Case Scenario: A 60-year-old female with PMH of HTN, HLD, DM, and Hypothyroidism was admitted due to non-exertional chest pain. The patient underwent Coronary CT Angiography. The patient developed right forearm extravasation when the IV contrast was administered. You are the 1st call provider and were notified by the radiologist about the incident.
Answer the following questions:
Subjective:
- What pertinent information would you ask the radiologist?
- What pertinent information would you ask the patient?
Objective:
- What would be the focus of your assessment?
- What tests or procedures (Lab or Diagnostic) would you perform or order for this patient?
Diagnosis:
- What are the top 3 differential diagnoses you would consider for this patient, and what is your rationale?
- You ordered to measure the Compartment Pressure, and the result was 28 mm Hg. What is your interpretation of the result?
- What is the final diagnosis?
- If the total CK result was 16,000 would you consider other diagnoses and plan of care? Discuss your rationale.
Plan:
- What is the gold standard treatment for the patient's final diagnosis?
- When would you consider consulting other services? Discuss your rationale.
- What is your disposition? Admit vs. Discharge? Why?