情境模拟: Chapter2 Ward Routine work Unit 2 Making rounds dialogue 3 as Patient Andrew 采用教材:《涉外护理英语情境对话》,刘晨,外语教学与研究出版社 Dialogue 3: Ongoing rounds medication administration (During the shift, RN Felicia rounds on her patients. Patient Andrew complained of chest pain earlier, and Felicia has placed Andrew on oxygen and a cardiac monitor, performed an EKG, drawn blood for a sTat cardiac panel, and requested a chest X-ray, according to Doctors order Now Felicia is in Room 3 with patient Andrer She treats him according to the Hospital's nursing protocols for patient with an Acute Coronary Syndrome. Felicia: Hello, Andrew. The blood has been sent down to the lab for processing. We should have those results in an hour. You will also be having a chest X-ray. The radiology technician will bring the portable machine here to the room Andrew: Felicia: In the meantime I have an aspirin that you need to chew. This fights clots that may be forming in your heart (Felicia gives an aspirin to Andrew. Felicia: I also have nitroglycerin that I will spray under your tongue up to three time 5 minutes apart. This should help with your chest pain. (Felicia administers nitroglycerin spray for Andrew Felicia: I will also have the blood pressure cuff on your arm cycle every 5 minutes because nitroglycerin can lower your blood pressure. Any questions? Andrew. icia: (After 5 minutes)On a scale from 0 to 10, how is your pain now? rew Felicia: Let's try another nitro spray Andrey
情境模拟：Chapter 2 Ward Routine Work Unit 2 Making Rounds Dialogue 3 as Patient Andrew 采用教材：《涉外护理英语情境对话》，刘晨，外语教学与研究出版社 Dialogue 3: Ongoing Rounds & Medication Administration (During the shift, RN Felicia rounds on her patients. Patient Andrew complained of chest pain earlier, and Felicia has placed Andrew on oxygen and a cardiac monitor, performed an EKG, drawn blood for a STAT cardiac panel, and requested a chest X-ray, according to Doctor’s order. Now Felicia is in Room 3 with patient Andrew. She treats him according to the Hospital’s nursing protocols for patient with an Acute Coronary Syndrome.) Felicia: Hello, Andrew. The blood has been sent down to the lab for processing. We should have those results in an hour. You will also be having a chest X-ray. The radiology technician will bring the portable machine here to the room. Andrew: Felicia: In the meantime I have an aspirin that you need to chew. This fights clots that may be forming in your heart. (Felicia gives an aspirin to Andrew.) Felicia: I also have nitroglycerin that I will spray under your tongue up to three times 5 minutes apart. This should help with your chest pain. (Felicia administers nitroglycerin spray for Andrew.) Felicia: I will also have the blood pressure cuff on your arm cycle every 5 minutes because nitroglycerin can lower your blood pressure. Any questions? Andrew: Felicia: (After 5 minutes) On a scale from 0 to 10, how is your pain now? Andrew: Felicia: Let’s try another nitro spray. Andrew:
(After 3 sublingual nitroglycerin sprays, Andrew's pain is unchanged. Felicia: I need to give you 2 mg of morphine to help with your chest pain Andre (Felicia administers 2 mg of morphine sulfate lv) Felicia: (After checking the blood pressure) Since your blood pressure has not decreased from the nitro, I will be administering metoprolol, which will help lower your blood pressure and should improve your pain. I need to push the medicine through the Iv very slowly. Andrew: Felicia: Some lab tests were slightly abnormal, for example, your potassium was a little low, so the doctor has ordered some potassium for you to take by mouth Andrew: Felicia: Thats what you came to the hospital for, right? Andrew Felicia: The troponin level, which is a cardiac enzyme, was normal. That means that so far there has not been any significant heart damage, which is good news. However the test will be repeated every 4-6 hours for 3 to 6 times while you are in the hospital depending on your results. This lab test is a very sensitive indicator of a heart attack Andrew Felicia: Dr. Smith will be in shortly to go over any further questions with you. How is your pain after the morphine? Felicia: Good. Now, if you need me, or if your pain comes back, press the call light Andrey Felicia: You bet
(After 3 sublingual nitroglycerin sprays, Andrew’s pain is unchanged.) Felicia: I need to give you 2 mg of morphine to help with your chest pain. Andrew: (Felicia administers 2 mg of morphine sulfate IV.) Felicia: (After checking the blood pressure) Since your blood pressure has not decreased from the nitro, I will be administering metoprolol, which will help lower your blood pressure and should improve your pain. I need to push the medicine through the IV very slowly. Andrew: Felicia: Some lab tests were slightly abnormal, for example, your potassium was a little low, so the doctor has ordered some potassium for you to take by mouth. Andrew: Felicia: That’s what you came to the hospital for, right? Andrew: Felicia: The troponin level, which is a cardiac enzyme, was normal. That means that so far there has not been any significant heart damage, which is good news. However the test will be repeated every 4-6 hours for 3 to 6 times while you are in the hospital depending on your results. This lab test is a very sensitive indicator of a heart attack. Andrew: Felicia: Dr. Smith will be in shortly to go over any further questions with you. How is your pain after the morphine? Andrew: Felicia: Good. Now, if you need me, or if your pain comes back, press the call light. Andrew: Felicia: You bet
(Felicia leaves the room)
(Felicia leaves the room.)