Vital Signs
A patient's blood pressure is 86/48, HR 128, RR 30, Temp 102.9°F, SpO₂ 89%.
What is shock (likely septic shock)?
WBC = 18.5
What is infection or inflammation?
Potassium = 2.8
What is hypokalemia?
pH 7.30
CO₂ 52
What is respiratory acidosis?
Patient has:
Temp 103.2°F
HR 132
BP 84/40
Lactate 4.9
What is activate the sepsis protocol?
A patient has BP 188/112, HR 58, severe headache, and blurred vision.
What is hypertensive emergency?
Hemoglobin = 6.8 g/dL
What should you expect?
What is prepare for blood transfusion?
Potassium = 6.5
What is hyperkalemia requiring immediate treatment?
pH 7.52
CO₂ 30
What is respiratory alkalosis?
K⁺ 6.7
Peaked T waves
What is administer calcium gluconate immediately?
Vitals:
BP 124/72
HR 118
RR 24
Temp 99.2°F
SpO₂ 97%
Which vital sign is most concerning?
What is tachycardia (HR 118)?
Platelets = 18,000
What are they at risk for?
What is high risk for bleeding?
Creatinine = 3.8
What is acute kidney injury?
pH 7.28
HCO₃ 16
What is metabolic acidosis?
Glucose 36
Confused
Diaphoretic
What is give IV dextrose (or glucagon if no IV)?
Vitals:
BP 90/54
HR 48
RR 10
SpO₂ 88%
What is respiratory depression?
Hematocrit drops from 40% to 28% after surgery.
What is happening?
What is possible hemorrhage?
Blood glucose = 42
What is severe hypoglycemia?
pH 7.48
HCO₃ 34
What is metabolic alkalosis?
Platelets 15,000
Active nosebleed
What is implement bleeding precautions and notify the provider?
Your patient's oxygen saturation suddenly falls from 96% to 82%. What is you first and second response?
What is assess the patient first and administer oxygen?
Neutrophils = 400
What do you prepare for?
What is neutropenia requiring protective precautions?
Lactate = 5.6 mmol/L
What is poor tissue perfusion/sepsis?
pH 7.19
CO₂ 58
HCO₃ 20
What is mixed respiratory and metabolic acidosis?
Patient has:
BP 76/40
HR 138
RR 34
Temp 104°F
SpO₂ 86%
Lactate 6.8
WBC 22
Creatinine 3.1
What is septic shock requiring rapid fluid resuscitation, antibiotics, oxygen, and vasopressors if needed?