SHOCK: Identify the stage of shock, category of shock, and initial action to take for the following patients

Subject:NursingPrice:6.86 Bought9

Share With

SHOCK: Identify the stage of shock, category of shock, and initial action to take for the following patients. 1. An 80-year-old woman admitted with a bowel obstruction has minimal urine output. A nasogastric tube has 1,500 mL of bloody aspirate returned on insertion. She becomes comatose. Vital signs are as follows: blood pressure 78 mm Hg with Doppler stethoscope, pulse 140 bpm and thready, respiration rate 8 breaths per minute, and temperature 94°F (34°C). Stage: _______________________ Category of Shock: _________________ Initial Action: _______________________ 2. A 56-year-old patient with chronic kidney disease who receives hemodialysis is agitated. Her blood pressure is 100/92 mm Hg, pulse 110 bpm, respiration rate 18 breaths per minute, and temperature 102°F (39°C). Stage: _______________________ Category of Shock: __________________ Initial Action: _______________________ 3. A 50-year-old patient who is hypotensive is receiving a fluid challenge of 1,000 mL 0.9% normal saline over 4 hours. Her lung sounds are now crackles in all lung fields. Her heart rhythm is irregular. Jugular vein distention and ankle edema are present. Blood pressure has dropped from 96/50 to 80/40 mm Hg in 1 hour, pulse 108 bpm, respiration rate 24 breaths per minute, and temperature 95°F (35°C). She is confused. Stage: _______________________ Category of Shock: ________________ Initial Action: _______________________ Emergency Response You are called in to help out in the ED where three UPS workers have just arrived by ambulance that was involved in a package being dropped, discharging a white powder into the air. Two of the workers inhaled the powder and got it on their skin and uniforms. Victim 1, who was catching the box tossed when it dropped, is in respiratory distress, coughing, and wheezing. He states he may also have swallowed some of the substance. Victim 2 has a rash with blisters on his face, hands, and arms. He also inhaled some of the white substance when the box broke open. Victim 3 was a little farther away unloading the van and only inhaled the substance. 1. You are to triage these three clients and decide who the physician sees first. What levels would you triage these victims? 2. What is your assessment of victim 1, victim 2, and victim 3? 3. What treatment do you suggest for victim 1? 4. What treatment do you suggest for victim 2? 5. What treatment would you decide for victim 3? 6. What are the three pathogens that can be used by terrorists as biological weapons that are also pathogens that can cause humans disasters?