Surgical case vernon watkins guided reflection questions

Surgical Case 4: Vernon Watkins
Guided Reflection Questions
1. How did the scenario make you feel?

The scenario made me feel a sense of urgency due to Mr. Watkins condition signs and symptoms.

3. Discuss the use of a heparin nomogram (guideline for heparin titration) and safety related to this intervention.

The Dr ordered a bolus or loading dose of Heparin for Mr. Watkins to reduce the possibility of further coagulation causing more clots to form. The nomogram uses the Pt weight and PTT to determine a therapeutic range for the Pt. The Heparin dose
calculation should be verified by two nurses for Pt safety.

R- It is recommended that the Pt be under close observation for changes in his condition and for further orders for the Dr.

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7. Consider what would have happened if Vernon Watkins’ family members had been present at the bedside, and describe how you would have supported them during this acute episode.

Communication with the family while assisting Mr. Watkins is vital to keep the situation calm and conducive to his outcome.