Reference no: EM133777419
Discussion Post: Perfusion
All the DB have the same directions and rubric. All of the documents related to DBs are in the Course Documents-Discussion Board folders.
Case Study: A 32 year old female reports during a clinic visit that she becomes tired easily and feels sleepy during the day much more than usual. She says she has become dizzy and nearly fainted several times recently. She reports that she has been experiencing very heavy menstrual cycles for the last 3 months.
1) Admission vital signs: Temperature 98.8 F, heart rate 110 bpm, respiratory rate 28, blood pressure 110/52 mmHg, pulse Ox 92% on room air
2) Admission assessment findings: Tongue is red and sore, pale gums and mucus membranes, pale nail beds, no edema, SOB observed during the activity of the physical exam.
3) Medical history: Menorrhagia, several episodes of near syncope, reported cramping in her legs bilaterally, reports frequent desire to crunch ice chips when consuming liquids.
4) Laboratory values: / Diagnostic tests: Red blood cell count (RBCs) 3.5 million / mm3, Hemoglobin (Hgb) 8 g / dL, Hematocrit (Hct) 29%, Iron = low, Mean corpuscular volume (MCV) = low, Total iron binding capacity (TIBC) = high, Blood type = A positive
5) Physician orders: Type & screen for 2 units PBRCs, respiratory therapy referral for evaluation for oxygen therapy, VS every 4 hours.
Task
1) Identify an alteration in Perfusion that is consistent with the client's situation. Describe the signs and symptoms of this pathology.
2) All the laboratory values are low except the TIBC. Why is it elevated?
3) What would you expect the health care provider to order for the client's treatment? Please give rationale for your decisions.
4) What initial nursing interventions treatments would you recommend for this client?
5) Would this client need a blood transfusion? What types of blood could this client receive?
6) What discharge planning and teaching would be indicated?
7) Write a brief SBAR note from the perspective of the nurse calling the provider related to the scenario. Please refer to the SBAR handout in the Course Documents folder.