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Mr. X, a 48-year-old male was admitted with complaints of chest pain, shortness of breath, dizziness, fainting and confusion. His ECG showed that new onset of sinus bradycardia with a HR of 35-40bpm. He was scheduled for a pacemaker insertion. Upon pre-operative surgical assessment his Hb was 9 mg% and prescribed for 2 units of blood transfusion prior to the surgery. The blood transfusion started as per protocol. The initial vital signs were with in normal limits. About 45 minutes after the second unit of blood got started, the nurse observed a change in SpO2; decreased from 97% down to 94% down to 90%. Immediately 2L of oxygen started and the SpO2 came up to 92% but fluctuating. 1. if you are the attending nurse, what is your assumption as to what is happening to Mr. X? 2. What questions would you ask yourself or data that you need to support your assumption? 3. How would you apply confidence in reasoning" as a critical thinking attitude?

Mr. X, a 48-year-old male was admitted with complaints of chest pain, shortness of breath, dizziness, fainting and confusion. His ECG showed that new onset of sinus bradycardia with a HR of 35-40bpm. He was scheduled for a pacemaker insertion. Upon pre-operative surgical assessment his Hb was 9 mg% and prescribed for 2 units of blood transfusion prior to the surgery. The blood transfusion started as per protocol. The initial vital signs were with in normal limits. About 45 minutes after the second unit of blood got started, the nurse observed a change in SpO2; decreased from 97% down to 94% down to 90%. Immediately 2L of oxygen started and the SpO2 came up to 92% but fluctuating. 1. if you are the attending nurse, what is your assumption as to what is happening to Mr. X? 2. What questions would you ask yourself or data that you need to support your assumption? 3. How would you apply confidence in reasoning" as a critical thinking attitude?

Phlebotomy Essentials
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
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Mr. X, a 48-year-old male was admitted with complaints of chest pain, shortness of breath, dizziness, fainting and confusion. His ECG showed that new onset of sinus bradycardia with a HR of 35-40bpm. He was scheduled for a pacemaker insertion. Upon pre-operative surgical assessment his Hb was 9 mg% and prescribed for 2 units of blood transfusion prior to the surgery. The blood transfusion started as per protocol. The initial vital signs were with in normal limits. About 45 minutes after the second unit of blood got started, the nurse observed a change in SpO2; decreased from 97% down to 94% down to 90%. Immediately 2L of oxygen started and the SpO2 came up to 92% but fluctuating. 1. if you are the attending nurse, what is your assumption as to what is happening to Mr. X? 2. What questions would you ask yourself or data that you need to support your assumption? 3. How would you apply confidence in reasoning" as a critical thinking attitude? 4. Utilizing Socrates questioning: - What are the implications of your thinking? - What are the consequences if your assumptions are true and false?
Transcribed Image Text:Mr. X, a 48-year-old male was admitted with complaints of chest pain, shortness of breath, dizziness, fainting and confusion. His ECG showed that new onset of sinus bradycardia with a HR of 35-40bpm. He was scheduled for a pacemaker insertion. Upon pre-operative surgical assessment his Hb was 9 mg% and prescribed for 2 units of blood transfusion prior to the surgery. The blood transfusion started as per protocol. The initial vital signs were with in normal limits. About 45 minutes after the second unit of blood got started, the nurse observed a change in SpO2; decreased from 97% down to 94% down to 90%. Immediately 2L of oxygen started and the SpO2 came up to 92% but fluctuating. 1. if you are the attending nurse, what is your assumption as to what is happening to Mr. X? 2. What questions would you ask yourself or data that you need to support your assumption? 3. How would you apply confidence in reasoning" as a critical thinking attitude? 4. Utilizing Socrates questioning: - What are the implications of your thinking? - What are the consequences if your assumptions are true and false?
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