September 2008, Volume 38 Number 9 , p 72 - 72
Atassi, Katherine RN, CNA, BC, OCN, MSN
Issue: Volume 38(9), September 2008, p 72 Publication Type: [ACTION STAT] Publisher: © 2008 Lippincott Williams & Wilkins, Inc. Institution(s): Adjunct Nursing Instructor, West Virginia University Institute of Technology, Montgomery, W. Va. Figure. No caption available.
ACCOMPANIED BY TWO FRIENDS, Lilly Davis, 20, arrives at the ED with audible wheezing, dyspnea, and urticaria (hives) on her face, neck, and arms. Her friends tell you that she was stung by a bee about 10 minutes ago, while walking on campus. She's alert and oriented and says her face, neck, and arms are itchy.
What's the situation?
Ms. Davis was stung on her left lateral neck and initially had pain and some localized swelling at the site. She tells you that this is the first time she's been stung by a bee, and she used the edge of a credit card to remove the stinger; by then the site was red, raised, and itchy.
You quickly escort Ms. Davis to a bed, administer supplemental oxygen, establish ...