37. T_FV We can minimize staff exposure to EO by nerating goods CASE STUDY
1. Read the following scenario and answer the questions.
You have scrubbed into your first case of the day. While preparing the instrument
sets and supplies, you discover the following:
. There is water in one of the basins that was wrapped.
• A chemical indicator wrapped with a single instrument has not changed color,
. There is moisture on the instruments in the set you need to prepare.
• One of the hemostatic clamps has dried blood and tissue debris in the box lock
a. Explain what you should do immediately before the surgeons and patients arrive,

A92-year-old man with a 45-year history of chronic obstructive pulmonary disease is intubated in the icu because of a bout of viral pneumonia that fails to improve after 72 hours of antibiotics. although the inspired fraction of oxygen is 100%, the patient's po2 remains at 57 mmhg. positive-end expiratory pressure (peep) is added to allow the inspired fraction of oxygen. twelve hours after the introduction of peep the patient suddenly become hypotensive. at the same time, his oxygen saturation drops from 92% to 61%. on physical examination, his bp is 80/50 mmhg and his pulse is 124/min. he has distended neck veins and distant heart sounds. which of the following would also most likely be seen on this patient's physical examination? - absence of breath sounds in the right hemithorax- high amplitude carotid artery upstroke- a pleural friction rub- pulsus alternans- splenomegaly