Reflection
Using the Gibb’s Reflective Model I will reflect on the third Lab
session we had for this semester
, Description:In this week,we have practice
Asthma case scenario. I have called to 25 years old male, complaining of
shortness of breath and central chest pain. In this case the patient was not
able to complete sentences, he was speaking in words. I stars to take the vital
signs and ask for history using PQRST and SAMPLE. High flow oxygen was given to
the patient because the oxygen saturation was below 94%. Also, the blood
pressure was low 90/60 indicating hypotension. Patient has history of asthma
and he used the puffs but didn’t works that’s why he call us. IM adrenaline 0.5
mg was given to the patient followed by salbutamol 5mg and ipratropium bromide 500mcg.
Feeling: I felt happy about my management in the case. I felt the patient
was in critical situation and tried to act fast.
Evaluation: what was good about the case was my management of this patient was
correct. Also, I have reassess the patient after given the medications and have
initial rapid transport early because the patient was in severe asthma attack.
Moreover, what was not good in my case was, I spend more time in asking
questions to the patient While, I have to administer adrenaline the early to avoid more deterioration of
the case.
Analysis: Administrating the
adrenaline is more important in severe asthma attack rather than continuing
asking questions to obtain the history because the patient was in critical
situation and may deteriorate at any time.
Conclusion: I felt my management was correct
however, I have to consider the time while giving given the medications. If the
case is critical, I have to do quick history taking and administer the
adrenaline quickly.
Action plan: My plan is to keep practice the different cases of asthma scenarios
and know how to manage each one of them different form the others.
Administering IM adrenaline
Giving salbutamol and ipratropium bromide nebulizer
Domain knowledge
Enquiry and Research
In this week, I further read the JRCALC
guidelines for asthma management. The information that I obtained from the
guidelines is summarized in the table below
.
References:
Joint Royal Colleges Ambulance Liaison
Committee. (2013). UK ambulance services Clinical practice guidelines 2013.
Bridgwater: Class professional Publishing
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