Collection of a CBC from a 35 year old woman. Collection of a CBC from a...
A 58-year-old male college professor sees his family physician because of increasing fatigue and weakness. He also reports pain in his lower back and arms when he walks. Physical examination reveals that the man has pale mucous membranes and hepatosplenomegaly. The physician orders a complete blood count (CBC) and urinalysis. A follow-up appointment is scheduled for the following week. Laboratory Data: The CBC reveals that the patient has anemia. His leukocyte count and differential count are normal, except for a...
CASE STUDY: PELVIC PAIN An 18-year-old woman presents to the emergency department with severe abdominal pain, which has been progressive over the last 3 days. Her menstrual period was due about the time her symptoms started. She admits to being sexually active with several partners in the past 2 months with inconsistent use of birth control 1. What are signs of inflammation given in the patient's history? 2. Which cardinal signs of inflammation can you see in the above images?...
Your patient is an 85-year-old woman. As the team begins to move her to the operating table, she cries out and begins cry ing. What do you think could be the possible causes of her extreme distress? CASE 2 You are preparing equipment for a cardiac procedure. The patient has been brought into surgery and is lying on the op- erating table. He says to you, "How long do you think this will take?" How will you respond? What possible...
A 72 year old woman is transported to the ED with a diagnosis of chest pain to rule out myocardial infarction MI. During the initial assessment the nurse notes the cardiac rhythm changes from sinus tachycardia to ventricular tachycardia VT with a pulse. Her vital signs are 84/40, pulse 154 and respirations 30. What is the initial treatment for this patient at this time? What drugs should you anticipate administering to this patient? Why are they indicated? What evidence-based precautions...
The patient is a 29 year old woman admitted 20 hours ago for an acute exacerbation of Crohn’s disease with intense abdominal pain. She is NPO and receiving normal saline intravenously at 175 mL per minute. She was last given hydromorphone (Dilaudid) 4 mg IV 30 minutes ago. Because she did have an episode of hypotension earlier after Dilaudid, you now take her vital signs. On inflating the blood pressure cuff, she develops palmar flexion. The flexion remains after the...
Case Scenario: A 35-year-old woman presents with an enlargement of her neck. She has been experiencing intermittent fevers and no other symptoms of infection, drenching night sweats, itchy skin, and fatigue. She has no prior health problems. She also reports to have lost 20 pounds in the last month, that was not an intentional loss. The doctor fears Hodgkin lymphoma. There is no family history. Question: Explain tests the doctor will likely run for a definitive diagnosis. You will need...
242 Unit IV Special Procedures Case Studies Case Study 12-1: Specimen Handling and Collection Verification he had already been drawn, and refused to be de Chad is the lone phlebotomist on the night shift at a again. Chad remembers the glucose specimen in hospital. Al 03:00 he collects a timed glucose using a mack. He quickly verifies collection of and the St PST per laboratory policy. On return to the laboratory and personally delivers them to the proper labor he...
Critical Thinking Application (4.5 points each) Answer the following questo 59. Maria, who was recently hired in her first job as a phlebotomist, has been sent to the ICU to collect a stat hemoglobin and hematocrit (H&H) and protime on a patient. The patient is an elderly woman whose left arm has an intravenous (IV)line Maria checks the right arm and finds a small but suitable vein. She decides to use a butterfly with the evacuated tube system and selects...
CASE STUDY A 22-year-old woman was admitted froes the emergency department for tests. She had fever, dysuria, and lower back pain. Immediate laboratory results revealed the fol lowing: CBC Urinalysis 4+ urine protein 1+ Hgb Many bacteria Moderate blood Moderate WBC Casts: few hyaline, few granular Chemistry: WBC:11.8 X 10P/L RBC, 29 x 1012/1 Hgh: 8.3 g/dL Het: 255 MCV: 88 L MCH: 29 PB BUN: 113 mg/dL Creatinine: 7.7 mg/dL MCHC: 300 L or 305 RDW: 14.79 1+ aniso...
Case Studies A 28 year old woman presents to the emcrgency department with complaints of difficulty breathing, general muscle weakness and dysphagia. Her history of present illness reveals that she was diagnosed wtih infectious mononucleosis 10 days ago and had recently experienced ptosis and weakness in her legs and amis. She weighs 150 pound and is 5 feet, 8 inches tall. ABG on room air: 730502378 S02 91% H maximal inspiratory pressure is 15 1. cmH20 and vital capacity is...