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[Expert Solution]: Mr

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Mr. Watson is non-verbal due to his stroke, but responds with gesture and limited nods. He has a soft tissue IV infiltration on the left forearm, which has become swollen, tense, and painful on palpation. The medical team suspects early compartment syndrome and has restricted any blood draw or IV access on the left side. A physician has ordered: PT/INR (on warfarin therapy) Complete Blood Count (CBC) Comprehensive Metabolic Panel (CMP) Creatine Kinase (CK) Lactate (STAT, place on ice) Blood cultures ×2 sets (fever 39.1°C) Using the information above, answer the following questions: What sites are viable options for the draw? Fully explain your reasoning, including how proper site selection can affect post-draw complications in this patient. What tubes must be drawn to complete all tests ordered? Which tube(s) correlate(s) with what test? What is the correct order of draw for the required tubes? Identify any special collection or specimen requirements that should be considered when performing venipuncture on this patient. Special precautions need to be taken on this patient’s wound after the draw. Fully explain what steps you would take to ensure proper wound care and how proper wound care can reduce post-draw complications.

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