M.M., a 46-year-old male, presents to the emergency department (ED)…
Question Answered step-by-step M.M., a 46-year-old male, presents to the emergency department (ED)… M.M., a 46-year-old male, presents to the emergency department (ED) after being stung 3 times by bees while doing yard work. He said he initially had localized pain and swelling but was not concerned because he has no prior history of an allergic reaction with previous stings. About 15 minutes after the stings, he began to feel dizzy and short of breath. He went inside and his girlfriend, seeing he had developed hives and was having some trouble breathing, drove him the 15 minutes to the ED.Physical AssessmentVS: 100/60, 112, 32, SpO2 93% on RA, 98.8° F (37.1° C)HEENT: No periorbital edema. Mild edema of lip and tongue. PERRLA. States he has metallic taste in mouth.CV: Moderate wheezing with minimal retractions in all fields. AP S1, S2; regular.Neuro: GCS 15. Drowsy. Full movement in all extremities. Reports dizziness.GI: Soft, nontender, + BS ×4. Denies nausea and abdominal pain.Skin: Generalized urticarial rash with flushing. reports pruritus. Bee sting sites present on left hand and forearm; foreign body seen in left-hand sting site.denies any history of allergies. He has mild hypertension that is controlled with furosemide 40 mg orally every morning.Provider’s OrdersOxygen to maintain saturation ≥95%Epinephrine 0.5 mg IM now, repeat in 15 minutes if neededDiphenhydramine 50 mg IV nowHydrocortisone 200 mg IV nowIV fluid bolus 1000 mL of 0.9% normal saline over 1 hourWhat are your top three priority assessments? Explain with rationale for each.Detail your plan for implementing the provider orders including priorities with a rationale for each.Before you can implement the orders, M.M. has an increase in wheezing with hoarseness and a high-pitched cough.What is happening and what is the priority action?According to IGGY, what are best practices for emergency care of patients with anaphylaxis?M.M. will need discharge teaching. As the RN, teaching is your responsibility.Detail the teaching points for care and use of automatic epinephrine injectors you will provide to M.M. Health Science Science Nursing VNSG VNSG 1429 Share QuestionEmailCopy link Comments (0)
