Assignments task:
R.T. is a 97-year-old male patient who presents to the emergency room with c/o shortness of breath. As per the son, R.T. has a history of "silent aspiration." Your assessment reveals bilateral rales upon auscultation of the lungs. SPO2 is 95% RA, BP 98/54, RR 22, T94.6 per rectal, P104-118. The cardiac monitor shows a rhythm that is irregular with no discernable P wave. As per the son, the patient took Pradaxa in the past but had to discontinue due to moderate hematuria.
HCP orders CBC with differential stat, lactic acid stat, D-dimer stat, blood cultures x 2 ,
CMP stat, 500 ml NS IV bolus stat, urinalysis and culture stat, portable chest X-ray stat, respiratory panel stat, CT pulmonary angiogram stat, Cefepime 2 grams IV stat, Vancomycin 1.5 grams IV stat.
Please state the rationale for each order given above.