Mr. X, a 48-year-old male was admitted with complaints of chest pain, shortness of breath, dizziness, fainting and confusion. His ECG showed that new onset of sinus bradycardia with a HR of 35-40bpm. He was scheduled for a pacemaker insertion. Upon pre-operative surgical assessment his Hb was 9 mg% and prescribed for 2 units of blood transfusion prior to the surgery. The blood transfusion started as per protocol. The initial vital signs were with in normal limits. About 45 minutes after the second unit of blood got started, the nurse observed a change in SpO2; decreased from 97% down to 94% down to 90%. Immediately 2L of oxygen started and the SpO2 came up to 92% but fluctuating. 1. if you are the attending nurse, what is your assumption as to what is happening to Mr. X? 2. What questions would you ask yourself or data that you need to support your assumption? 3. How would you apply confidence in reasoning" as a critical thinking attitude?

Understanding Health Insurance: A Guide to Billing and Reimbursement
14th Edition
ISBN:9781337679480
Author:GREEN
Publisher:GREEN
Chapter6: Icd-10-cm Coding
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Mr. X, a 48-year-old male was admitted with complaints of chest pain, shortness of
breath, dizziness, fainting and confusion. His ECG showed that new onset of sinus
bradycardia with a HR of 35-40bpm. He was scheduled for a pacemaker insertion. Upon
pre-operative surgical assessment his Hb was 9 mg% and prescribed for 2 units of blood
transfusion prior to the surgery. The blood transfusion started as per protocol. The initial
vital signs were with in normal limits. About 45 minutes after the second unit of blood got
started, the nurse observed a change in SpO2; decreased from 97% down to 94% down
to 90%. Immediately 2L of oxygen started and the SpO2 came up to 92% but
fluctuating.
1. if you are the attending nurse, what is your assumption as to what is happening to Mr.
X?
2. What questions would you ask yourself or data that you need to support your
assumption?
3. How would you apply confidence in reasoning" as a critical thinking attitude?
4. Utilizing Socrates questioning:
- What are the implications of your thinking?
- What are the consequences if your assumptions are true and false?
Transcribed Image Text:Mr. X, a 48-year-old male was admitted with complaints of chest pain, shortness of breath, dizziness, fainting and confusion. His ECG showed that new onset of sinus bradycardia with a HR of 35-40bpm. He was scheduled for a pacemaker insertion. Upon pre-operative surgical assessment his Hb was 9 mg% and prescribed for 2 units of blood transfusion prior to the surgery. The blood transfusion started as per protocol. The initial vital signs were with in normal limits. About 45 minutes after the second unit of blood got started, the nurse observed a change in SpO2; decreased from 97% down to 94% down to 90%. Immediately 2L of oxygen started and the SpO2 came up to 92% but fluctuating. 1. if you are the attending nurse, what is your assumption as to what is happening to Mr. X? 2. What questions would you ask yourself or data that you need to support your assumption? 3. How would you apply confidence in reasoning" as a critical thinking attitude? 4. Utilizing Socrates questioning: - What are the implications of your thinking? - What are the consequences if your assumptions are true and false?
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