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    SCENARIOTWO
    Mr. Coles, a 60 year-old-male, was brought into the ER.  He is a construction worker who was involved in an accident at the job site.  He has obvious severe head and neck traumahis scalp and neck were badly lacerated and he has an impacted skull fracture, he remains in a comatose state. His initial urine lab test was within normal limits. A Complete Blood Count (CBC) was done and his hematocrit was 30%. When his blood was sent for typing, it agglutinated with anti A and anti B serum. Further testing was done and revealed that Mr. Coles blood lacked the Rh factor.

    Question 1: Explain the term blood typing, what is the purpose of this test and how is it completed.  What do Mr. Coles results indicate? 
    Question 2: If Mr. Coles is requiring a blood transfusion, what blood group(s) and type(s) can he receive? Why?

    The physician discovered that Mr. Coles was the great-great-great grandson of Queen Victoria.  So, his fracture was repaired without further delays and the following orders (and others) were given:
        Transfuse 2 units of blood
        Check and record vital signs; report any adverse reactions
        Apply pressure bandage to any bleeding episodes immediately

    Question 3: Explain the hereditary blood disorder that Mr. Coles has inherited.  How will that affect his current treatment?
    Question 4: Describe 2 types of transfusion reactions.  What are the symptoms, why do they happen and what are possible consequences?

    On the second day of his hospitalization, the nurse noticed the following on Mr. Coles:
        Rapid heart rate, nervousness, and hand tremors
        Skin warm and flushed
        Sweating and rapid respirations

    Upon receiving this information, the physician ordered further blood tests to be done. Lab test confirms the diagnosis of over activity of an endocrine gland. 

    Question 5: What would you say Mr. Coles hormonal problem is and what is the cause of his signs and symptoms? Explain your answer.

    You are expected to submit a professionally completed assignment with the required sections as outlined below. Answers to the case scenarios should be written with enough detail that someone without prior healthcare knowledge will understand the information.

    Required sections
    1.    Answers to all the questions:
    a.    Typed and double spaced.
    b.    Not exceeding 4 pages (not including reference and title page)
    c.    Proofread for spelling, grammar, and sentence structure.
    d.    APA format.

    2.    Other documents:
    a.    A cover page with students and professors name.
    b.    A copy of the case study scenario. 
    c.    Reference page.
    d.    A copy of the rubric.

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