Scenario
It is 10:00 a.m. You administered Mrs. Jones the new Dilaudid dose of 4mg at 8:00 a.m. Her pain has been reduced to a 6/10. You got her a crossword puzzle from the volunteerâs cart and told her that you spoke to her physician, and he has increased her pain medications from 2 mg to 4 mg. You offer her a back rub and a fresh pillowcase. She tears up and says, âthank you so much for caring. I was so afraid that I was going to die from this pain that I just couldnât sleep last night.â
It is noon, and Mrs. Jones wants her pain medication. She is still a 6/10. She is resting 30 minutes after receiving the medication. She opens her eyes for one moment and whispers to you, âIâm finally at a 3/10, and I am going to take a long nap. God bless you.â
At 1:00 p.m., you receive the following lab values.
LAB VALUES NORMAL VALUES
PTT 35 sec (25-35)
PT 12 sec (12-15)
BUN 15 (5-25)
Creat 1.0 (0.5-1.5)
Sodium 138 (135-145)
Potassium 3.7 (3.5-5)
Glucose 120 (70-100)
Ca 9.0 (8.5-10)
Hgb 9.0 (13.5-17)
Hct 28 (40-54)
Clinical Application Questions
After reading the scenario, answer the following questions in a Microsoft Word document. Refer to the learning material presented in this module for guidance.
Which lab(s) value(s) do you believe to be critical?
Write the information that you would provide to the health care provider.
Each response should be 3â5 sentences in length, clear and concise, original (using your own words), and free of grammatical errors.
Scenario It is 10:00 a.m. You administered Mrs. Jones the new Dilaudid dose of 4
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