Table 8.4, found on page 157, is a set of admission criteria for a medical and s
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Question
Table 8.4, found on page 157, is a set of admission criteria for a medical and surgical admissions. Figure 8.5, found on pate 158, shows an example of one patient's history and physical report. you should compare the patient's history with the admission criteria and determine whether the patient meets the criteria for admission to the hospital. The patient must meet at least one criterion in severity of illness and one criterion in intensity of service.
of idio- Case Study 84 set of admission criteria for medical and surgical admissions l of one patient's history and physical report. Students should com- gure 8.5 ts history with the admission criteria and determine whether the pare ets the criteria for admission to the hospital. The patient tient me on in severity of illness and one criterion in intensity of service must meet at least one criterion Table 8.4. Admission criteria e criteri Intensity of Service Severity of Illness Sudden onset of unconsciousness or disorientation Intravenous medications and/or fluid replacement Inpatient-approved surgery or procedure within 24 hours of admission Vital signs every 2 hours or more oftern Pulse rate:140/min and not ypical for patient Blood pressure: systolic 200 mm Hg or diastolic 120 mm Hg and not typical for patient Acute loss of sight or hearing Chemotherapeutic agents requiring continuous observation Treatment in an ICU, if indicated Intramuscular injection every 8 hours Respiratory care at least every 8 hours Glucose monitoring at least 4 times daily Acute loss of ability to move body part Persistent fever Active bleeding Serere electrolyte/blood gas abnormality EKG evidence of acute ischemia hiscence or evisceration Videly fluctuating bl oi lvels 1.4 times upper limit of
Explanation / Answer
Yes, the patient definitely meets one of the admission criteria for inability to move a body part. She has complained of such instance like numbness and paresthesia of right foot and on examination there was no palpable pulse felt on the same foot although there was some motor and sensory function. This meant there was not adequate blood flow to the right lower limb.
She also meets the intensity criterion of procedure within 24 hours of admission as she was planned for femoral injury repair that same night.
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