The physician ordered 2 units of blood to be given before a…
The physician ordered 2 units of blood to be given before a patient was to get a pacemaker placed. He received the blood per protocol. About 30 minutes after starting the second unit, his oxygen decreased from 95% to 92%, and then down to 90%. Despite being put on 2 liters of oxygen his saturation continued to stay around the low 90’s. The nurse looked at his history. Congestive heart failure. His intake and output showed a gain of 1.5 liters. The nurse listened to his lungs and found they had gone from being clear to having crackles. The nurse is worried the patient was not able to eliminate the extra fluid from the blood. What does this scenario exemplify?