Airway Nurse Edna Murray: Angina Induced By CABG

Running head: NURSING
Gibbs’ Reflective Cycle
Name of the Student
Name of the University

1
NURSING
Table of Contents
Description.................................................................................................................................2
Feelings......................................................................................................................................2
Evaluation..................................................................................................................................3
Analysis......................................................................................................................................4
Conclusion..................................................................................................................................5
Action Plan.................................................................................................................................5
Reference-..................................................................................................................................7

2
NURSING
Description
I was an airway nurse of Edna Murray, who was hospitalized with unstable angina.
Following her angiogram of CABG (Coronary artery Bypass grafts), she was under
observation in a ward. She possessed a history of two CABG with saphenous vein graft to her
right coronary artery (RCA), and one SVG to her left Circumflex artery. Edna also possesses
hypertension and she have a family history of cardiovascular diseases. Edna is prescribed
medicines such as telmisartan, atenolol, ticagrelor, aspirin and rosuvastatin. Scott and Glen
(2015) reported that in adult cardiac surgery patient, post-operative hypoxaemia is a problem
that needs urgent attention. So, I am given the responsibility of airway management of the
patient, as adequate ventilation is necessary in post-operative care of patients. I cleansed my
hands with sanitizer, and helped the patient sit in a semi-Fowler’s position. I checked the
medicine chart to review the medication uptake of Edna. I kept a close eye on the cleanliness
of the room, because dust being a potent allergen can interfere with the airway of such
patient, and cause hypoxia. I assessed her respiratory tract and airway, by asking her to open
her mouth. I checked her Respiratory Rate (RR), SpO2 (Oxygen saturation) level and
detected her respiratory sounds by chest auscultation. At first she was having respiratory
trouble, so I consulted her doctor to prescribe her medications, and helped her with oxygen
therapy by use of a face mask. I kept her under observation during the whole period and
reassessed her status every two hours, and I documented every details in the chart.
Feelings
This was my very first experience with airway management in post-operative care of
a patient who had undergone a major surgery. I was tensed and perplexed but also felt excited
at the beginning, as it would be my very first exposure in such a patient. But, when I went to
her room to check her condition, the smell of medicine made me nervous as I faced the reality