Assignment task:
A 42-year-old client presents to the ED following a farming accident in which the victim was pulled into the front of a corn harvester while the tractor was still on. The victim became trapped after the machine "caught" the legs of the victim's overalls. Approximately 1 hour transpired until client's sibling found the victim in the field. The sibling reports, initially, that the victim was responsive and experiencing severe pain. EMS reports indicate client became unconscious shortly after their arrival, and there was a significant amount of blood on the ground under the victim's legs. EMS utilized a hydraulic rescue tool to remove the victim from the corn harvester. Large wraps cover the lower extremities. IV lactated Ringer infusing. Glasgow Coma Scale (GCS) is 11. Estimated 35% (1700 mL) blood loss. Herat rate - 130 bpm, blood pressure - 88/66 mmHg, respiratory rate - 30 bpm, oxygen - 90%, skin - cool, clammy, pale, lactate - 3.8 mmol/L, pH - 7.24, PaO2 - 109, PaCO2 - 31, BUN - 30, Bicarbonate - 16, potassium - 6.2, hemoglobin - 9, neurologic - disoriented x4. The patient is at risk for developing what? related to what? The patient is at highest risk for developing which complication? adult respiratory distress syndrome, dysrhytmias, respiratory acidosis, or wide pulse pressure? related to which highest cause? the patient's ABG results, blood pressure, lactate level, or potassium level?