INTEGRATED NURSING PRACTICE 3: ON CAMPUS.

Running head: INTEGRATED NURSING PRACTICE 3: ON CAMPUS 1
Integrated Nursing Practice 3: On campus
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INTEGRATED NURSING PRACTICE 3: ON CAMPUS 2
Integrated Nursing Practice 3: On campus
Assessment Task 1: The Deteriorating Patient
Case Option 1 (Hypovolemic shock) has been selected to complete this essay. Hypovolemic
shock is a condition wherein severe fluid or blood loss makes the patient’s heart incapable of
pumping sufficient blood to his/her body. Hypovolemic shock can make other body organs to
stop from functioning properly (Kalkwarf, & Cotton, 2017).When a person loses more than one
fifth of their normal amount of blood, that person suffers from this shock. This essay will be
completed in reference to Kenneth Bradman, a 67 years old man who has been admitted to the
surgical high dependency unit.
Two signs and symptoms of clinical deterioration associated with the pathophysiology
Bradman’s Hypovolemic shock condition are rapid heart rate and Respirations (breaths/min).
Since he was admitted to ward for a period of about four hours, Bradman’s heart rate is noted to
be increasing consistently (108, 112, 110, 118 beats per minute). This is what Jaeggi, & Öhman,
(2016) refer to as Arrhythmia disorder that affects the rhythm or the rate at which the heart beats.
Consistently increasing heartbeat rates indicates that his heart’s electrical impulses responsible
for directing and regulating heartbeats are not functioning properly. Rapid heartbeats may make
Bradman to feel like his heart is beating or racing out. There are other minor signs and symptoms
that may lead to his heart not beating effectively include fainting, lightheadedness, dizziness,
weakness, and shortness of breath (Yetkin, 2016).
Besides, Bradman has been experiencing increasing Respirations (breaths/min) reading from 18,
22, 20, 23 breaths per minute. The number of breaths he is taking per minute is increasing
substantially. The average respiration rate for a person of his age or any other adult person
should be 12-20 breaths/min. When this rate goes below 12 or exceeds 22 per minute the

INTEGRATED NURSING PRACTICE 3: ON CAMPUS 3
condition is deemed abnormal. Hypovolemic shock occurs in four stages based on the amount of
blood a patient has lost. Every stage requires early diagnosis and management, but it is
imperative to recognize the stage of hypovolemic an individual is so that proper medication is
administered on time (Malbrain et. Al., 2018). During the first stage, breathing is normal but in
the second one, the respiratory rate increases drastically. Since Bradman is experiencing high
breath rates, he has lost more than 30% (or 1500 ml) of his blood. At this stage his blood
pressure is still within the normal range and without any noticeable changes.
One priority problem associated with Bradman’s clinical presentation is the high heart rate
currently standing at 118 beats per minute from the normal 60-100 beats per minute (Michail, &
Brown, 2018). Normally, a low heart rate at rest denotes an effective heart functioning and better
cardiovascular healthiness. If this condition is not given first clinical priority, Bradman will be
more vulnerable to other ailments such as mental distress, including agitation and anxiety. His
will begin sweating and skin will turn more pale and cold. Other possible complications include
unconsciousness or frequent fainting spells, blood clot, and even heart failure. In other words, if
the accelerating heartbeats are not handled with speed, they might subject Bradman to more
health challenges. If left untreated, increased heartbeats can disturb the normal heart functioning
and lead to more severe serious complications (Francis, Fisher, Rushby, & McDonald, 2016).
Generally, a resting person heartbeat should range between 60 to 100 times per minute. When
person experiences fast or irregular heartbeats, a condition called tachycardia occurs, the lower
or upper heart chambers beat considerably quicker. When the heart beats very quickly, it pumps
blood less effectively and the flow of blood to other body organs reduces significantly. Since the
heart is beating faster, the heart muscles, or myocardium, require extra or more oxygen. In case
this condition persists, myocardial cells starving from oxygen can easily die, causing a severe