Question

A patient from a skilled-nursing facility is admitted to the hospital for severe upper gastrointestinal bleeding. The patient has a DNR order in place. The bleeding has not stopped despite multiple transfusions, octreotide, proton pump inhibitors, and endoscopy. He needs monitoring and evaluation in an intensive care unit. What should you do? a. Reverse the DNR order and transfer to the ICU as needed. b. You cannot be DNR and be in the ICU. c. Transfer to the ICU as needed; okay to be DNR in the ICU. d. He can go to the ICU with the DNR but cannot go to surgery. e. He can go to the ICU with the DNR but cannot be intubated.

    A patient from a skilled-nursing facility is admitted to the hospital for severe upper gastrointestinal bleeding. The patient has a DNR order in place. The bleeding has not stopped despite multiple transfusions, octreotide, proton pump inhibitors, and endoscopy. He needs monitoring and evaluation in an intensive care unit.
What should you do?
a. Reverse the DNR order and transfer to the ICU as needed.
b. You cannot be DNR and be in the ICU.
c. Transfer to the ICU as needed; okay to be DNR in the ICU.
d. He can go to the ICU with the DNR but cannot go to surgery.
e. He can go to the ICU with the DNR but cannot be intubated.

Medical Ethics for the Boards

Conrad Fischer 3rd Edition

Chapter 1, Problem 14

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Step 1

The patient is experiencing severe upper gastrointestinal bleeding and has a DNR (Do Not Resuscitate) order in place. Despite multiple interventions, the bleeding has not stopped, indicating a critical situation that requires close monitoring. Show more…

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A patient from a skilled-nursing facility is admitted to the hospital for severe upper gastrointestinal bleeding. The patient has a DNR order in place. The bleeding has not stopped despite multiple transfusions, octreotide, proton pump inhibitors, and endoscopy. He needs monitoring and evaluation in an intensive care unit. What should you do? a. Reverse the DNR order and transfer to the ICU as needed. b. You cannot be DNR and be in the ICU. c. Transfer to the ICU as needed; okay to be DNR in the ICU. d. He can go to the ICU with the DNR but cannot go to surgery. e. He can go to the ICU with the DNR but cannot be intubated.

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