Intensive Care Nursing/Sepsis Scenarios/Medical Sepsis Unfolding Case Study 2

Background and Arrival In The Emergency Department
MB is an 87-year-old patient who is brought to the emergency department from a Skilled Nursing Facility (SNF) due to progressing altered mental status and combative behavior over the past 4 days. Patient vomited in the emergency department.

On arrival the patient is connected to the monitor and vital signs are as followed:

Temperature: 38.3 C (101 F)

HR: 99

BP: 80/48

RR: 18

SpO2: 97% @ RA

White Blood Cell count: 16k/microliter

{The provider in the ED has ordered a fluid bolus on account of their hypotension. Which of the following orders do you also anticipate seeing? +Urine culture +Blood culture +Antibiotics -Purified Protein Derivative (PPD skin test)
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{Which of the vital signs or labs are most concerning to you at this time? -Heart Rate -Oxygen Saturation -Respiratory rate +White Blood Cell count
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 * 1) /Medical Sepsis Scenario 2 p2/