A) Why is it a problem that distilled water was used, instead of the saline drip?B) What happened to the patient's red blood cells after the IV with distilled water was used? C) What connection does this have to the patient's O2 levels? (Hint: think about why red blood cells are important)D) Why is a saline drip of 0.9% concentration normally used? E)What type of solution is this concentration, compared to the red blood cells?F) If this was really you, what would your next step be? How could you save this patient?G) On a practical note, can you drink too much water? Here's the scenario:You just finished nursing school and you've landed yourdream job. You're working in the ER at Seattle GraceHospital. It's the night shift, so you see lots of weirdthings come in. What was that person thinking withthat lego...?Anyways, during your second night on the job, you get acall from an ambulance that a patient is arriving in 5minutes. They had an accident while chopping wood(who chops wood at night?), there is a large wound onthe leg. The EMTs report significant blood loss, BP islow, pulse is fading. The patient is brought into atreatment room, and the attending physician ordersyou to start a 0.9% saline drip, stat. "We need to get theblood volume up, quickly." the doctor says. You get theIV going easily because you learned well from theexcellent instructors at LBCC's nursing school. Youhang the IV bag and wait for the doctor's next orders.After you've finished with the IV, the doctor attaches apulse-ox monitor to keep an eye on the patient's O2levels and heart rate. The doctor also inserts a catheterto monitor urine output. The goal is to stabilize thepatient before taking them in for surgery. "You waithere, I'll be back in a few minutes. I've got to check onanother patient. Their BP should be stabilized by thetime I'm back, then we'll move them into surgery" thedoctor says.A few minutes later, the patient's blood pressure is still A few minutes later, the patient's blood pressure is stilldropping. You check the the pulse-ox monitor andnotice that the O₂ levels are dropping and the patient'sheart rate is extremely high. What's worse, you checkthe catheter bag, and there's blood in the urine, it'sbright red! You run into the hallway to grab theattending physician, meanwhile going back throughyour memory to try and figure out what happened.Then it dawns on you. In your rush to get the saline dripgoing, you accidentally grabbed an IV bag from thewrong cabinet. You run back into the room and checkthe IV bag. It's labeled "distilled water" and not "0.9%NaCl." What's worse, it's practically empty. You look atthe doctor and say "I think I might have killed thispatient."

Answered: A) Why is it a problem that distilled…

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

A) Why is it a problem that distilled water was used, instead of the saline drip? B) What happened to the patient's red blood cells after the IV with distilled water was used? C) What connection does this have to the patient's O2 levels? (Hint: think about why red blood cells are important) D) Why is a saline drip of 0.9% concentration normally used? E)What type of solution is this concentration, compared to the red blood cells? F) If this was really you, what would your next step be? How could you save this patient? G) On a practical note, can you drink too much water?

Here's the scenario:
You just finished nursing school and you've landed your
dream job. You're working in the ER at Seattle Grace
Hospital. It's the night shift, so you see lots of weird
things come in. What was that person thinking with
that lego...?
Anyways, during your second night on the job, you get a
call from an ambulance that a patient is arriving in 5
minutes. They had an accident while chopping wood
(who chops wood at night?), there is a large wound on
the leg. The EMTs report significant blood loss, BP is
low, pulse is fading. The patient is brought into a
treatment room, and the attending physician orders
you to start a 0.9% saline drip, stat. "We need to get the
blood volume up, quickly." the doctor says. You get the
IV going easily because you learned well from the
excellent instructors at LBCC's nursing school. You
hang the IV bag and wait for the doctor's next orders.
After you've finished with the IV, the doctor attaches a
pulse-ox monitor to keep an eye on the patient's O2
levels and heart rate. The doctor also inserts a catheter
to monitor urine output. The goal is to stabilize the
patient before taking them in for surgery. "You wait
here, I'll be back in a few minutes. I've got to check on
another patient. Their BP should be stabilized by the
time I'm back, then we'll move them into surgery" the
doctor says.
A few minutes later, the patient's blood pressure is still

A few minutes later, the patient's blood pressure is still
dropping. You check the the pulse-ox monitor and
notice that the O₂ levels are dropping and the patient's
heart rate is extremely high. What's worse, you check
the catheter bag, and there's blood in the urine, it's
bright red! You run into the hallway to grab the
attending physician, meanwhile going back through
your memory to try and figure out what happened.
Then it dawns on you. In your rush to get the saline drip
going, you accidentally grabbed an IV bag from the
wrong cabinet. You run back into the room and check
the IV bag. It's labeled "distilled water" and not "0.9%
NaCl." What's worse, it's practically empty. You look at
the doctor and say "I think I might have killed this
patient."

Expert Solution

Step 1: what is the meaning of the term distilled water??

Distillation is a specific purification procedure that is used to get rid of pollutants and toxins from water to create distilled water. Water is heated to the boiling point during the distillation process, and the resulting steam is then gathered and condensed back into liquid form. The majority of the dissolved minerals, salts, chemicals, and organic compounds are successfully removed from the water by this process, leaving behind water that is incredibly pure and devoid of numerous pollutants.

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