Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN: 9780134580999
Author: Elaine N. Marieb, Katja N. Hoehn
Publisher: PEARSON
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Chapter 17, Problem 5CCS
20-Year-Old-Male with Abdominal Trauma
Richard Watkins, 20, fell off his roof while replacing some shingles. Upon arrival at the scene, paramedics make the following observations:
•Abdominal pain, right upper quadrant
•Cyanotic, cool & clammy skin
•Falling blood pressure, 100/60 mm Hg; rapid pulse, 100 beats/min
Paramedics start an IV to rapidly infuse a 0.9% sodium chloride solution (normal saline). They transport him to a small rural hospital where Mr. Watkins’s blood pressure continues to fall and his cyanosis worsens. The local physician begins infusing O negative packed red blood cells (PRBCs) and arranges transport by helicopter to a trauma center. She sends additional PRBC units in the helicopter for transfusion en route. After arrival at the trauma center, the following notes were added to Mr. Watkins's chart:
•Abdomen firm and distended
•Blood drawn for typing and cross matching: packed A positive blood cells infused
•Emergency FAST (focused assessment with sonography for trauma) ultrasound is positive for intraperitoneal fluid
A positive FAST scan indicates intra-abdominal bleeding. Mr. Watkins's condition continues to deteriorate, so he is prepared for surgery. The operation reveals a lacerated liver, which is repaired. Mr. Watkins’s vital signs stabilize.
5. What would happen if doctors had infused type B PRBCs into Mr. Watkins’s circulation?
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Chapter 17 Solutions
Human Anatomy & Physiology (11th Edition)
Ch. 17 - Prob. 1RQCh. 17 - 2. The hormonal stimulus that prompts red blood...Ch. 17 - 3. All of the following are true of RBCs except...Ch. 17 - 4. The most numerous WBC is the (a) eosinophil,...Ch. 17 - 5. Blood proteins play an important part in (a)...Ch. 17 - 6. The white blood cell that releases histamine...Ch. 17 - 7. The blood cell that can become an...Ch. 17 - 8. Which of the following does not promote...Ch. 17 - 9. The normal pH of the blood is about (a) 8.4,...Ch. 17 - 10. Suppose your blood is AB positive. This means...
Ch. 17 - 11. (a) List the three major categories of formed...Ch. 17 - Prob. 22RQCh. 17 - Prob. 13RQCh. 17 - Prob. 14RQCh. 17 - Prob. 15RQCh. 17 - Prob. 16RQCh. 17 - 18. (a) Describe the appearance of platelets and...Ch. 17 - 19. (a) Define hemostasis. (b) List the three...Ch. 17 - Prob. 18RQCh. 17 - Prob. 19RQCh. 17 - Prob. 12RQCh. 17 - Prob. 20RQCh. 17 - 1. Cancer patients being treated with...Ch. 17 - Prob. 25RQCh. 17 - Prob. 21RQCh. 17 - Prob. 26RQCh. 17 - Prob. 27RQCh. 17 - 20-Year-Old-Male with Abdominal Trauma Richard...Ch. 17 - 20-Year-Old-Male with Abdominal Trauma Richard...Ch. 17 - 20-Year-Old-Male with Abdominal Trauma
Richard...Ch. 17 - 20-Year-Old-Male with Abdominal Trauma Richard...Ch. 17 - 20-Year-Old-Male with Abdominal Trauma Richard...
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