Answered: 1. Which of the above patients will…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Question

Patient #1: John Smith is an 85-year old male admitted for Dr. Lee. He fell at home. He has a history of COPD, smoked one pack per day for 60 years, CHF and DM. He had surgery two days ago for the left hip fracture. We are to change the dressing daily and PRN. The incision site is slightly pink, edematous, and draining sanguineous drainage. I changed the dressing once in the night. They stopped his IV fluids yesterday. He is saline locked. The patient gets QID blood sugar checks. I checked him in the night because he felt kind of sweaty and didn't talk to me much, but his sugar was 110. I checked his vitals at 0450- Temp 99.0, HR 98, R-20, BP 100/65, O sat 91 & on 1 liter, I bumped up his oxygen to 3 liters at that time. His lung sounds are coarse. As for as orientation goes. Patient #2: Maria is a 40 year old patient. She was admitted two days ago with DKA. She has a history of poorly controlled DM-Type 1. Apparently her blood sugars have been poorly controlled over the last week when she had a Gl disease. Upon admission to the hospital her blood sugar was 530. Lung sounds clear, bowel sounds positive. She has an IV of NS at 100 cc/hr as well as an insulin drip (regular insulin) at two units/hr (which is two cc/hr). She has a Foley cath draining clear yellow urine. Her vital signs have all been fine, and her sugars have been primarily in the 200's. Her blood sugar right before report was 257. Patient #3: Henry is a 78-year-old male patient of Dr. Stars. He was admitted three days ago with COPD exacerbation. He was on oxygen at two liters initially, but has been weaned off. He complains of shortness of breath with activity. Very particular about things. Lung sounds have crackles and wheezes bilaterally. Pedal pulses palpable, maybe some trace edema on his lower extremities. Pulmonary rehab saw him yesterday and recommended he be on O2 at 2 liters at home with activity. I believe the plan is to discharge him today and he wants to go home. Relate to above scenario answer the following: 1. Which of the above patients will take high priority in providing the care? 2. How did you prioritize your interventions for John? If you had to do over, what would you have done differently and why? 3. If you called for a Rapid Response, what led you to do that? If you did NOT call for a Rapid Response, why didn't you?" 4. What do you think was going on with John medically when he deteriorated?

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