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 Case
#13 The baby looks fine!
An 11 month old female presents after an
accidental submersion in a bathtub. Mom
reports she initially found the infant
without signs of life, so she started CPR
and called 911. On EMS arrival, the baby was
breathing, had a pulse, but still limp.
Bag-valve-mask assistance for breathing was
initiated with 100% oxygen. By the time the
baby arrived in the ED, she was crying, had
a pulse of 120, R = 45, BP = 120/50, and
T=98F. SAT=95% with oxygen.
PE: Crying, Good eye contact, consolable by
mom
PERRL
No evidence of head trauma
Fontanel normal
Heart RRR no M
Lungs: Wheezing and scattered rales
Abd: normal
Ext: pulses present, cap refill normal
Neurologic: Good eye contact, consolable,
moving all 4 extremities, normal tone
1. What is the difference between drowning
and near drowning? What will be your
admission diagnosis?
The patient is placed on oxygen, an IV is
established, the patient is placed on
telemetry and sat monitor, the VS are
repeated (unchanged) and blood is drawn with
the IV stick. You order CBC, Lytes, BUN CR,
and Glucose.
2. What other test do you need to order, and
what other intervention do you need to do?
3. The nurse wants to know if you want an
ABG or if you can just use blood from the
venous stick for IV access and get a Venous
Blood gas.
Click here for answers and to respond
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Previous Articles
Neurologic (01/014/08)
Cardiovascular (01/07/08)
Cardiovascular (01/01/08)
Renal (12/26/07)
Cardiovascular (12/19/07)
Pediatric (12/12/07)
Neurologic (12/05/07)
Trauma (11/27/07)
Trauma (11/20/07)
Neurologic (11/13/07)
Pediatric (11/12/07)
Cardiovascular (10/29/07)
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