feedback

(solution) Case Study Mrs. White is a 55 yo female with a PMHx significant


Case Study  Mrs. White is a 55 yo female with a PMHx significant for HTN, and DM type 1.  She was admitted for abdominal pain.  A CT scan revealed appendicitis.  Her home medications include: Metoprolol, Lisinopril, and regular insulin.  You received her from the PACU following a lap appendectomy.  PACU Report: AOx4, VS RR 24, HR 90, BP 125/90, T 99.8, SpO2 95% of 2LNC.  Lungs clear.  No bowel sounds, Has a foley catheter to bedside drainage with light yellow urine.  Est. blood loss in the OR was 500cc.  Pain currently at 4/10 with a PCA pump with morphine sulfate.  The PCA settings are as follows: Basal rate of 3ml/hr, pt dose of 0.5ml Q15min with a 1 hour limit of 5ml/hr.  IV fluids of D5 ½ NS @ 125ml/hr.  #20 RAC.  H/H pre-op 13.5/40, post-op 10.5/32.51. List 3 priority nursing diagnoses.2. Discuss the initial/priority interventions for this client.  Include dependent and independent actions.3. What lab values are you going to need to focus on and why?4. She is on both a beta-blocker and an ACE inhibitor, why, what is the rationale?5. Her pain is being managed via a PCA pump.  What is the route for this type of pain management?  6. The client has been NPO for the past 18 hours.  Her blood glucose is 250mg/dl.a. Provide an explanation for the elevation in blood sugar.b. Determine the nursing priorities for this finding.c. Discuss the priority assessments related to this treatment protocol.


1

 


 

Running Head: NURSING

 


 

Nursing

 

Student?s name

 

Tutor name

 

Institution

 

Course

 

Date

 


 

NURSING

 


 

2

 


 

According to the case study based on Mrs. White a 55 yo female with a PMHx significant

 

for DM...

 







About this question:

Pay using PayPal (No PayPal account Required) or your credit card. All your purchases are securely protected by .
SiteLock