1.The secondary assessment reveals that one of the patient’s drain appears infected. In addition, the pulse oximetry has only improved slightly with PPV and oxygen. The vitals are currently blood pressure 102/80, pulse rate 110, and pulse oximetry is 92 percent with oxygen and PPV. Blood sugar is 42 mg/dL. The patient’s temperature is 101.7°F. The patient is morbidly obese, weighing 180 kg. The findings during the balance of the secondary exam were benign and noncontributory. 6. What intravenous solution should be initiated?
a. Should this patient receive D 50 or oral glucose? Why or why not?
b. What additional techniques could be employed to make the PPV more effective?
c. What would be key indicators of patient improvement with treatment?
d. What would be key indicators of deterioration with treatment?
