Heart: S1 and S2 within normal limits; no S3/S4 or murmurs, normal rate and rhythm. The validity of the HFS-DKA scenario was verified by a certified diabetes nurse educator, a registered nurse, and a clinical nurse educator. Its best, however, to allow the student group to continue so theyre able to evaluate their decision-making processes during debriefing. It may be necessary toexposethe patient during your assessment: remember to prioritise patient dignity and conservation of body heat. Therefore, the same file is also sent to the participants before the session. As the name says, this screen is used to graph and plot any parameter. 1) Please read through this document as it will help you prepare for your upcoming simulation on DKA. This guide has been created to assist students in preparing for emergencysimulationsessionsas part of their training,it is not intended to be relied upon for patient care. Please try after some time. Strategies of high-performing paramedic educational programs. The authors of the second study reported that poor sleep quality (60% of respondents) and extreme fatigue (55% of respondents) are independently associated with safety risks on the job. Ketones show 5.5. oral fluids, intravenous fluids, urine output, drain output, stool output, vomiting) to inform resuscitation efforts. Always adhere to medical school/local hospital guidelines when performing examinations or clinical procedures. For example, you could develop a diabetic scenario in which the prehospital provider encounters an altered patient with incomprehensible speech. Alert a senior immediately if you have any concerns about the consciousness level of a patient. Initially, we used a blood pressure cuff to generate the blood pressure values. Maintain head-tilt chin-lift or jaw thrust and assess the patency of the patients airway by looking, listening and feeling for signs of breathing. insulin-dependent type 2 diabetes) Symptoms Typical symptoms of DKA include: Palpitations Nausea Vomiting Sweating Thirst Weight loss Leg cramps Clinical signs Typical clinical signs of DKA include: Tachycardia Hypotension Simulation Scenario. DKA can develop within 24 hours and is potentially life threatening, requiring prompt recognition and therapeutic intervention.
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