The nurse practitioner is rounding in the intensive care uni…

The nurse practitioner is rounding in the intensive care unit. A nurse stops the practitioner to discuss some results on a patient and to get further recommendations for care. The patient was admitted for hypotension, acute anemia with on going blood loss secondary to a GI bleed. The patient was on warfarin for history of Protein S Deficiency and it is now on hold. The patient is intubated though vital signs have normalized. The patient is more obtunded off of sedation today. The patient has a pulmonary artery catheter and a SvO2 (mixed venous o2 saturation). The results are 55% (Normal is 60-80%). What is the likely cause? 

Patient presents to the emergency department with a chemical…

Patient presents to the emergency department with a chemical burn 30 minutes prior to arrival. The nurse practitioner assesses the patient and notes moist blisters to the patient’s fingers, hand, and forearm. The patient complains of 10 out of 10 pain. What classification of burn does this describe?