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Patient Information: Name: J.T. Age: 34 Gender: Male Medica…

Patient Information: Name: J.T. Age: 34 Gender: Male Medical History: No known chronic illnesses, non-smoker, no history of respiratory disease Presentation: J.T. was involved in a high-speed motor vehicle collision while evading police that resulted in his car catching fire. The patient was entrapped for 15 minutes until the fire department could put out the fire and extricate him. Upon arrival, paramedics noted significant burns to both arms, upper chest, head, as well as signs of inhalation injury, including soot in the oropharynx and carbonaceous sputum. Emergency Department Assessment: Vital Signs: BP: 100/60 mmHg, HR: 120 bpm, RR: 30 breaths/min, SpO2: 88% on room air Physical Exam: Alert and oriented although anxious. Hoarse voice and coughing noted. He complains of rib pain with crepitus, and right ankle appears deformed. Partial- and full-thickness burns of both arms, upper chest, head. The physician elects to intubate the patient. Place in order, the actions to take immediately following intubation.

Patient Information: Name: J.T. Age: 34 Gender: Male Medica…

Patient Information: Name: J.T. Age: 34 Gender: Male Medical History: No known chronic illnesses, non-smoker, no history of respiratory disease Presentation: J.T. was involved in a high-speed motor vehicle collision while evading police that resulted in his car catching fire. The patient was entrapped for 15 minutes until the fire department could put out the fire and extricate him. Upon arrival, paramedics noted significant burns to both arms, upper chest, head, as well as signs of inhalation injury, including soot in the oropharynx and carbonaceous sputum. Emergency Department Assessment: Vital Signs: BP: 100/60 mmHg, HR: 120 bpm, RR: 30 breaths/min, SpO2: 88% on room air Physical Exam: Alert and oriented although anxious. Hoarse voice and coughing noted. He complains of rib pain with crepitus, and right ankle appears deformed. Partial- and full-thickness burns of both arms, upper chest, head. The patient has been successfully intubated and placed on the ventilator. Laboratory Findings: Arterial Blood Gas (ABG): pH 7.28, pCO2 50 mmHg, pO2 60 mmHg Carboxyhemoglobin: 28% Complete Blood Count (CBC): WBC 18,000/µL, Hgb 14.2 g/dL, Platelets 220,000/µL Comprehensive Metabolic Panel (CMP): Na 138 mmol/L, K 4.3 mmol/L, BUN 18 mg/dL, Creatinine 1.0 mg/dL, Glucose 156 mg/dL Lactate: 4.5 mmol/L Utox positive for opiates and meth Match the patient problem with the appropriate management.

Patient Information: Name: J.T. Age: 34 Gender: Male Medica…

Patient Information: Name: J.T. Age: 34 Gender: Male Medical History: No known chronic illnesses, non-smoker, no history of respiratory disease Presentation: J.T. was involved in a high-speed motor vehicle collision while evading police that resulted in his car catching fire. The patient was entrapped for 15 minutes until the fire department could put out the fire and extricate him. Upon arrival, paramedics noted significant burns to both arms, upper chest, head, as well as signs of inhalation injury, including soot in the oropharynx and carbonaceous sputum. Emergency Department Assessment: Vital Signs: BP: 100/60 mmHg, HR: 120 bpm, RR: 30 breaths/min, SpO2: 88% on room air Physical Exam: Alert and oriented although anxious. Hoarse voice and coughing noted. He complains of rib pain with crepitus, and right ankle appears deformed. Partial- and full-thickness burns of both arms, upper chest, head. What is the PRIORITY action at this time?

A patient is ordered to receive intravenous penicillin G for…

A patient is ordered to receive intravenous penicillin G for the treatment of a severe infection. The healthcare provider orders 2 million units to be infused over 30 minutes. The nurse has available vials of penicillin G containing 1 million units per vial. How should the nurse prepare the medication for administration?