Septic Shock CASE STUDY 1 & 2 ( MERGED)

Document Content and Description Below

Case: Joseph Bender, a 74-year-old make arrived in the ER unconscious, with stab wounds to the right upper abdomen and lower-right chest which he sustained after being confronted with an intruder in ... his home. When paramedics arrived, they started 2 large-bore IVs and infused lactated ringers wide open. An ET tube was inserted and ventilations with 100% oxygen was started. He arrives in the ER and two chest tubes are immediately inserted. 500 ml of red drainage was returned from the lower chest tube. Vitals are as follows: BP 70/50 mm HG; HR 125bpm; R 30 breaths/min; Temp 37°C (98.6°F). Weight 165 lb (74kg) 1. What is your priority nursing assessment at this time? Sepsis Shock Case Study part 2 History of Current Problem: Jack Holmes a 72-year-old Caucasian male brought to the ED by ambulance from a skilled nursing facility (SNF). According to report from the paramedic, when the SNF nursing staff attempted to wake him this morning, he would not respond, and his BP was 74/40 with a MAP of 51. He has a history of Parkinson’s disease, COPD, CHF, HTN, depression, and a stage IV decubitus ulcer on his coccyx that developed three months ago. He does not follow commands, is unresponsive to verbal stimuli, but responds to a sternal rub with grimacing and withdrawing from stimulus. [Show More]

Last updated: 1 year ago

Preview 1 out of 19 pages