The rationale for each order
1. Differential CBC: This test is often prescribed because infection and other hematological disorders can contribute to shortness of breath.
2. Acid Lactic: Elevated lactic acid levels can imply tissue hypoxia or infection. The results of this test can be used to det...
1. Differential CBC: This test is often prescribed because infection and other
hematological disorders can contribute to shortness of breath.
2. Acid Lactic: Elevated lactic acid levels can imply tissue hypoxia or infection. The
results of this test can be used to determine the appropriate course of action for
resuscitation.
3. D-dimer: D-dimer levels are thought to be higher in hypercoagulable states. The
uneven heartbeat and prior usage of Pradaxa raise the possibility of a pulmonary
embolism (Vyas & Goyal, 2020). D-dimer aids in the preliminary evaluation.
4. The Double Blood Culture: This was to determine whether or not bacteremia or sepsis
is present, which is especially important in light of the patient's symptoms and
aspiration history.
5. CMP: The electrolyte balance, renal function, and liver function are all evaluated in
the Comprehensive Metabolic Panel (CMP). It is useful for gauging the patient's
metabolic health as a whole.
6. NS IV Bolus 500 ml: The bolus is given to resuscitate the patient with fluids in the
event of a suspected case of sepsis in order to increase blood pressure and tissue
perfusion.
7. Culture-Specific Urinalysis: In order to determine if systemic symptoms and
hematuria are caused by or related to a urinary tract infection (UTI), it is important to
check for the existence of UTI.
8. Portable Chest X-Ray: This is to check the lungs for any abnormalities that could be
causing the shortness of breath, such as infection or pulmonary edema.
9. Airway Control Panel: This detects common respiratory viruses, helping diagnose
respiratory illnesses.
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