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- Upon presentation:An 18-month-old female arrives by ambulance at the emergency department. Theparamedics report that there was no known history of any recent trauma, and no knownfever, vomiting, or other unusual behavior. There were no known ingestions ormedications in the household. There was no evidence of trauma.Interview and History:At 9 PM the previous night, Ella was described by her mother as appearing more quietthan usual. They had spent the day traveling from the grandmother's house and Ella hadbeen carsick so had not eaten very much during the day. When they got home, Ella hadsome water and went to bed. Ella slept longer than usual and was found unresponsive by her mother at 9AM; at this time her mother called 911.Follow-up tests:1. Blood glucose: 23 mg/dL (normal range 90 – 125 mg/dL)2. Repeat blood glucose: 50 mg/dL following administration of glucagon3. Urinary acids: Markedly elevated levels of glutaric, ethylmalonic, and dicarboxylicacids; ketones absent4. Serum free…History of Present IllnessTwo hours prior to admission, at 4am, patient Jake was jogging along LacsonStreet when a group of bystanders had approached him and stabbed himmultiple times. He claims that he does not know these people. He tried todefend himself resulting to multiple injuries in his upper extremities where hehad 3 lacerations, cheeks where he had a laceration on the left, right chest andright upper abdominal quadrant. Medications: Tetanus Toxoid 0.5 ml/amp, give 1 ampule via deep IM, now at right deltoid ATS 3,000 IU/amp, give 1 ampule via deep IM, now, ANST at left deltoid Piperacillin Tazobactam 2.25 grams/vial, give 1 vial via IV drip to run for 3 hours Q8H Tramadol 50 mg/amp, give 1 ampule very slow IV push now then Q6 PRN for pain Omeprazole 40 mg/amp, give 1 ampule via IVTT ODHS Latest Vital Signs : Blood Pressure: 90/60 mmHg Heart Rate: 121 bpm Respiratory Rate: 26cpm Temperature: 37.3 ⁰C Pain Scale: 10/10 NURSING CARE PLANMs. Hall has an order for hydromorphone (Dilaudid), 2 mg,intravenously, q 4 hours PRN pain. The nurse notes thataccording to Ms. Hall’s chart, she is allergic to Dilaudid. Theorder for medication was signed by Dr. Long. What would bethe correct procedure for the nurse to follow in this situation?a. Administer the medication; the doctor is responsible formedication administration.b. Call Dr. Long and ask that she change the medication.c. Ask the supervisor to administer the medication.d. Ask the pharmacist to provide a medication to take theplace of Dilaudid.
- ASAP: please fill out I have provided the information patient information; Name: Sam Age: 43 No allergies The reason for admission is: CVA post-resection Illnesses: stroke, dysphagia, UTI urinary tract infection, vertigo and meningioma of brian His vital signs were in the normal range Mobility status: wheelchairNursing Care Plan Diagnosis Goal Intervention Rationale Evaluation Constipation related toimpaired mobilitysecondary to fatigue asevidenced by: Subjective:She would complain offatigability andgiddiness. Objective:Physical examinationof the abdomenrevealed constipation.Mr. Smith complains to the doctor that he feels weak, has a headache and feels dizzy. This is considered a: symptom assessment sign clinical finding a
- ASAP: please fill out I have provided all the pieces of information patient information; Name: Sam Age: 43 No allergies The reason for admission is: CVA post-resection Illnesses: stroke, dysphagia, UTI urinary tract infection, vertigo and meningioma of brian His vital signs were in the normal range Mobility status: wheelchairaam laCa Seach xD HA Compreteive 12-2221 x+ C A O tp/baycare.certpontsystems.com/wa/w aspalpreventRightClick-Falsecc-configuration session.counse id 32 session tim. K L On Service Co Co Free D Heptty ste Resources Glossary Click and drag to match the correct Patient Rights with the correct Category. Category Patient Rights Patient does not want their previous physician to access their record Accounting of Disclosures Patient wants to talk to supervisor about their privacy concern Alternative Communications Patient requests a list of who received a copy of their record Restrict Uses/ Disclosures Patient requests results be sent to another address File a Complaint Patient says, " I have never taken those medications" and wants you to change them Amend Records SUBMIT Type here to search DELL IL 1900ABetamethasome Indication/mechanism of action Dosage/route Nursing responsibility
- Personal InformationName: Julia Jackson Age: 84Gender: FemaleRace: CaucasianReligion: BaptistOccupation:Retired Weight: 149 lb (67.58 kg) Height:59 inches Martial Status: MarriedAllergies: None knownImmunizations: Up-to-dateMajor Support: Andrew Jackson Relationship: HusbandPhone: 719-266-2837 Address: New York, USAAttending Provider/Team: Dr. Craymer, MD, and RN and Nursing AssistantHistoryThe patient presents to the ER with severe abdominal pain especially in the leftlower quadrant. An abdominal CT was ordered, and it was found that there is a 5-centimeter mass in the lower sigmoid colon with fecal impaction. Medications Lisinopril 20 mg oral DailySimvastatin 40 mg oral DailyLisinoprol 20 mg oral N/G tube DailySimvastatin 40 mg N/G tube DailyIbuprofen 400 mg M/G tube Every 6 hours PRNOrders• Obtain an Oncology consultInsert a Nasogastric tube (N/G) to low intermittent suction• Ibuprofen liquid 400 mg via N/G tube every 6 hours as needed for pain• Amlodipine 20mg via N/G tube…51 years old male, had a stroke, slurred speech, right facial droop, and right sided weakness. Patient is alert and oriented x6, has 6/10 pain in his knee ,lung is clear, wear glasses, use a hemi walker and wheel Past medical history High blood pressure, high cholesterol, depression, stroke, succidal thoughts/attempts. Other history Musculoskeletal self, bilateral knee pain Vital signs Blood pressure-112/67 Temperature 35.6C Pulse-60 Respiratory-18 Spo2-95% Please do a concert map base on the client informationCOLLEGE NURSING National Management Office 0es Highland Parkway, Dewnes Greve, IL SIS I SSN 556K6I chamberfain.edu Please viit chamiherlain.edulocations for baton spectie adideess, plee ant fax infirmation NR 302 Analysis of Vital Signs Name, Date Directions: Have the students work in pairs or small groups and provide rationales of why the vital signs are out of range. Jesus Garcia, a 28-year-old Hispanic male, admitted to the medical unit with a diagnosis of dehydration. Mr. Garcia has ulcerative colitis. He reports 8-10 liquid bowel movements a day, decreased appetite, and vomiting twice today. He reports abdominal pain a five on a scale of 0-10. His most recent vital signs are BP 106/56, HR 105, RR 20, and Temperature 98.6 F. Which vital signs are out of range, and why? Vital Sign Rationale Blood pressure Heart Rate Respiratory Rate Temperature Pain Carl Rogers is a 67-year-old African American male with a 20-year history of type Il diabetes mellitus. He was admitted to the medical…