A complete blood count was done for this patient upon admission in order to give a baseline to help guide his care. The blood count was also done to show how his hematological system was affected by the trauma that he suffered in the motor vehicle accident he was in. If the patient was hemodynamically unstable, he may have needed blood transfusions to bring his blood counts up. White blood cells could help to tell is the patient has an infection in his surgical wound. The patient also underwent surgery to correct the injury to his spine, causing more blood to be lost in the process. The platelet, hemoglobin, and hematocrit counts could help to show in the future if the patient is suffering from internal bleeding after the surgery he had. Other …show more content…
The chemistry test shows the levels of electrolytes found in the blood: sodium, potassium, chloride, phosphorus, magnesium and calcium. Imbalances in these electrolytes can cause complications, which especially in the case of potassium, can be deadly. Also shown by the chemistry test, blood urea nitrogen and creatinine levels can show how well the patient’s kidneys are functioning in filtering waste from the blood. Trauma and blood loss can affect how the kidney’s function not only in filtering waste, but also in acid-base balance, and balancing electrolyte levels. Another marker of kidney function is the glomerular filtration rate, which measures the rate filtrate is created by the glomerulus of the kidney (Winkelman, 2016). This is controlled by the kidneys themselves, meaning changes in the function of the kidneys can lead to an altered filtration rate (Winkelman, 2016). Lactic acid is measured by the chemistry test also, and an increase in lactic acid can signify acidosis caused by the lactic acid being formed by cells that do not have adequate oxygen to process glucose for energy (Workman, 2016). This decrease in available oxygen could be caused by damage to or impairment of the lungs. Carbon-dioxide, which is also measured by the chemistry test, can show …show more content…
The first test showed a decrease in blood pH and a major increase in the partial pressure of oxygen. The patient was placed on a ventilator during surgery on the date of admission, which could be the reason as to why his partial pressure of oxygen was increased. The patient’s blood pH was low in the first test. While it was barely in the normal range, the patient’s bicarb was close to being low as well. The patient was injured which resulted in fluid shifts that could have affected the amount of bicarbonate in the patient’s blood, resulting in a decrease in the blood’s pH. This means the patient was at risk for metabolic acidosis. The next day the patient’s blood pH had increased to a normal level and the bicarbonate level had also increased. The patent’s partial pressure of oxygen had also decreased, due to a decrease in the fraction of inspired oxygen, possibly from changes to the setting of the
In Blood In Blood Out is a drama directed by Taylor Hackford, and starring Damian Chapa (Miklo), Benjamin Bratt (Paco), and Jesse Borrego (Cruz), produced by Hollywood Pictures. The film was based off everyday life in East Los Angeles, from the 1970’s through the 1980’s. Damian Chapa stars as Miklo in the film, a Mexican-American who wanted to be accepted, not by his skin but for the Mexican within him. Benjamin Bratt (Paco) was the older cousin of Miklo, who learned his lesson throughout the movie and changed his ways. Jesse Borrego (Cruz) is the step-brother of Paco who was a talent artist, who ended up turning to drugs because of back problems caused by a rival gang incident.
Franco was being treated by Emergency Room Doctor Greer. I saw that medical staff took a blood sample from Franco prior to administering him with an unknown dose of Fentanyl and Saline. Based on the above medications being administered to Franco, I was unable to obtain an untainted blood sample for his BAC level.
Racism, a plague in our society that has infected our society, and still does today, has been rooted by the premise of Darwinian evolution. Racism existed long before Charles Darwin made his mark in history; however, in the book One Race One Blood, the authors explain how there is a very close relationship between the theory of evolution and what we know today as racism. The authors intent of this book is to realize the effects of a specific ideas that has shaped racism. Mr. Ken Ham describes ideas as being seeds, “…they might seem small; they might seem insignificant; they might even go unnoticed by all expect those who hold them in the moment…” (7). Charles Darwin’s idea (or seeds) of his evolutionary has taken root and made its way into public schools, the government, and even our churches. Although, racism did not originate with Darwin, Ken Ham claims that, “he did more than any other person to popularize it” (22). His evolutionary ideas have fueled racism and this is what racists use to justify their hatred toward those who are different from them (8).
The cause for the acid-base balance would be the sedative, the patient’s weight which is obese, respiratory, bicarbonate and metabolic problem.
