Discussion Post
Part A
Complete the following discussion question using the DxR website:
a. Access the DxR Clinician website.
b. Select the folder labeled: gcu_npstudents_patients.
c. Select the Darrin Lancaster - Shortness of Breath case study.
d. Upon clicking on the case, you will see the "Enter Case" button at the top of the page. Select "Enter Page." Under "Name," enter First Initial, Last Name, all in lower case. Leave password blank. This will give you entry into the case study.
e. Complete the Darrin Lancaster - Shortness of Breath case study.
f. Discuss the diagnostic tool you selected and explain how it was helpful. Remember that pertinent negatives also guide your diagnoses. Describe how you prioritized the data.
Part B
A new patient has been brought to the intensive care from the C-section suite. The baby is healthy with normal APGAR scores. During closing, the surgeon noted a hemorrhage occurring in the abdomen. After the prolonged procedure to repair the artery was concluded, the patient had received 15 units of packed red blood cells, 10 units of fresh frozen plasma, and 5 units of platelets. The patient is in the ICU at risk for disseminated intravascular coagulopathy (DIC).
a. What is the physiology behind DIC after an enormous amount of blood products?
b. Discuss specific assessment findings you are looking for and the diagnostic workup you need to monitor.
c. Explain findings that will prompt you to begin treatment for DIC and outline appropriate treatment for DIC.
d. What are the risk factors you need to take into consideration when developing a treatment plan for this patient?
Part C
Choose a medication that could be prescribed or is available over the counter. Ideally, using a scenario from clinical practice, describe the presentation of a patient with an overdose of the drug. Explain the diagnostic workup. What are the differences in critical care and emergent situation conditions and disorders inclusive of drug toxicities and poison control? Provide differential diagnoses associated with the overdose and rationale for the treatment of the patient with the specific overdose. You may not select a medication that has already been profiled by another learner. Support your answer with two or three peer-reviewed resources.
Part D
Poisonous agents that are harmful to the human body exist in one's environment for the convenience of daily activities. Patients could intentionally ingest these agents or have an accidental ingestion. Choose an agent that is readily available and discuss the physical and diagnostic findings associated with ingestion of the agent. Provide differential diagnoses and explain the treatment for stabilization. Support your answer with two or three peer-reviewed resources.
The response should include a reference list. Using one-inch margins, Times New Roman 12 pnt font, double-space and APA style of writing and citations.