You have received report and are preparing to round on your patients. Who needs to be seen first?
  1. A sixty two year old patient with acute renal failure who is scheduled for dialysis this morning.
  2. A sixty nine year old one day post op knee patient with a continuous pressure monitor, IV fluids and PCA infusing.
  3. A nineteen year old patient admitted two days ago with dehydration, nausea and vomiting.
  4. A fifty nine year old patient admitted yesterday morning with acute exacerbation of COPD and had a recent Stent placement.
Explanation
Answer: B- The patient to be seen first would be with the patient who just had surgery and has the PCA- which poses a risk to the respiratory system. The patient with a recent Stent placement was not admitted for that- it is not an acute problem.
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