[Verified Answer]: called to a local dialysis center for an…

called to a local dialysis center for an unknown medical emergency. You are met by a patient care technician who takes you to Mrs. Jensen, a 67-year-old woman who appears to be in moderate distress. The nurse caring for the patient states that 30 minutes into dialysis, the patient’s blood pressure dropped to 86/44 and she became short of breath. They immediately stopped therapy and called 9-1-1. This occurred approximately 15 minutes prior to your arrival. The nurse further mentions that the patient has a fever of 102.4°F. When questioned, the patient tells you that she missed her last dialysis session because she was not feeling well. She admits to having malaise and a fever for 3 days. She further complains of pain in her right forearm at the site of the dialysis shunt and slight shortness of breath. The patient denies experiencing chest pain, nausea, vomiting, abdominal pain, or dizziness. You ask your partner to place the patient on 100% oxygen via a nonrebreathing mask and get a set of baseline vital signs while you begin to question her regarding her current illness and past medical history. The patient tells you that she has end-stage renal disease and requires dialysis every other day. She was unable to make it to her last appointment because she did not feel well and had no way to get there. She did not call her physician, stating that she thought she could “shake off this bug.” She had been taking acetaminophen (Tylenol) every 4 hours for the fever and the pain in her forearm. Her past medical history is significant for hypertension, a myocardial infarction in 2003, and heart failure. Daily medications include Captopril, low-dose aspirin, and nitroglycerin as needed. Assessment of the patient shows a RR of 32, HR of 116, and BP of 84/40. The ECG monitor shows sinus tachycardia with occasional premature beats and tall, pointed T waves. The oxygen saturation with the patient on the nonrebreathing mask is 94%. What problems should you monitor in this patient? Which interventions should you consider at this point, if any?