Clinical Case Study Emergency FAST (focused assessment with sonography for trauma) ultrasound is positive for intraperitoneal fluid Blood Earl Malone is a 20-year-old passenger on the bus that crashed on Route 91. Upon arival at the scene, paramedics make the following observations: A positive FAST scan indicates intra-abdominal bleeding. Mr. Malone's condition continues to deteriorate, so he is prepared for surgery, which reveals a lacerated liver. The laceration is repaired, and Mr. Malone's vital signs stabilize. • Right upper quadrant (abdominal) pain Cyanotic Cool and clammy skin Blood pressure 100/60 and falling, pulse 100 1. Mr. Malone was going into shock because of blood loss, so paramedics infused a saline solution. Why would this help? Paramedics start an IV to rapidly infuse a 0.9% sodium chloride solution (normal saline). They transport him to a small rural hospital where Mr. Malone's blood pressure continues to fall and his cyanosis worsens. The local physician begins infusing O negative packed red blood cells (PRBCS) and arranges transport by helicopter to a trauma center. She sends additional PRBC units in the helicopter for transfusion en route. After arrival at the trauma center, the following notes were added to Mr. Malone's chart: 2. Mr. Malone was switched from saline to PRBCS. What problem does infusion of PRBCS address that the saline solution could not? 3. Why was the physician able to use O negative blood before the results of the blood type tests were obtained? 4. Mr. Malone's blood type was determined to be A positive. What plasma antibodies (agglutinins) does he have, and what type of blood can he receive? • Abdomen firm and distended Blood drawn for typing and cross matching; packed A positive blood cells infused 5. What would happen if doctors had infused type B PRBCS into Mr. Malone's circulation? For annwer ree Anowerr Annendix
Clinical Case Study Emergency FAST (focused assessment with sonography for trauma) ultrasound is positive for intraperitoneal fluid Blood Earl Malone is a 20-year-old passenger on the bus that crashed on Route 91. Upon arival at the scene, paramedics make the following observations: A positive FAST scan indicates intra-abdominal bleeding. Mr. Malone's condition continues to deteriorate, so he is prepared for surgery, which reveals a lacerated liver. The laceration is repaired, and Mr. Malone's vital signs stabilize. • Right upper quadrant (abdominal) pain Cyanotic Cool and clammy skin Blood pressure 100/60 and falling, pulse 100 1. Mr. Malone was going into shock because of blood loss, so paramedics infused a saline solution. Why would this help? Paramedics start an IV to rapidly infuse a 0.9% sodium chloride solution (normal saline). They transport him to a small rural hospital where Mr. Malone's blood pressure continues to fall and his cyanosis worsens. The local physician begins infusing O negative packed red blood cells (PRBCS) and arranges transport by helicopter to a trauma center. She sends additional PRBC units in the helicopter for transfusion en route. After arrival at the trauma center, the following notes were added to Mr. Malone's chart: 2. Mr. Malone was switched from saline to PRBCS. What problem does infusion of PRBCS address that the saline solution could not? 3. Why was the physician able to use O negative blood before the results of the blood type tests were obtained? 4. Mr. Malone's blood type was determined to be A positive. What plasma antibodies (agglutinins) does he have, and what type of blood can he receive? • Abdomen firm and distended Blood drawn for typing and cross matching; packed A positive blood cells infused 5. What would happen if doctors had infused type B PRBCS into Mr. Malone's circulation? For annwer ree Anowerr Annendix
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Clinical Case Study: Blood
Transcribed Image Text:Clinical Case Study
Emergency FAST (focused assessment with
sonography for trauma) ultrasound is positive
for intraperitoneal fluid
Blood
Earl Malone is a 20-year-old passenger on the
bus that crashed on Route 91. Upon arival
at the scene, paramedics make the following
observations:
A positive FAST scan indicates intra-abdominal
bleeding. Mr. Malone's condition continues to
deteriorate, so he is prepared for surgery, which
reveals a lacerated liver. The laceration is repaired,
and Mr. Malone's vital signs stabilize.
• Right upper quadrant (abdominal) pain
Cyanotic
Cool and clammy skin
Blood pressure 100/60 and falling, pulse 100
1. Mr. Malone was going into shock because of
blood loss, so paramedics infused a saline solution.
Why would this help?
Paramedics start an IV to rapidly infuse a 0.9% sodium chloride
solution (normal saline). They transport him to a small rural hospital where
Mr. Malone's blood pressure continues to fall and his cyanosis worsens.
The local physician begins infusing O negative packed red blood cells
(PRBCS) and arranges transport by helicopter to a trauma center. She
sends additional PRBC units in the helicopter for transfusion en route.
After arrival at the trauma center, the following notes were added to Mr.
Malone's chart:
2. Mr. Malone was switched from saline to PRBCS. What problem does
infusion of PRBCS address that the saline solution could not?
3. Why was the physician able to use O negative blood before the results
of the blood type tests were obtained?
4. Mr. Malone's blood type was determined to be A positive. What plasma
antibodies (agglutinins) does he have, and what type of blood can he
receive?
• Abdomen firm and distended
Blood drawn for typing and cross matching; packed A positive blood
cells infused
5. What would happen if doctors had infused type B PRBCS into Mr.
Malone's circulation?
For annwer ree Anowerr Annendix
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