PHYSICIAN ORDERS IV LR 1000 mL @ 125mL/hr Insert/leave Foley…
PHYSICIAN ORDERS IV LR 1000 mL @ 125mL/hr Insert/leave Foley NPO CT abdomen LLE xray & Consult Ortho T&C 2 units PRBC Cefoxatime 1Gm IVPB now Torodol 30mg IM Q 6 hours LABS WBC 11,00 Hgb 8.5 Urine SG 1.035 K+ 4.5 Na+149 ABG’s pH 7.3 Co2 37 HCO3 20 Nurse’s Notes BP 80/38 P 108 R 28 32 y.o. male received status post motor vehicle accident. Non-responsive to verbal or tactile stimuli, PERRLA, Abdomen rigid and distended. Multiple lacerations to bilateral lower extremities, compound fracture of LEFT tibia covered with saline gauze and splinted. The nurse is caring for the above client received in the ED. The type and cross match is completed, and the blood bank is preparing the 2 units of packed cells for transfusion. In preparation for the transfusion, the nurse understands the following nursing intervention must be performed first: