Julia Monroe, 74-year-old, widowed, female arrived to floor alone last night. She was admitted from. Question
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Asked by ashmc1996
Julia Monroe, 74-year-old, widowed, female arrived to floor alone last night. She was
admitted from the ER complaining of swelling in her legs as well as having gained 5 lbs
over the past two days. Chest x-ray and EKG were unremarkable. She stated that her
legs were hurting most of the night. She has a medical history of hypertension and
hypothyroidism. She was admitted to Dr. Gray for full diagnostic work up to determine
the cause of her symptoms.
Patient is scheduled for an Echocardiogram and MRI this AM. You are entering the
room for the first time.
The diagnostic tests were completed, and Dr. Gray has informed the patient of the
diagnosis of Heart failure and will be treated with digoxin. Upon entering the room, the
patient is crying and asks when will the medication fix her heart.
A few days later, you are assigned to the same patient. She receives her morning
medications including levothyroxine, diltiazem, and digoxin. After your morning
assessment, the patient’s call light goes on and she is complaining of nausea,
abdominal pain, and seeing “yellow circles”. Upon entering the room, the patient is
standing by the bed.
The labs return with digoxin level of 10.5 ng/mL. Potassium 5.3 mEq/L. Other labs were
within normal levels The healthcare provider orders digoxin immune fab to be given.
Four hours later, the telemetry tech calls and states the patient is sinus tachycardiac
102 with occasional multi-focal PVC’s, patient is now complaining of cramping in her legs. Her last potassium level was 3.2 mEq/mL. She appears short of breath when talking.
Provide an SBAR for this patient.
SCIENCE
HEALTH SCIENCE
NURSING
BSN 246
Julia Monroe, 74-year-old, widowed, female arrived to floor alone last night. She was admitted from
