Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
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Question
You receive AM report on 3 patients. Prioritize which patient you would see first, second, and third.
Cindy N. 8 months VS: T: 100, P: 112, R: 42 BP 100/56 Pulse Ox 90% on RA
Admitted last evening for bronchiolitis. She is RSV positive on respiratory isolation. She required frequent suctioning last night and therefore did not get much sleep. She is unable to nurse adequately. She has an IV in her left hand with 20 g catheter, running at 35 cc hr. Mother is in the room with her. She was suctioned at 5AM.
Brian K. 15 months VS: T: 102.3, P: 116. R: 32, BP: 114/68 Pulse Ox 93% on 2L NC.
Admitted 4 hours ago with right middle and lower lobe pneumonia. IV D5 ¼ NS with 20 meq KCL at 62 cc hr. Tylenol given in the ER at 2AM. Waiting for the antibiotics to come up from the pharmacy to give the first dose. Dad is in the room with the patient. Resp tx given 2 hrs ago.
Samantha G. 5 yo VS: T: 99, P: 92. R: 24, B/P: 98/68 Pulse Ox 88% on 3 L NC.
Admitted 12 hours ago for acute asthma. She had loud wheezes bilaterally and received 2 Albuterol treatments. Since coming to the unit, she has developed sub sternal retractions but her wheezing has decreased. She has breathing treatments ordered prn. Respiratory therapy called to get her another breathing treatment. Mother had to leave to make arrangements for her other children to be cared for.
Which patient would you see first, second, & third? Explain your reasoning. Your answer must be at least 5 complete sentences.
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