Sample Nursing Case Studies

Nursing is a job of practice that requires patient oriented care in order to fulfill patient recovery. It is important for nurses to understand and comprehend the significant problem in order to provide the necessary care for a patient. Student Ana Castillo, from Wilkes University took care of a cardiac patient during her clinical experience. The student identified the primary problem, provided nursing interventions, and evaluated the patient’s performance. The student provided care that aided in the patients recovery. Keyword: cardiac, patient, nursing, care, case study Nursing Care on a Cardiac Patient Nursing is about providing the priority knowledge and intervention to give patients the optimal recovery. In order to provide care nurses …show more content…
Also, the patient looked at the lab values and other test that pertained to the diagnosis of the patient. The patient vital signs were temperature was 99.1, pulse was 69, respiratory rate was 28, and blood pressure was 118/74. The temperature was slightly elevated which is an indication of infection. The respiratory rate was abnormally high indication of not getting enough oxygenation, even though the oxygen saturation was 100 percent. Upon assessment the patient was alert and orientated. The patient’s lungs sounds were clear and diminished bilaterally. When assessing the heart the apical was 78 which was within normal ranges of 60 to 100. When assessing the skin the patient had no clubbing, no ecchymosis, and was warm to the touch. The patient had skin turgor that retracted quickly and the patient also had generalized plus 1 edema. The patient was on 2 L/min of oxygen through a nasal cannula, indication of the patient not having adequate tissue perfusion. The generalized edema is an indication of right sided heart failure and the retention of fluid. The patient’s pulses such as brachial, radial, popliteal, and dorsalis pedis were present. Patient’s peripheral pulses present is an indication that the patient has blood flow to the extremities. The patient had a large approximated wound on the sternum. The patient also had an approximated wound on the right leg which was indication of the open …show more content…
The patient had an oxygen saturation of a hundred percent. But then the patient entered atrial fibrillation and the patient breath per minute increased as well as his heart rate. The patient needs to be on continuous oxygen therapy for a longer period of time or until the patients vital signs are stable. Also, the patient had atrial fibrillation at the end of the student shift limiting further investigation of the progress of the patient. The interventions for risk for decreased cardiac tissue perfusion were a success because patient had acknowledged when he was having cardiac arrhythmias. The student was able to monitor the electrocardiogram of the patient and discuss with the nurse further interventions. The patient was given a beta-blocker to decrease the heart rate and help the heart get back to normal sinus rhythm. In conclusion, overall the student identified the patient’s primary problems. Through assessment the nursing student further investigated the patient’s problem and was able to provide treatment necessary to manage the patient’s diagnosis. The nursing student provided intervention that were in the best interest of the patient to fast recovery. The interventions were further evaluated on their success by the patient’s progress in