Homework Answers
1, In acute hemorrhage hemoglobin and hematocrit values, will be
normal due to compensatory mechanisms like redistribution of blood
flow after patient plasma volume through blood transfusion is
restored.
2, If no transfusion is made after 1 hour the Hgb and Hct value
will be too low.
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Case 8 A patient is admitted to the Emergency Dept.. The information indicates the patient suffered...
CASE STUDY A 22-year-old woman was admitted froes the emergency department for tests. She had fever,...
CASE STUDY A 22-year-old woman was admitted froes the emergency department for tests. She had fever, dysuria, and lower back pain. Immediate laboratory results revealed the fol lowing: CBC Urinalysis 4+ urine protein 1+ Hgb Many bacteria Moderate blood Moderate WBC Casts: few hyaline, few granular Chemistry: WBC:11.8 X 10P/L RBC, 29 x 1012/1 Hgh: 8.3 g/dL Het: 255 MCV: 88 L MCH: 29 PB BUN: 113 mg/dL Creatinine: 7.7 mg/dL MCHC: 300 L or 305 RDW: 14.79 1+ aniso...
N125 Case Study Three Scenario: A 78 year old female patient is transferred from the emergency...
N125 Case Study Three Scenario: A 78 year old female patient is transferred from the emergency department to the medical surgical unit. The nurse prepares to complete the initial assessment and notes the following: Blood pressure of 88/48 mm Hg Pulse of 112 beats/minute Respirations of 24 breaths/minute Temperature of 99.6 F Oriented X 1 Skin dry, cracked lips, hand grasps very weak bilaterally. Laboratory values reveal: Na+ 146 mEq/L K+ 2.7 mEq/L Cl-98 mEq/L Ca+ 10.0 mg/L Hgb 8.7...
The patient is a 48-year-old unconscious woman admitted to the ED. She has a known history...
The patient is a 48-year-old unconscious woman admitted to the ED. She has a known history of type 1 diabetes mellitus. Her daughter accompanies her and tells the staff that her mother has had the “flu” and has been unable to eat or drink very much. The daughter is uncertain whether her mother has taken her insulin in the past 24 hours. The patient’s vital signs are temperature 101.8° F; pulse 120, weak and irregular; respiration 22, deep, and fruity...
A patient has just been admitted to the emergency room around 9 pm. The patient was disoriented, ...
A patient has just been admitted to the emergency room around 9
pm. The patient was disoriented, had trouble speaking, and was
suffering from nausea and vomiting. She was also hyperventilating,
i.e. over breathing. The patient accidentally took an entire bottle
of aspirin, which contained 250 tablets, around 7 pm that evening.
Blood from the patient is analysed and the analyses shown in Table
1. The patient is experiencing mild respiratory alkalosis.
In the emergency room, the patient is given...
Hemorrhagic Shock Case Study A 37-year-old female presents to the emergency department weak, pale, A&O, with...
Hemorrhagic Shock Case Study A 37-year-old female presents to the emergency department weak, pale, A&O, with severe RUQ pain. She states that the following. “I have been taking a lot of ibuprofen for this abdominal pain. I went to my doctor but he told me it was psychological.” The paramedic has a PIV #18 RAC infusion with 1 L. NS wide open and O2 @ 2 lpmNC. V.S. T. 97.0, 120 bpm, RR 24, BP 80/50, SaO2 95%. 1. What...
Anemia Case Study A 44 year old white woman was seen in the emergency department. She...
Anemia Case Study A 44 year old white woman was seen in the emergency department. She complained of fatigue and weakness. Over the past 2 weeks, she had noted that the whites of her eyes and her skin were becoming yellowish looking. On physical examination, the spleen was palpable. The emergency department physician ordered a CBC, serum bilirubin and a retic count. The test findings were: WBC: 9,000/ul RBC: 3.0 x 106/ul Hb: 8.5 g/dl HCT: 27% MCV: 90.4 fl...
