Case Study #2 Please read the assigned readings for this week in both the textbook and ATI. Using your new knowledge, please fill out the attached case study questions

Case Study #2 Please read the assigned readings for this week in both the textbook and ATI. Using your new knowledge, please fill out the attached case study questions.

Count Dracula- Age 150 years old Male/Caucasian
Atheist/Do not resuscitate
Vitals:

BP-150/88
HR-110
RR-15
SPO2-98% on Room Air Temp-98.2 F

Awake, Alert, and Oriented

Count Dracula was admitted last week for dehydration as related to flu like symptoms. Mr Dracula has recently started having black tarry stools and his hematocrit and hemoglobin have dropped drastically.
1. Why do you think his hemoglobin and hematocrit is dropping?

Mr. Dracula has been ordered a blood transfusion.

1. What lab values are needed before a blood transfusion?
2. When blood is administered, what steps are taken?
3. Are there complications that could happen with blood transfusion?
4. If a blood transfusion reaction occurs, what are the signs and symptoms?

After the blood transfusion, Mr. Dracula’s IV site has collapsed and it is determined that he needs a central line. Insertion of the central line is completed and it is time for flushing and using the central line.

1. Describe the steps needed to execute a flushing the central line.
2. Is the dressing change a sterile procedure or clean?
3. What do you want the insertion site to look like? What do you NOT want to see at the insertion site and why?