Clinical Decision Making in Adult Nursing

Clinical Decision-Making Poster This poster critically discusses the clinical decision made about Ken, a 48-year-old man with Caribbean heritage was admitted on the emergency ward with a hypertension emergency. As the NMC (2018) requires, the patient’s name has been changed to maintain confidentiality. When an A to E assessment was done to check Ken’s vital signs, his blood pressure was 230/180. Besides, he complained of headache, dizziness and chest pain. His wife mentioned that Ken is non-compliant with his blood pressure medication, as he claims his friends have explained that taking BP medication for a long period causes erectile dysfunction. All other vital signs were within normal range. The physician looking after him used IV labetalol hydrochloride to lower Ken’s blood pressure. On discharge, he was advised to control his lifestyle.

Pathophysiology of Hypertensive Emergency 300 Pharmacology of labetalol 200 Decision Making and Ethical Principles 400 Learning Experience 1

Case Study Overview 

In the case of Ken, a 48-year-old man admitted to the emergency ward with a hypertensive emergency, clinical decision-making is essential in ensuring the patient receives appropriate care. Ken’s blood pressure of 230/180, along with his symptoms of headache, dizziness, and chest pain, indicated an urgent need for intervention. The nurse must understand the pathophysiology of hypertensive emergencies to effectively monitor and assess the patient’s condition.

Ken’s non-compliance with his blood pressure medication, due to concerns over erectile dysfunction, adds an ethical and educational dimension to the decision-making process. As nursing tutors UK, we emphasize the importance of critical thinking in situations like this, where clinical decision-making must balance the need for urgent pharmacological intervention with patient education and cultural considerations.

The decision to administer IV labetalol hydrochloride for immediate blood pressure reduction was crucial in Ken’s treatment plan, demonstrating the importance of understanding pharmacology in nursing practice. IV labetalol, a beta-blocker and alpha-blocker combination, helps lower blood pressure rapidly while managing heart rate.

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