CCRN Multiple Organ Exam with Questions and Answers

CCRN Multiple Organ Exam with Questions and Answers A patient arrives with multisystem trauma after falling out of a second-floor window. She has significant overt bleeding and is lethargic with peripheral cyanosis. Her vital signs are blood pressure 80/60 mm Hg, heart rate 145 beats/min, and respiratory rate 40 breaths/min. You would expect to give her what type of fluid immediately? A. Albumin B. O-negative blood C. Normal saline until typed and crossmatched blood is available D. Fresh frozen plasma until typed and crossmatched blood is available ANSWER B. This patient is exsanguinating. Only hemoglobin will carry oxygen, and it must be given immediately. If she had already been blood typed (but not crossmatched), you would give her type-specific blood, but she does not have time for a full crossmatch. O-negative blood is considered the universal donor and is indicated in an exsanguinating patient when you do not have a type-specific or fully typed and crossmatched blood available. The patient is losing blood, so consider that you need to replace what is lost. Best would be fully typed and crossmatched blood. Next best would be type-specific. Next best would be universal donor (O negative) blood.