Question

Module 05 Discussion - Critical Thinking and Clinical Judgment Scenario

You have been assigned 4 patients on an Intermediate Medical Care Unit. Two of the patients are post myocardial infarctions at various stages of their infarctions with multiple types of arrhythmias, the third patient is having drastic blood sugar fluctuations 218 down to 50 within minutes and its rebounds back up with changes in mentation and the fourth is reported to be having frequent TIA's. One of the MI patients is having some dizziness and your TIA patient is presenting signs of impending stroke.

How would you prioritize your assessments and activities? How would you describe your critical thinking process and how do you organize and prioritize implementation of care?

Answer 1

The first patient who has to be taken care is the one with dizziness presenting signs f stroke.This a very critical stage where the patient can go into severe brain damage due to heart attack.

The patient whose blood sugar is fluctuating variedly has to be taken care by monitoring his glucose levels closely

The other two patients with post MI can be cared last priority.

Critical thinking like who is in most life endangering stage has to be thought while giving care to prioritise.