Question

Gerald Luna is a 45-year-old client with a 15-year history of type 2 diabetes mellitus and a 30-year history of alcoholism. His blood glucose is not well controlled on an oral hypoglycemic agent, and he drinks on six pack of beer per day. Gerald works at a casino as a slot machine repairman. His wife of 25 years, Andrea, is also employed by the casino inthe accounting department. Gerald and Andrea live on a reservation near the casino in a rural setting.Gerald was involved in a car accident on the way to work. He was not restrained and was thrown from the car into the roadside brush. The crash was witnessed, and bystanders called 911. First responders arrived to find Gerald unconscious with labored breathing and a deformed right lower extremity. A witness stated that Mr. Luna just drove off the road and appeared to be asleep. No other vehicles were involved. The first responders established monitoring equipment, intubated Gerald at the scene, started intravenous fluids with 0.9% normal saline, and splinted his right lower extremity. Evaluate the information in the case and determine the Top 3 Priority concerns or cues. 1. Airway 2. Circulation 3. LOC

Answer 1

The top three priority concerns or cues in this case are airway, circulation, and level of consciousness (LOC)

Step-by-step explanation:

The top three priority concerns or cues in this case are:

1. Airway: Gerald is unconscious and has labored breathing, indicating a possible compromised airway. Intubation was performed by the first responders to ensure an open airway.
2. Circulation: Gerald has suffered a traumatic injury and is unconscious. Monitoring equipment was established, and intravenous fluids were started to maintain his circulation and prevent hypovolemic shock.
3. LOC (Level of Consciousness): Gerald is unconscious, which could indicate a head injury or other serious condition. It is important to evaluate his level of consciousness and monitor any changes during transport to the hospital.

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