Medical Office Scenarios
April 2, 2018
What is the purpose of the Master Patient Index and how are error within the MPI corrected
April 2, 2018

CASE STUDY

Patient Profile

B.N., a 41-year-old female who is a dental hygienist, has had several surgeries over the past five years due to a knee injury. She presents to the outpatient surgery department today for her last reconstructive surgery. Her past medical history indicates she had asthma as a child and had one occurrence of contact dermatitis. She tells you she has no known drug allergies.

You start B.N.’s IV and perform a saline flush. Within three minutes, B.N. states that her IV site itches, and a few minutes later she begins to complain of tightness in her throat.

Subjective Data

• States IV site itches • States throat and neck feel tight and says ‘I feel like I can’t breathe’

Objective Data

• Vital signs: Temp 98.8° F, Heart rate 120, Respiratory rate 32, Blood pressure 100/60 • Oxygen saturation 85% • Wheezing in all lung fields • Restless • Swelling at IV site

I. Question 1

What type of altered immune response is B.N. experiencing?

II. Question 2

What is the apparent causative factor and what were potential sources of exposure?

III. Question 3

What are the priority nursing interventions in this situation? What medications might you expect the health care provider to prescribe?

IV. Question 4

What were B.N.’s risk factors for this type of reaction?

V. Question 5

Based on this reaction, to what foods should B.N. be tested for allergies?

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VI. Question 6

How can such reactions be prevented from occurring?

 

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