The fact the patient died from internal bleeding shows there were damages. The patient’s death was directly linked to the time delay finding the proper diagnosis, and inability to find the extent of internal bleeding from which he was
Is there compensation occurring? Compensation is not occurring. Both values indicate acidity because there is too much CO2 and there is also too little HCO3. In regards to respiratory compensation, his breathing is impaired from asthma. Because the respiratory response to changes in HCO3 occurs much faster than metabolically, there is only one predicted compensatory response for primary metabolic acid-base disorders. Renal compensation, however, takes several days to occur, and would require an increase in HCO3.
Bowers, L., Allan, T., Simpson, A., Nijman, H., & Warren, J. (2007). Adverse Incidents, Patient
Dr. Camden recorded that there were no remarkable findings on the scan. Samuels MSU found slightly elevated Specific Gravity of 1030 and normal pH of
Dr. Murray, the chief resident who arrived around 8:00pm, charted Lewis’ heart rate as normal and noteds a probable ileus; however, nursing documentation at the same time recorded a heart rate of 126 beats per minute (Monk, 2002). Subsequent heart rates at midnight and 4:00am arewere charted as 142 and 140 beats per minute respectively without documented intervention (Monk, 2002 ). On Monday morning Lewis noted that his pain suddenly stopped after being very constant and staff charted that they were unable to get a blood pressure recording in either arm or leg from 8:30-10:15am despite trying multiple machines (Monk, 2002; Solidline Media, 2010).
Complete Blood Count with Differential is one of the most commonly ordered tests for routine check-ups and/or physicals. A complete blood count with differential measures the levels of red blood cells, white blood cells, platelet levels, hemoglobin and hematocrit. Most of the time it is ordered as a screening test to check for anemia or infection. The Complete Blood Count with Differential is used to aid in diagnosing and treating a large number of conditions (Lockwood, 2013).
Transfusions of red blood cells, platelets, and plasma are critical to a patient's return to good health,
These wastes are derived from the liquid and food that the individual had consumed. In cases of compromised kidney function, the kidneys are no longer able to remove or filter wastes in the normal way. This means that wastes are left to accumulate in the bloodstream. When this scenario takes hold, it can negatively impact the patient 's electrolytes, therefore, positive action has to be taken to optimize the situation. When patients follow a renal diet it can help to slow down the advancement of total kidney failure, and ameliorate kidney function. Along with chloride and potassium, sodium represents one of the body 's main three electrolytes. The latter manipulate the fluids with enter and leave the body’s cells and tissues. Therefore, patients with renal disease must monitor their intake of electrolytes. Keeping a daily food dairy is essential (Nephcure), and will be of great benefit to the dietitian who can pinpoint certain details.
Blood donation is a very essential procedure in the health system. The process entails collecting blood from willing donors, testing it and then separating it into its components so that it can be used on patients. Whereas hospitals are the main users of the donated blood, they are not exactly authorised to collect, test and separate it in their own premises. Most of the health institutions get the blood from larger bodies such as the Red Cross or other Community based blood groups. Though initially faced with lots of problems, blood transfusion has been used since 1667 as a solution to some of human illnesses. Since then to now, hospitals have grown so dependent on blood donation and transfusion to save human life. With it being used and applied
Blood transfusions have become a common part of medical care with nearly 5 million Americans a year receiving a transfusion. Blood transfusions are used in the treatment of many different conditions, from replacing blood lost in surgeries or injuries to fighting diseases like liver disease, anemia, and bleeding disorders like hemophilia (Nglbi.nih.gov, 2014). Blood collection and transfusion are overseen by many different agencies including the Department of Health and Human Services (HHS), the U.S. Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC). Through these agencies work in donor screening and surveillance, blood transfusions usually cause no adverse reactions in the recipient and are considered a safe medical procedure. Despite this, blood safety remains an important public health matter both due to the seriousness of some adverse reactions when they do occur and the need for preparedness in reacting to future blood safety issues that can suddenly arise when new bloodborne diseases emerge. It is for these reasons that Healthy People 2020 has made reducing the proportion of averse reactions from the medical use of blood and blood products one of their objectives.
my check off sheet with the hematology supervisor. One of the first things I learned was