Once you have the patient in the back of the ambulance, the patient calms down a little and reports he did the above mentioned drug- flakka- as well as some heroin earlier today. The management of this patient on the way to the hospital includes?
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Once you have the patient in the back of the ambulance, the patient calms down a little and reports he did the above mentioned drug- flakka- as well as some heroin earlier today. The management of this patient on the way to the hospital includes?
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- Larry is a CST working in the general surgery unit of an urban OR. He and Dr. Hobart are finishing a case where a known IV drug user suffered a gunshot wound to the abdomen. While Larry was counting instruments with the circulator, Dr. Hobart tossed a loaded needed holder back onto the Mayo stand without informing Larry. As he turned around, the bloody needle penetrated Larry’s single glove and punctured his skin. Larry immediately reported the needle-stick injury to the circulator, who removed his glove and helped him assess the wound while paging for a replacement CST. After being relieved at the field, Larry washed the wound with soap and water. Because occupational health was closed at this hour, Larry reported to the emergency department for treatment, and then filed all appropriate reports. What should be done with the needle and the needle holder that have become contaminated by piercing Larry’s glove and skin?Mrs. Dunbar is a 90-year-old female patient admitted to the Women's Health Unit at RIH. She lives at home with her son Michael. Michael states that she was in her frequency. He states that she is normally alert and oriented, but this morning she is confused and not sure where she is. Her son called the PCP this am. The PCP recommended that she go to the emergency room for further evaluation. Upon arrival at the ED, pt was lethargic and febrile. VS as follows: Rectal Temp: 103.1, BP: 84/58, Pulse: 60 and regular, RR: 10 U/A and culture were sent: Culture grew out E. Coli This is my assessment report: Temp 99 02:96 BP: 80/55 HR:40 RR:23 The patient is alert and oriented. Patient Catheter had 25ml of gross hematuria, pain at her private area on scale of 0-10 is 9. Abdomen is distended because she is retaining urine, she has a UTI. This is her lab values: UWBC: 100,000 BUN/Creat: 60/3.0 K+: 5.9 Nat: 135 CXRAY: left lower lobe atelectasis EKG: I-wave changes throughout, These are the…A phlebotomist is called to the ER to draw a STAT hct, hgb, and plt ct on a young girl who appears extremely pale and very close to being unconscious. While checking for a good puncture site, the phlebotomist notes the “M” pattern of veins on both arms but really can’t feel the veins that well. After reapplying the tourniquet and making it a bit tighter, the vein in the middle of the AC on the right arm becomes palpable, but when entered, the blood slowly drips into the tube. After the tube is filled, the phlebotomist applies pressure to the puncture site and makes a point of holding it longer than usual before applying a new gauze and tape. While waiting, she overhears the nurse say that the patient’s BP is 80/50, and her pulse is weak. The mother says her daughter had a nose bleed that lasted almost all night. Ready to go back to the laboratory, the phlebotomist checks the puncture site again and sees that the bleeding has not stopped. The ER tech continues to put pressure on the…
- John Michael Jones was seen by Dr. Peters who has seen the patient previously in this office. History: Mr. Jones has been having a fever and shortness of breath the last two days. He is not on any present medications but has been taking an over the counter Nyquil, but this has not been working. Physical Examination: Dr. Peters listens to Mr. Jones chest and hears nothing of real concern. Dr. Peters tells Mr. Jones that he doesn't believe the patient has bronchitis but just the flu. Dr Peters documented he spent 12 minutes with the patient. Plan: Drink a lot of fluid, rest and return if it worsens. What is the correct E/M code for this scenarioThe healthcare provider orders erythromycin 20 mg/kg/day every 8 hours in equally divided dose.The child weighs 44 pounds. How many rilligrams per dose should the nurse administer?Mrs. Jeffries arrives at the cardiology outpatient clinic in a major research hospital. She is moving out of state and demands to take her patient chart with her. The waiting room receptionist is unsure what to do; she receives the following pieces of advice. Which one is correct? O "You can make a copy of it, but ultimately, the chart is the property of the patient. You can be subject to liability if you don't turn it over to her within 24 hours." O "The chart belongs to the physician Mrs. Jeffries saw in this clinic. You'll need his permission to give her a copy, particularly if the data in her chart were included in a research study." O "See whether or not she has insurance. Patient charts belong to whoever is the primary insurance provider. They only belong to the patient if the patient is the primary source of payments." "The patient chart is always a legal medical record, so it belongs to the hospital itself." None of the above.
- What is the value of changing patient records from paper to EMR?Describe in detail how you would demonstrate respect for this patient in spite of her gender, age, appearance, economic status, race and religious beliefsA nurse is caring for a client diagnosed with a cerebral aneurysm. The physician orders hydralazine 15 mg I.V. every four hours as needed to keep the systolic blood pressure less than 140 mm Hg. To administer the correct dose. How many milliliters of medications should the nurse draw up in the syringe? Record your answer using two decimal places. Hydralazine 20 mg/ml