The patient is a 48-year-old unconscious woman admitted to the ED. She has a known history of type 1 diabetes mel...
The patient is a 48-year-old unconscious woman admitted to the ED. She has a known history of type 1 diabetes mellitus. Her daughter accompanies her and tells the staff that her mother has had the “flu” and has been unable to eat or drink very much. The daughter is uncertain whether her mother has taken her insulin in the past 24 hours. The patient’s vital signs are temperature 101.8° F; pulse 120, weak and irregular; respiration 22, deep, and fruity...
Case Study A patient has just been admitted to the emergency room around 9 pm. The patient was di...
Case Study A patient has just been admitted to the emergency room around 9 pm. The patient was disoriented, had trouble speaking, and was suffering from nausea and vomiting. She was also hyperventilating, ie. over breathing. The patient accidentally took an entire bottle of aspirin, which contained 250 tablets, around 7 pm that evening. Blood from the patient is analysed and the analyses shown in Table . The patient is experiencing mild respiratory alkalosis. Table 1: Arterial blood gas concentration...
John Smith is a 65-year-old retiree who is admitted to your unit from the emergency department...
John Smith is a 65-year-old retiree who is admitted to your unit from the emergency department (Ed). On arrival, you note that he is trembling and nearly doubled over with severe abdominal pain. John indicates that he has severe pain in the right upper quadrant (RUQ) of his abdomen that radiates through to his mid back as a deep, sharp, boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in bed. He admits to...
John Smith is a 65-year-old retiree who is admitted to your unit from the emergency department...
John Smith is a 65-year-old retiree who is admitted to your unit from the emergency department (Ed). On arrival, you note that he is trembling and nearly doubled over with severe abdominal pain. John indicates that he has severe pain in the right upper quadrant (RUQ) of his abdomen that radiates through to his mid back as a deep, sharp, boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in bed. He admits to...
CASE STUDY A 22-year-old woman was admitted froes the emergency department for tests. She had fever, dysuria, and lower back pain. Immediate laboratory results revealed the fol lowing: CBC Urinalysis 4+ urine protein 1+ Hgb Many bacteria Moderate blood Moderate WBC Casts: few hyaline, few granular Chemistry: WBC:11.8 X 10P/L RBC, 29 x 1012/1 Hgh: 8.3 g/dL Het: 255 MCV: 88 L MCH: 29 PB BUN: 113 mg/dL Creatinine: 7.7 mg/dL MCHC: 300 L or 305 RDW: 14.79 1+ aniso...
N125 Case Study Three Scenario: A 78 year old female patient is transferred from the emergency department to the medical surgical unit. The nurse prepares to complete the initial assessment and notes the following: Blood pressure of 88/48 mm Hg Pulse of 112 beats/minute Respirations of 24 breaths/minute Temperature of 99.6 F Oriented X 1 Skin dry, cracked lips, hand grasps very weak bilaterally. Laboratory values reveal: Na+ 146 mEq/L K+ 2.7 mEq/L Cl-98 mEq/L Ca+ 10.0 mg/L Hgb 8.7...
A patient has just been admitted to the emergency room around 9
pm. The patient was disoriented, had trouble speaking, and was
suffering from nausea and vomiting. She was also hyperventilating,
i.e. over breathing. The patient accidentally took an entire bottle
of aspirin, which contained 250 tablets, around 7 pm that evening.
Blood from the patient is analysed and the analyses shown in Table
1. The patient is experiencing mild respiratory alkalosis.
In the emergency room, the patient is given...
Case Study A patient has just been admitted to the emergency room around 9 pm. The patient was disoriented, had trouble speaking, and was suffering from nausea and vomiting. She was also hyperventilating, ie. over breathing. The patient accidentally took an entire bottle of aspirin, which contained 250 tablets, around 7 pm that evening. Blood from the patient is analysed and the analyses shown in Table . The patient is experiencing mild respiratory alkalosis. Table 1: Arterial blood gas concentration...
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