After reviewing the patient’s chart, which order(s) require clarification? Review the patient’s chart, then select all that apply.

  • Demographics
  • Chief complaint
  • Assessment
  • Lab results
  • Consents
  • 32-year-old 
    Female
    Jehovah’s Witness

  • Presents at 37-weeks-gestation with significant vaginal bleeding.

  • HEENT: Neurologically intact. Mucous membranes pale and dry. 
    Respiratory: Clear to auscultation bilaterally. Respiratory rate 24
    Cardiovascular: Regular heart rate and rhythm. No murmurs noted. Heart rate 122 bpm
    Gastrointestinal/Genitourinary: Abdominal tenderness upon palpation. Bowel sounds hypoactive.
    Reproductive: Estimated blood loss via vaginal bleeding: 250 mL

  • Point of care glucose 104 g/dL
    Sodium 148 mEq/L
    Potassium 5 mEq/L
    Chloride 108 mEq/L
    CO2 32 mEq/L
    White blood cell 18 x 10³/mcL
    Red blood cell count 2.8 million cells/mcL
    Hemoglobin 7.3 gm/dL
    Hematocrit 28%
    Mean corpuscular volume 90
    Platelets 42,000/mcL

  • Consent to treat: Signed

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