Assignment is a case scenario. Pt into

Assignment is a case scenario. Pt into ED, 59 y/o with nausea and vomiting for 4 days with: BP- 100/70, P- 124, R- 28, temp- 100.9 Dry mucous membranes, poor skin turgor and slightly confused. following labs… Glucose level- 450 mg/dl ABG’s- PH- 6.9, CO2-28 mmHg, O2- 95, HCO3- 9 mEq/L O2 sat 98% CBC WNL Chem panel- urea 60 mg/dl, creat 1.4 mg/dl, Na– 152, K+-5.3 mEq/L UA- Glucose 800 mg/dl, Specific gravity 1030 You have 30 minutes to document what you want to do, need to do, and identify things you will be watching…TIME IT… 1. Probable Dx with above assessment? 2. What is going on with this patient with your identified Dx? 3. Treatment upon arrival for this type of case? 3. What they are and what are they trying to achieve with this treatment? 4. How will these treatments affect the patient and his medical status as you continue treatment? 5. What do you have to watch for as the treatment continues and why? After 30 minutes, STOP! Breath now look at the scenario. Research it. 6. What did you do right? Wrong? Missed? 7. Describe the proper treatment for this patient. 8. With what you did originally and what you just read, what do you think the outcome would be? 9. Was this just lack of knowledge or was it a little panicking? 10. How are you feeling with the electrolytes? Why? SCIENCE HEALTH SCIENCE NURSING NURS 242

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