Prioritizing patients

Nursing Students Student Assist

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New member here, so I apologize of this is the wrong section to ask this question. I've been working on case studies for hours now, and I can't decide on this question.

"You are caring for the following 5 patients. Which one would you see first and explain why?

  1. 42 year old with cirrhosis of the liver with PTT 78, PT 49, INR 4.5, Platelets 45
  2. 25 year old with sickle cell crisis complaining of generalized pain 10/10. Hemoglobin 8.2 and Hematocrit 26.4"

I eliminated three patients, but I'm so burnt out right now that I can't choose between the two. I was leaning towards the patient with sickle cell, but the labs for the first patient are all really alarming, too. I really appreciate any and all help. :)

Specializes in Hospital Education Coordinator.

I take back what I said about #2 not getting any worse, because they do develop chest syndrome. But still, as the question is worded, with the choices available, I still go with #1

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