What the results tell us about people’s attitudes to mental illness
Assignment tips for PARA2000
[these are your notes which will be converted into prose for this assignment]
Paramedic clinical practice interventions
Critique of interventions from literature
Potential Cardiac arrest from lethal arrhythmia due to low potassium K+
The heart relies on its internal pacemaker (SA node) and superconductive pathway to generate and disseminate cardiac action potentials. These action potentials cause the contraction of cardiac muscle tissues and the effective propulsion of blood throughout the body. Abnormal conduction of the action potential may cause ineffectual cardiac muscle function and thus catastrophic heat failure. The sodium potassium exchange across the cardiac cell membrane required to get an action potential and contraction of the cardiac muscle.
? Attach defibrillation monitor & encourage early defibrillation should defibable arrhythmia occur
? Continuous Monitoring of patients cardiac rhythm,
? 1/24 vital signs eg BP. P RR SaO2 checks
? Regular checks and management of electrolyte balances
? 12 lead ECG
? CPR & Medication management of arrhythmia
Critique each of the clinical practice intervention, defending is validity or not from the current literature linking this to the underlying pathophysiology of the potential diagnosis identified. (Referenced)
* Attachment and monitoring of the defibrillator of the cardiac patient during transport allows for the early defibrillation. Early defibrillation has increased success at reverting lethal arrhythmias and preventing death in a cardiac arrest (Ref1, Ref 2, Ref 3,.……)………
Introduction (the introduction may be brief but should cover major concepts)
[all in prose, sort of like an essay introduction]
Introduce the patient…. [it is okay if this part isn’t much different from others’ introduction of the patient, consider SBAR format]
The issues that will be discussed are……….
They have been chosen because…….
Differential diagnosis [2 potential diagnoses]
[XXXXXXXXXXX] You will be not be graded on achieving my expected final diagnosis but on your ability to relate the signs and symptoms to a disease process and then on your suggested management and critique of the management that is defended from literature.
[make sure that you include the pathophysiology behind the diagnosis]
Paramedic Intervention and Rationale
[What paramedic interventions/treatment are you doing and why are you doing them]
The interventions that will address the issue of potential arrhythmias are as follows.
Working example of transferring bullet points into sentences
1. Attach defibrillation monitor & encourage early defibrillation should defibable arrhythmia occur
2. Continuous Monitoring of patients cardiac rhythm,
3. 1/24 vital signs eg BP. P RR SaO2 checks
4. Regular checks and management of electrolyte balances
5. 12 lead ECG
6. CPR & Medication management of arrhythmia
[Intervention 1 in prose format, you will need to be more comprehensive in your assignment]
Attachment and monitoring of the defibrillator of the cardiac patient during transport allows for the early defibrillation and reverting of cardiac arrhythmias. Early defibrillation has been shown to have increased success at reverting lethal arrhythmias and preventing death in a cardiac arrest (Ref1, Ref 2, Ref 3,.……)………
The interventions need to be critiqued from literature as to how they will be treating, monitoring or managing the diagnosis they have chosen. This will include their paramedic guidelines. The assignment is designed to help them understand their practice and be able to critique what they do in a constructive format. They are allowed to discuss management into the hospital for the 1st 24 hours to assist them with the assignment and understanding the disease process.
Conclusion (sort of like an essay conclusion)
We’ve discussed ….
We’ve identified potential diagnoses such as….
These potential diagnoses should be addressed by the paramedic interventions as described.
[This is purely optional: acknowledge that it is not comprehensive if you like, BRIEFLY mentioning some examples of what you might have looked at.]
Good writing is concise yet still easy to read and cover all of the content required.
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