[Answered]: Part C: Unfolding Case Study – Highlight the…

Part C: Unfolding Case Study – Highlight the findings that require follow-up by the nurse A) A 30-year-old female who has a history of type I diabetes and emphysema was found unconscious in a swimming pool. CPR was initiated and continued enroute to the ER. Return of spontaneous circulation (ROSC) was restored after 20 minutes of CPR. The ER nurse is drawing labs, and the patient is witnessed having sustained dysrhythmic bilateral muscle contractions. The patient weighs 174 lbs (79.1 kg).  Provider orders: o INSERT peripheral IV o Diazepam 5 mg IV PUSH x1 NOW o Phenytoin 15 mg/kg IVPB at 50 mg/min x1 NOW  Test results: o CT of the head was unremarkable o 12-Lead EKG – A fib w/ Ventricular rate of 135 bpm o Hemoglobin – 14 o Hematocrit – 40% o White Blood Cells – 5,000 cells/mcL o Serum sodium – 130 mEq/L o Serum potassium – 3.8 mEq/L o Chest x-ray with “ground-glass opacities bilaterally” o Abdomen distended o Arterial blood gas (ABG) – pH (7.28), pCO2 (52 mmHg), HCO3 (18 mEq/L