body are supported by plasma proteins.
Vasodilatation occurs during anaphylactic reaction causing cardiovascular irregularity leading to increased capillary permeability and reduced venous return resulting to inadequate tissue oxygenation and hypotension. Subsequent to this event is anaphylactic shock.
III. PATHOPHYSIOLOGY OF ANAPHYLAXIS
As stated in Oxford Medical Education (Oxford Medical Education), pathophysiology of anaphylaxis is comprised of two phases. The first phase is the Sensitisation Phase; wherein the immune system comes in contact with the allergen. The immune system of the body produces immunoglobulin E to fight the allergen substance. There is no appearance of clinical features on the Sensitisation Phase.
The second phase is the Effector Phase. In this event, the vast degranulation and histamine production mediates inflammatory bronchospasm, vasodilatation, increased capillary permeability and tissue oedema (Oxford Medical Education). These event happens when the mast-cells surface is cross-linked by Immunoglobulin E and allergen.
IV. RELEVANT