A) Why is it a problem that distilled water was used, instead of the saline drip?B) What happened to the patient's red blood cells after the IV with distilled water was used? C) What connection does this have to the patient's O2 levels? (Hint: think about why red blood cells are important)D) Why is a saline drip of 0.9% concentration normally used? E)What type of solution is this concentration, compared to the red blood cells?F) If this was really you, what would your next step be? How could you save this patient?G) On a practical note, can you drink too much water? Here's the scenario:You just finished nursing school and you've landed yourdream job. You're working in the ER at Seattle GraceHospital. It's the night shift, so you see lots of weirdthings come in. What was that person thinking withthat lego...?Anyways, during your second night on the job, you get acall from an ambulance that a patient is arriving in 5minutes. They had an accident while chopping wood(who chops wood at night?), there is a large wound onthe leg. The EMTs report significant blood loss, BP islow, pulse is fading. The patient is brought into atreatment room, and the attending physician ordersyou to start a 0.9% saline drip, stat. "We need to get theblood volume up, quickly." the doctor says. You get theIV going easily because you learned well from theexcellent instructors at LBCC's nursing school. Youhang the IV bag and wait for the doctor's next orders.After you've finished with the IV, the doctor attaches apulse-ox monitor to keep an eye on the patient's O2levels and heart rate. The doctor also inserts a catheterto monitor urine output. The goal is to stabilize thepatient before taking them in for surgery. "You waithere, I'll be back in a few minutes. I've got to check onanother patient. Their BP should be stabilized by thetime I'm back, then we'll move them into surgery" thedoctor says.A few minutes later, the patient's blood pressure is still A few minutes later, the patient's blood pressure is stilldropping. You check the the pulse-ox monitor andnotice that the O₂ levels are dropping and the patient'sheart rate is extremely high. What's worse, you checkthe catheter bag, and there's blood in the urine, it'sbright red! You run into the hallway to grab theattending physician, meanwhile going back throughyour memory to try and figure out what happened.Then it dawns on you. In your rush to get the saline dripgoing, you accidentally grabbed an IV bag from thewrong cabinet. You run back into the room and checkthe IV bag. It's labeled "distilled water" and not "0.9%NaCl." What's worse, it's practically empty. You look atthe doctor and say "I think I might have killed thispatient."

Distillation is a specific purification procedure that is used to get rid of pollutants and toxins…

Answered: A) Why is it a problem that distilled…

1st Edition

ISBN:9781938168130

Author:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble

Publisher:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble