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l T-Mobile 7:10 PM 144% Done Psych Case Study.docx Psych Overdose Case Study Name: Prepare for an oral presentation. Complete, print and submit via email by 1/14/19 You are on duty in the emergency department (ED) when a code blue is called. As the code nurse, you grab the crash cart and run to the code, which is in the employee lounge of the operating room. On the couch, you find a nurse, Donald, unconscious, dusky, and barely breathing. 1. What immediate assessment of Donald do you need to perform? 2. What intervention has the greatest priority? (rationale for answer) a. Obtaining a STAT toxicology screen b. Connecting her to the portable ECG monitor C. Establishing an IV line with 0.9% normal saline d. Supporting respirations by manually ventilating her 3. What assessment finding would lead you to suspect an opioid overdose is the reason for Donalds condition? (rationale for answer) a. Hypertension b. Fever and tachycardia c. Constricted pupils and bradypnea d. Diaphoresis and cool, clammy skin
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Answer #1

1. Immediate assessment:

Airway bloodline and cervical spinach cord injury

Breathing pattern

Signs and symptoms of shock

Disability assessment

Expose the patient and complete assessment.

2.correct answer: option d

Rational:

Here patient is unconscious that breathing pattern also not good. As emergency care management ABC is essential, that first airway, breathing and respiration.

So respiratory support and manual breathing is a highest priority.

So option d is correct.

Option a: stat toxicology screen is not highest priority.

Option b: ECG monitor is next to airway and respiration, so its incorrect.

Option c: helps in maintaining circulation, its also not a first priority.

3. Correct answer: option c

Rational:

Pupillary constriction and bradypnea is a sign opioid overdose.

So option c is correct.

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