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RN THINKING

RN THINKING. Renee Graham, Rita McDaniel, Sharon Cates. PATIENT INFORMATION. What I Need to Know about Heart Failure. TEACHING FOR THE PRECEPTEE. KEY TO RN THINKING: Use foundational knowledge base and build !. Nancy’s Assignment Jane Doe, 54 y/o, F, fr : ER DX: CHF, DUE, Cough

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RN THINKING

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  1. RN THINKING Renee Graham, Rita McDaniel, Sharon Cates

  2. PATIENT INFORMATION What I Need to Know about Heart Failure

  3. TEACHING FOR THE PRECEPTEE

  4. KEY TO RN THINKING:Use foundational knowledge base and build ! Nancy’s Assignment Jane Doe, 54 y/o, F, fr: ER DX: CHF, DUE, Cough AL: Pcn, Codiene HX: HTN /w FHX: MI, CAD Meds given in ER @ 2300 Lasix 40 mg SIVP Metoprolol 25 mg PO ASA 325 mg. PO Saline Lock Abn: BNP 750, EF 35% Left Heart Cath 1100

  5. TEACHING FOR THE PRECEPTEE

  6. Timeline Table

  7. 10 Second ABC Assessment • A- Airway • B - Breathing • C- Circulation • D - Disability – LOC • E - Environment – safety Clinical pearl: while extending your hand for a hand shake, “Good morning, my name is Nancy & I am going to be your registered nurse today. And your name is -- - - - -?

  8. ASSESSING WITH RN THINKING

  9. Evidence Based PracticeMONITOR:

  10. Medications for CHF • ACE and/or ARBs • Diuretics • Potassium • Beta-adrenoceptor Antagonists • Aldosterone Receptor Antagonists • Cardiac Glycosides • Calcium Antagonists • Nitrates • Others

  11. Priority of Care for post LHC

  12. Looking ahead:

  13. TEACHING FOR THE PRECEPTEE

  14. References https://www.optimize-hf.org/art/OPT-CombinedToolkit.pdf

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