Mrs. L.M. is a 58-year-old black woman who is very overweight… Mrs. L.M. is a 58-year-old black woman who is very overweight (5’6″, 250 lb). Her doctor has ordered thyroid tests, T3, T4, a liver panel, cholesterol, and triglycerides. She walked from the multilevel parking structure to the blood drawing center and is now experiencing a rapid heartbeat and “lightheadedness.” Mrs. L.M. informed Alejandro, the phlebotomist, that about an hour earlier the nurse in the doctor’s office told her that her blood pressure was 160/95. Alejandro’s initial venipuncture attempt was unsuccessful. On the second try, the patient complained of a sharp tingling pain at the site of venipuncture. Key Words: fasting hypertension blood pressure faintingnerve damage QUESTIONS 1. What should have been Alejandro’s initial assessment of the patient? 2. How is a blood pressure of 160/95 interpreted? What do these numbers mean? 3. What tubes are necessary for the tests ordered? What anticoagulants are needed? Are there special transport conditions to be followed? 4. What procedures might have helped in obtaining the blood sample? 5. What complication occurred with the second attempt? What does Alejandro need to do now?Science Chemistry CHEM 142
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