[Expert Solution]: AUDIO CASE STUDY [9-1] 09: NURSING CARE OF…

AUDIO CASE STUDY [9-1] 09: NURSING CARE OF PATIENTS IN SHOCK José and Anaphylactic Shock talle Welcome to the podcast for Chapter 9 of Understanding Medical-Surgical Nursing. In this episode, we’ll review anaphylactic shock. On a warm August morning, José got up early and was already out mowing the lawn by the time his wife, Anna, left for the hospital, where she worked as a nurse. José finished out front, stopped for a cool drink of water, and moved to the backyard to continue mowing. “It sure is a hot day,” he thought. As he guided the mower along the fence, he felt a sharp sting on his right ankle and quickly looked down. He saw not one, but several bees flying near the ground. “Oh, no!” he thought. “I ran over a bees’ nest.” As more bees began to appear, José abandoned the mower and ran for the house, slamming the back door behind him. Shaken and winded, he sat down to catch his breath. After a bit, he noticed that he had a tingling feeling all over. And the stung area really hurt! He looked more closely at his ankle and saw the stinger still in his skin. He remembered how his wife had removed a stinger from their niece the previous summer, so he used his thumbnail to brush the stinger away, careful not to pinch it and push more venom into his body. With the stinger out, José felt calmer. As he was washing his ankle to help prevent infection, he began to feel dizzy. He sat down again, thinking, “I don’t feel right, and I’m not sure what’s going on. Maybe l’d better call Anna.” When his wife answered the phone, José said, “I just got stung by a bee in the backyard, and now I don’t feel right. What should I do?” “Tell me more about how you’re feeling,” Anna replied. “I don’t know. I just feel funny all over. I’m dizzy. I got stung on the ankle but I have a red spot on my arm.” “Have you ever been stung by a bee before?” Anna asked. “Yeah,” José said, “when I was about eleven, picking grapes at our neighbor’s house.” “You might be allergic to bees now, after being sensitized from that first sting,” Anna explained. “You could be having an anaphylactic reaction, so unlock the front door and just sit down. I’m going to call 911 and meet you when you get to the ER.” When she got there, she barely recognized her husband. He was swollen all over with generalized edema, and his eyes were completely red. She could hear him wheezing as he breathed and knew that he could have respiratory distress from laryngeal edema and bronchospasms. Alarmed, Anna knew they needed to watch his airway very carefully. “How do you feel? Can you breathe alright?” Anna asked. José replied, “I’m tingling all over, and it’s a little hard to breathe. The hives on my arms are so itchy. I’m glad you’re here.” Williams & Hopper: Davis Advantage for Understanding Medical-Surgical Nursing, 7 th Edition (C) 2023 F. A. Davis Company