Pat is an 83 y/o patient admitted from the Primary Care Physician’s office with complaints of shortn. Question
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Pat is an 83 y/o patient admitted from the Primary Care Physician’s office with complaints of shortness of breath, blood-tinged phlegm, and fatigue over the last month. Pat initially contributed these symptoms to smoking and worsening COPD.
Preview Medical History: Smoker (65 pack year), emphysema, hypertension, hyperlipidemia, bilateral cataracts (surgical repair completed in 2014 for both eyes), and PVD
Code Status: Full Code
Allergies: Iodine
Ht/Wt: 5’6″/117 lbs. (client/patient reports a 20 lb. weight loss over the last month)
Last set of vital signs: Temp 98.2 F, HR 120 bpm, RR 28, O2 sats 79% room air (89% 2LNC), BP 128/68 mm Hg
Pain assessment: 3/10
Neuro: Alert and oriented x 4, and is withdrawn
Cardiac: Regular rate, S1 and S2 auscultated
Respiratory: Diminished breath sounds to right lower lobe, dyspnea on exertion.
Gastrointestinal assessment findings: Normoactive x 4. LBM yesterday (hard and brown).
Genitourinary: Voiding concentrated urine.
Integumentary: Clean, warm, dry, and intact.
Intravenous access: 18 gauge to the left forearm, IV fluids infusing at 75 mL/hour
1. State 5 ways to manage Pat’s symptoms of impending death and pain and how they would relieve the symptoms.
2. State 5 ways how to prevent injury in the patient with thrombocytopenia.
3. State 5 ways to prevent bleeding in the cancer patient.
4. Define 3 oncologic emergencies other than SIADH and how to treat them.
SCIENCE
HEALTH SCIENCE
NURSING
RNSG 2535
Pat is an 83 y/o patient admitted from the Primary Care Physician’s office with complaints of shortn