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A nurse is caring for a 75-year-old client in the intensive care unit. The client was initially hospitalized six days ago for urosepsis. The client is somnolent, diaphoretic, and pale. Respirations are shallow. Other symptoms include diffuse bilateral crackles. A 20-gauge IV lock is in the right hand. •Vital signs: BP 98/56, temp. 97.4 temporally, HR 116, resp. 32, O2 sat 80% on room air •Labs: ABG: PaO2 68, pH 7.30, PCO2 49, HCO3 24 •Chest x-ray: Acute respiratory distress syndrome •Orders: The provider has prescribed Lasix 40mg IV twice daily, mechanical ventilation settings: assist control; respiratory rate 20, FiO2 100%, Tv 8 ml/kg, PEEP 5 cm H20, prone positioning, fentanyl 1 mcg/kg/hour IV, famotidine 20 mg IV twice daily, enoxaparin 40 mg SQ daily, NPO, IV D5NS at 100 ml/hour.
SCIENCE
HEALTH SCIENCE
NURSING
NUR 200

 
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