Medication

Situation:
Mr James Smith (67 years old) is a scheduled for a Laparoscopic Assisted Anterior Resection.
Background:
Mr Smith’s rectal cancer was detected through routine screening. Mr Smith has a past medical history of proximal atrial fibrillation and hypertension.
Medication:
Pradaxa Amlodipine
Assessment:
Mr Smith as been reviewed and the anaesthetist has informed you that the patients ASA grade is II.
Recommendations:
You have been asked to prepare and justify using a contemporary evidence base the following care requirements for your patient:
Airway selection
IV access and considerations for Homeostasis
Non-invasive monitoring requirements
Considerations for the any invasive monitoring requirements
What considerations are there for post-operative care of this patient?

Module Learning Outcomes (LO)

2. Recognise the deteriorating patient and plan appropriate interventions for clinical emergencies.

Assessment Task
You are required to undertake a 30-minute Viva Voce to demonstrate your knowledge of caring for elective patients with complex care needs.

Marking Criteria:

This assessment addresses the following learning outcomes (LOs):

1. Justify the selection and application of advanced monitoring, assessment and intervention techniques when caring for patients with increasingly complex needs, including non-scheduled and emergency, using a contemporary evidence base.
2. Recognise the deteriorating patient and identify appropriate interventions for clinical emergencies.

As part of the assessment launch for this module, you will be given an SBAR handover of an elective patient with complex care needs. You will then use this SBAR handover to facilitate the first 10 minutes of your Viva, where using a contemporary evidence base you will discuss how you would prepare and care for the patient in the anaesthetic & post anaesthetic care phase. You should include:

1. Consider airway selection, preparation & management
2. Vascular access & homeostasis
3. Non-invasive monitoring requirements
4. Invasive monitoring requirements

After 10 minutes you will be asked to select a number between “1-7” which will facilitate the random selection of an update of the patient status including an ABCDE patient assessment. The patient presentation you are given will relate to one of the following clinical emergencies:

1. Malignant Hyperthermia
2. Can’t intubate/can’t ventilate
3. Hypovolaemia
4. Anaphylaxis
5. Local Anaesthetic Toxicity
6. Post-operative Myocardial Infarction
7. Cardiac Arrest

You will be required for the next 20 minutes to process the ABCDE assessment (max 5 mins) before identifying and discussing how you would manage the clinical emergency from an anaesthetic and post-anaesthetic care perspective. You should discuss the following elements:

1. A brief definition of the clinical emergency.
2. An overview and rationale of the physiological changes which may be present due to the clinical emergency.
3. Details of the interventions required and the rationale for these interventions based on the assessment.
4. Consider what invasive monitoring may be used during the scenario and provide evidence-based rationale for this choice.
5. Discuss the post-operative requirements for this patient.

NB: Please focus in-depth information on the marking criteria 2&3 for the SBAR handover with regards to:

• Consider airway selection, preparation & management
• Vascular access & homeostasis
• Non-invasive monitoring requirements
• Invasive monitoring requirements.
At least if i could get 800 words for this first part and spilt the remaining 2200 words for clinical emergencies as listed below:

• Malignant Hyperthermia
• Can’t intubate/can’t ventilate
• Hypovolaemia
• Anaphylaxis
• Local Anaesthetic Toxicity
• Post-operative Myocardial Infarction
• Cardiac Arrest

Please i would need the ABCDE assessment for the seven clinical emergencies,
clinical manifestations, pathophysiologies, patient management pre, intra, and post-operatively.

NB: Please i would like to chat frequently with my writer for update on my order.

Marking Criteria:

This assessment addresses the following learning outcomes (LOs):

1. Justify the selection and application of advanced monitoring, assessment and intervention techniques when caring for patients with increasingly complex needs, including non-scheduled and emergency, using a contemporary evidence base.
2. Recognise the deteriorating patient and identify appropriate interventions for clinical emergencies.
   Criterion 0 – 39%
   Fail 40 – 49%
   Third 50 – 59%
   2:2 60 – 69%
   2:1 70 – 79%
   First 80 – 100%
   First
3. Provides an overview of patient preparation (15 marks). Weak overview of patient preparation was given. Limited overview of the patient preparation was given. Clear overview of the patient preparation was given. Good overview of the patient preparation was given. Excellent overview of the patient preparation was given. Outstanding overview of the patient preparation was given.
4. Identifies the deteriorating patient and is able to give an overview and rationale of the physiological changes that maybe seen as a result of the clinical emergency (30 marks) No identification of the deteriorating patient

Very limited overview and rationale of the physiological findings that may be seen as a result of the clinical emergency. Satisfactory identification of the deteriorating patient

Adequate overview and rationale of the physiological findings that may be seen as a result of the clinical emergency. Appropriate identification of the deteriorating patient

Sound overview and rationale of the physiological findings that may be seen as a result of the clinical emergency. Good identification of the deteriorating patient

Detailed overview and rationale of the physiological findings that may be seen as a result of the clinical emergency. Excellent identification of the deteriorating patient

Extensive overview and rationale of the physiological findings that may be seen as a result of the clinical emergency. Flawless identification of the deteriorating patient

Exemplary overview and rationale of the physiological findings that may be seen as a result of the clinical emergency.

3. Details the interventions required and provides rationale for these interventions based on the assessment of the patient (35 marks). Insufficient detail and rationale for the interventions required based on the assessment. Superficial detail and rationale for the interventions required based on the assessment. Sound detail and rationale for the interventions required based on the assessment. Fluent detail and rationale for the interventions required based on the assessment. Impressive detail and rationale for the interventions required based on the assessment. Extraordinary detail and rationale for the interventions required based on the assessment.
4. Details the invasive monitoring required for the emergency and the rationale for its selection (10 marks). Insufficient detail and rationale for the invasive monitoring required. Some detail and rationale for the invasive monitoring required. Appropriate detail and rationale for the invasive monitoring required. Good detail and rationale for the invasive monitoring required. Excellent detail and rationale for the invasive monitoring required. Outstanding detail and rationale for the invasive monitoring required.
5. Uses a contemporary evidence base to support their presentation (5 marks). Very limited use of a contemporary evidence base to support their presentation. Adequate use of a contemporary evidence base to support their presentation. Appropriate use of a contemporary evidence base to support their presentation. Good use of a contemporary evidence base to support their presentation. Extensive use of a contemporary evidence base to support their presentation. Exemplary use of a contemporary evidence base to support their presentation.
6. Delivers the Viva Voce in an effective and engaging manner (5 marks). Inadequate delivery of the viva voce – delivery incoherent, lacking sufficient level of detail and non-engaging Limited delivery of the viva voce – the delivery style is coherent but lacks fluency, limited content and attempt to engage the audience Coherent delivery of a viva voce with sufficient content and a clear attempt to engage the audience. Confident delivery of the viva voce with sufficient content and good attempts to engage the audience Excellent communication skills, with the ability to present the information in the viva voce in a clear and coherent manner, fluent.

Consistent attempts to engage the audience throughout. Outstanding delivery of the viva voce.

The viva voce is well structured and demonstrates high levels of engagement with the audience throughout.