Question

Mrs. R is an elderly Caucasian woman admitted to your unit last night from the emergency department. She was admitted with fever, headache and cough. She was diagnosed with myeloid leukemia 6 months ago and has been receiving treatment at the outpatient oncology center. A CBC and blood cultures were drawn prior to transferring her to the med-surg. unit.

The night shift reports to you that Mrs. R has been sleeping without complaint most of the night. Her vital signs “were stable” and the cultures drawn in the ED have not returned.

1. What questions do you have for the night nurse before assuming care of this patient?

1. Mrs. R is attached to the cardiac monitor that shows sinus tachycardia. Mrs. R no longer has any observable respirations. Describe what should happen next to ensure proper oxygenation of the patient.
2. Mrs. R is successfully resuscitated and is placed on a non-rebreather mask at 100% 0₂. What should happen before the code team leaves the room?

Answer 1

#. The questions for the night nurse before assuming care of this patient are :-

- By what time culture report will be available

- What fever management was taken for her last night

#. Resuscitation ( CPR ) should be given to ensure proper oxygenation of the patient.

#. Before the code team leaves the room the patient should be hemodynamically stable and

-patient's nurse gives report to receiving nurse

-family care

-EKG strips charter

-completed code sheet signed by physician in charge of the code

-Code evaluation completed and sent to risk management

-cart exchange

-documentation