Peds22

Summary

In a medical emergency, a 17-year-old post-liver laceration repair patient, Adedayo, experiences hypovolemic shock. His blood pressure plummets to 70/44, and his pulse races at 160. The healthcare team swiftly calls for critical care, prepares for bloodwork, and increases fluids. Amidst the chaos, Adedayo's mother, Ola, remains steadfast by his side, while the team works tirelessly to stabilize him, all the while managing his juvenile arthritis history.

Takeaways

• 🚑 The patient, Adedayo, is experiencing hypovolemic shock, indicated by a drop in blood pressure and an elevated pulse rate.
• 👨‍⚕️ The healthcare team is calling for additional assistance, specifically the critical care response team (CCRT), to manage Adedayo's condition.
• 🛏️ Adedayo is a 17-year-old postoperative patient on day 4 following a liver laceration repair, which is a significant factor in his current state.
• 🩸 His past medical history includes juvenile arthritis, which may complicate his care.
• 💉 The team is preparing to draw blood for tests including gases, complete blood count (CBC), coagulation profile, and cross-matching for blood transfusion.
• 🔬 Immediate actions include increasing fluids, applying pressure, and using warm blankets to manage Adedayo's shock.
• 🏥 The crash cart is on standby, indicating the team is prepared for potential emergencies.
• 📞 Communication is maintained with the blood bank and other medical staff to ensure necessary resources are available.
• 🌡️ The oxygen supply is being increased, and the patient is being closely monitored for any changes in his condition.
• 🚑 Adedayo is being prepared for transfer, with the headboard removed and the oxygen tank prepared for transport.

Q & A

What is the current condition of the patient named Adedayo?

Adedayo is showing signs of hypovolemic shock, with a blood pressure that has dropped to 70/44 and a pulse rate of 160.

What is the patient's medical history mentioned in the script?

Adedayo has a past medical history of juvenile arthritis.

What is the significance of calling the critical care response team (CCRT) in this scenario?

The CCRT is called to provide immediate and specialized care for a patient in a critical condition, such as hypovolemic shock.

What actions are taken to stabilize Adedayo's condition?

The team increases his fluids, applies pressure, uses a portable monitor and oxygen tank, and prepares to transfer him.

Why is the crash cart mentioned in the script?

The crash cart is on standby in case of a medical emergency, providing essential equipment and medications for immediate response.

What is the role of Mia Smith in this situation?

Mia Smith is a nurse who is coordinating the care for Adedayo, including communicating with the CCRT and preparing for bloodwork.

What is the significance of the warm blankets mentioned in the script?

Warm blankets are used to help regulate the patient's body temperature, which can be important in cases of shock.

What is the purpose of calling the blood bank in this context?

The blood bank is called to ensure availability of blood products in case a transfusion is needed for the patient.

What is the role of Margo Henry in the script?

Margo Henry is a CCRT Resident who arrives to assist with the patient's care, specifically in managing the hypovolemic shock.

Why is the headboard being removed and the oxygen tank prepared for transfer?

The headboard is removed and the oxygen tank prepared to facilitate a smooth and safe transfer of the patient to another location for further treatment.

What is the significance of the phrase 'keeping pressure on' mentioned in the script?

It implies that someone is applying pressure to a wound or site of bleeding to help control blood loss, which is a critical action in a hypovolemic shock situation.