Podcast
Questions and Answers
What is the initial priority nursing action when preparing drugs for D.W. who has suffered severe injuries?
What is the initial priority nursing action when preparing drugs for D.W. who has suffered severe injuries?
- Assess the patient's opioid addiction history. (correct)
- Prepare emergency medications without considering past drug use.
- Administer opioids to manage pain.
- Connect D.W. to a pain management system.
Which vital sign indicates D.W. is potentially in shock?
Which vital sign indicates D.W. is potentially in shock?
- Temperature of 36 ÌŠC.
- Blood pressure of 88/56 mmHg. (correct)
- Heart rate of 56 beats per minute.
- Respiratory rate of 16 breaths per minute.
What is a likely consequence of D.W.'s opioid addiction in relation to his emergency care?
What is a likely consequence of D.W.'s opioid addiction in relation to his emergency care?
- Decreased risk of respiratory complications.
- Increased tolerance to pain medications. (correct)
- Immediate stabilization of vital signs.
- Higher likelihood of effective pain management.
Which of the following medications should be readily available if recent illicit drug use is suspected?
Which of the following medications should be readily available if recent illicit drug use is suspected?
What is an important step to take following D.W.'s initial resuscitation?
What is an important step to take following D.W.'s initial resuscitation?
In the context of the provided scenario, what does a declining neurologic status in D.W. indicate?
In the context of the provided scenario, what does a declining neurologic status in D.W. indicate?
What is the significance of D.W. being orally intubated at this point?
What is the significance of D.W. being orally intubated at this point?
Which factor in D.W.'s situation might complicate his treatment in the emergency department?
Which factor in D.W.'s situation might complicate his treatment in the emergency department?
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Study Notes
Patient Details
- D.W. is a 19-year-old patient who sustained a gunshot wound to the head and a spinal cord injury from a stab wound to the thoracic spine.
- D.W. was transported to the trauma center within an hour of the incident.
- Upon arrival, D.W. was awake and responsive to simple commands but has experienced a deterioration in neurological status.
- D.W. has undergone initial resuscitation and a rapid diagnostic examination.
- D.W. is intubated and has two functional IV catheters.
Vital Signs
- Blood Pressure (BP): 88/56 mmHg
- Heart Rate (HR): 56 bpm
- Temperature: 36°C
- Respiratory Rate (RR): 16, on mechanical ventilation
Medical History
- The patient's mother reports that D.W. is addicted to opioids, including heroin and also abuses oral diazepam and other street drugs.
Nursing Priorities
- Prioritize preparing emergency drugs: The patient's history of drug use necessitates immediate preparation of emergency medications.
- Consider an antidote for opioid overdose: The trauma team should be ready to administer an antidote if they believe recent illicit drug use has contributed to the patient's altered mental state.
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