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A 69 year old female is seen at her primary provider's office for a follow up. She is currently participating in rehab, status post motor vehicle crash (MVC). As a result of the accident, the patient sustained several fractured ribs, a fractured left clavicle, and fractured left humerus. The client has no previous medical history, takes no medications other than a women's multivitamin, and was very active prior to her accident. The nurse at the office documents her findings as follows: Pt is AAOx3 Patient reports having "foggy vision" as of late. Noted increase in frequency of headaches as of late. Patient is noted to be restless on exam Chest rise and fall is symmetrical, lung sounds clear to all fields. Abdomen is soft, round, and non-tender. Noted increase of ROM to shoulder, will continue PT/OT. Vitals: T98.6/P89/R16/BP164/90/SPO296% (on room air) Questions: 1. What signs and symptoms are of concern in this patient's presentation? 2. What could these be telling you is happening to the patient? 3. Of the concerning symptoms, which of these is a priority? Please explain your answer.

A 69 year old female is seen at her primary provider's office for a follow up. She is currently participating in rehab, status post motor vehicle crash (MVC). As a result of the accident, the patient sustained several fractured ribs, a fractured left clavicle, and fractured left humerus. The client has no previous medical history, takes no medications other than a women's multivitamin, and was very active prior to her accident. The nurse at the office documents her findings as follows: Pt is AAOx3 Patient reports having "foggy vision" as of late. Noted increase in frequency of headaches as of late. Patient is noted to be restless on exam Chest rise and fall is symmetrical, lung sounds clear to all fields. Abdomen is soft, round, and non-tender. Noted increase of ROM to shoulder, will continue PT/OT. Vitals: T98.6/P89/R16/BP164/90/SPO296% (on room air) Questions: 1. What signs and symptoms are of concern in this patient's presentation? 2. What could these be telling you is happening to the patient? 3. Of the concerning symptoms, which of these is a priority? Please explain your answer.

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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A 69 year old female is seen at her primary provider's office for a follow up. She is currently participating in rehab, status post motor vehicle crash (MVC). As a result of the accident, the patient sustained several fractured ribs, a fractured left clavicle, and fractured left humerus. The client has no previous medical history, takes no medications other than a women's multivitamin, and was very active prior to her accident. 

The nurse at the office documents her findings as follows:

  • Pt is AAOx3
  • Patient reports having "foggy vision" as of late.
  • Noted increase in frequency of headaches as of late.
  • Patient is noted to be restless on exam
  • Chest rise and fall is symmetrical, lung sounds clear to all fields.
  • Abdomen is soft, round, and non-tender. 
  • Noted increase of ROM to shoulder, will continue PT/OT.
  • Vitals: T98.6/P89/R16/BP164/90/SPO296% (on room air)

Questions:

1. What signs and symptoms are of concern in this patient's presentation?

2. What could these be telling you is happening to the patient?

3. Of the concerning symptoms, which of these is a priority? Please explain your answer.

4. What can we do to stabilize this patient? Why?

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4. What can we do to stabilize this patient? Why? 

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