Download TRINITY VALLEY COMMUNITY COLLEGE ASSOCIATE DEGREE

TRINITY VALLEY COMMUNITY COLLEGE ASSOCIATE DEGREE NURSING PROGRAM
LEVEL II Clinical Activity: Perfusion
1.) Comparisons of patients with Congestive Heart
2.) Comparison of patients on Anti-HTN Medications
Course Outcomes which will be met with the completion of this worksheet:
I.
Assess
A.
Subjective/objective patient data by interview, comprehensive physical assessment, observation,
reading patient records, and interacting with other members of the health care team. (A.1)
C.
Corroborate assessment findings with the patient and other health care professionals.
(A.1)
II.
Analyze
A.
Data obtained during assessment by recognizing significant information, organizing patterns or
clusters, identifying strengths, and reaching conclusions (according to Maslow, Erickson, Selye,)
(A.2)
B.
Use references when formulating, and validating patient problems with evidence (actual,
potential, and, high risk). (A.2)
III.
Plan
A.
Prioritized, individualized, and systematic nursing care for patients with common health needs.
(A.2, A.4, B.2)
IV.
Implement
F.
Communicate with other health care professionals by documenting, reporting and conferring.
(A.3,B.2)
V.
Evaluate
B.
Recognize patterns in patient’s health status. (A.5)
Activity: This activity is to be done in a group of 2-3 students. Each student should keep their own notes during
the activity.

Choose 2 patients with congestive heart failure. Research the pathophysiology for congestive heart
failure.

Collect information on all assigned patients such as the patients’ history, other pre-existing conditions,
diet, medications, treatments, diagnostics, lab, activity orders, etc.

Perform a lung and heart focused assessment on each patient….split this up so the patient only has ONE
student doing this assessment.

Compare and contrast each patient (team work). Complete the questions and be prepared to present the
groups findings in a clinical post conference as directed by the instructor.
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1.) Comparison of two patients with Congestive heart failure.
Pt #1 Initials ______
Pt #2
Primary Dx: Congestive Heart Failure
Primary Dx: Congestive Heart Failure
Classification:
Classification:
Vitals (Include pain score):
Vitals (Include pain score):
Other medical diagnoses and preexisting conditions:
Other medical diagnoses and preexisting conditions:
Medications specific to treat CHF:
(Name, dosage, route, frequency and rationale)
Medications specific to treat CHF:
(Name, dosage, route, frequency and rationale)
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Initials _______
Diet:
Diet:
Rationale for diet:
Rationale for diet:
Activity Orders:
Activity Orders:
Rationale:
Rationale:
Treatments:
Treatments:
1.
1.
2.
2.
3.
3.
Rationale:
Rationale:
1.
1.
2.
2.
3.
3.
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Tests and Labs: Document the results of these labs
and tests
Tests and Labs: Document the results of these labs
and tests
CXR:
CXR:
BNP:
BNP:
CMP:
CMP:
CBC:
CBC:
ECHO or TEE:
ECHO or TEE:
Focused Assessment Findings:
Heart:
Focused Assessment Findings:
Heart:
Lungs:
Lungs:
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CHF Comparison Questions
1. Go back to the above chart and highlight similarities in one color and differences in another color.
2. What common threads did you find? What differences did you find?
3. Why are the assessment findings different?
4. What are the differences in treatment?
5. What are the differences in prescribed medications?
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2.) Comparison of Two patients with diagnoses of hypertension
If you can use the same patients.
Work with a partner and collect
data, one patient for each of you
and then compare your results.
Patient One Rm:
DX: Hypertension
Focused Assessment, if not already
done (heart & lungs):
Lab Values, if not already done:
Vitals, if not already done:
Look at several days of blood
pressure readings. Is the patient’s
blood pressure currently being
controlled? Why or Why not?
List all Ace Inhibitors, beta blockers,
and Calcium Channel Blockers the
patients are on. (List drug class,
drug name, and dose/frequency)
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Initials:
Patient Two
Rm:
DX: Hypertension
Initials:
Do you know your ABC’s?
Write a paragraph or list bullet points explaining how each of the following classes of meds work. Write in
layperson’s words like if your patient asked you, “How does this medication work?”
Ace Inhibitor
“Nurse, how does this blood pressure medication you are going to give me work?
What are the adverse side effects of this medication?
What do you assess/evaluate for a patient with this medication class (focused assessment of heart and lungs, lab
values, vitals)?
Beta Blockers
“Nurse, how does this blood pressure medication you are going to give me work?
What are the adverse side effects of this medication?
What do you assess/evaluate for a patient with this medication class (focused assessment of heart and lungs, lab
values, vitals)?
Calcium Channel Blockers
“Nurse, how does this blood pressure medication you are going to give me work?
Which disease(s) is it commonly prescribed for and why?
What do you assess/evaluate for a patient with this medication class (focused assessment of heart and lungs, lab
values, vitals)?
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