Saturday, October 19, 2019

Reflective writing during nursing clinical placement Essay

Reflective writing during nursing clinical placement - Essay Example It was a night shift in accident and emergency section. I was assisting my mentor, the head nurse in A & E section. A teenager was brought in by the medical staff, he was slender and weak, partially in state of paranoia, and had stains of vomit on his shirt. The person, who brought in the teenager, told us that they have found this junkie from the suburbs of the city. He was caught by the police for using amphetamine in the public. My mentor told me that it was a test of nerves to look after drug abusers. Their states vary extensively, and it is important to determine that which drug has been used, and what was the most obvious mode of intake of that drug. She predicted that amphetamine was ingested orally by this patient, so we had to wash out out his stomach by using activated charcoal.The purpose of activated charcoal is to remove amphetamine from GI by vomiting (Amphetamine.com, 2014). Diazepam and Lorazepam are used to calm down the patient. To recover dehydration intravenous in jection of fluids may be used (Lewis, et al., 2013). Hyperthermia is controlled by using wet blankets and ice packs. Intravenous diazepam is administered during amphetamine overdose when seizures are present. For hypertension nitroglycerin and labetol is recommended . If the state of the patient is in danger, serotonin toxicity must be administered (Amphetamine.com, 2014). Drug addicts are hard to manage, it is not only their physiological state that needs to be considered, but their psychological state must also be taken into the account.

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