Pt is a 81 y.o female with history of schizoaffective disorder, tardive dyskinesia, CAD, oxygen independent, COPD, HTN that presents with sustaining a fall at home. Her fall occurred as she was transferring from bed to commode. She denies any loss of consciousness or head trauma. Patient sustained multiple falls over the last 2 weeks. She continues to experience auditory and visual hallucinations and reportedly sleeps with a knife under her pillow. She is primarily wheelchair bound and dependent on her caretakers for ADLs. Hypertension, Fall risks, DNR, stage 2 coccyx wound, Acid reflux, dsylipidemia, Aspiration precautions, she has a thrush, did not have any bowel movement, Asthma, dysphasia, greenish marks on both hands, incontinence, oxygen 3L, pain level 4 neck, head, and coccyx. Anemia, suicidal risks. Type 2 diabetes/ neuropathy. Base the patient nursing report, medications, and labs please do the questions below. 1. What is causing the abnormal lab values in YOUR PATIENT? 2. Are the abnormal lab values at the patient's baseline, or worse? 3. What labs that were drawn specifically correlate to your patient's medical diagnoses? 4. Trend labs, note which ones are getting better and why and which ones are getting worse and why. 5. What nursing interventions do you expect to complete to correct the abnormal lab value (s) in THIS patient?
Pt is a 81 y.o female with history of schizoaffective disorder, tardive dyskinesia, CAD, oxygen independent, COPD, HTN that presents with sustaining a fall at home. Her fall occurred as she was transferring from bed to commode. She denies any loss of consciousness or head trauma. Patient sustained multiple falls over the last 2 weeks. She continues to experience auditory and visual hallucinations and reportedly sleeps with a knife under her pillow. She is primarily wheelchair bound and dependent on her caretakers for ADLs. Hypertension, Fall risks, DNR, stage 2 coccyx wound, Acid reflux, dsylipidemia, Aspiration precautions, she has a thrush, did not have any bowel movement, Asthma, dysphasia, greenish marks on both hands, incontinence, oxygen 3L, pain level 4 neck, head, and coccyx. Anemia, suicidal risks. Type 2 diabetes/ neuropathy. Base the patient nursing report, medications, and labs please do the questions below. 1. What is causing the abnormal lab values in YOUR PATIENT? 2. Are the abnormal lab values at the patient's baseline, or worse? 3. What labs that were drawn specifically correlate to your patient's medical diagnoses? 4. Trend labs, note which ones are getting better and why and which ones are getting worse and why. 5. What nursing interventions do you expect to complete to correct the abnormal lab value (s) in THIS patient?
Chapter5: Unit, Percentage, Milliequivalent, Ratio, And Household Measures
Section: Chapter Questions
Problem 1.4P
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Question
Pt is a 81 y.o female with history of schizoaffective disorder, tardive dyskinesia, CAD, oxygen independent, COPD, HTN that presents with sustaining a fall at home. Her fall occurred as she was transferring from bed to commode. She denies any loss of consciousness or head trauma. Patient sustained multiple falls over the last 2 weeks. She continues to experience auditory and visual hallucinations and reportedly sleeps with a knife under her pillow. She is primarily wheelchair bound and dependent on her caretakers for ADLs.
Hypertension, Fall risks, DNR, stage 2 coccyx wound, Acid reflux, dsylipidemia, Aspiration precautions, she has a thrush, did not have any bowel movement, Asthma, dysphasia, greenish marks on both hands, incontinence, oxygen 3L, pain level 4 neck, head, and coccyx. Anemia, suicidal risks. Type 2 diabetes/ neuropathy.
Base the patient nursing report, medications, and labs please do the questions below.
1. What is causing the abnormal lab values in YOUR PATIENT?
2. Are the abnormal lab values at the patient's baseline, or worse?
3. What labs that were drawn specifically correlate to your patient's medical diagnoses?
4. Trend labs, note which ones are getting better and why and which ones are getting worse and why.
5. What nursing interventions do you expect to complete to correct the abnormal lab value (s) in
THIS patient?
Transcribed Image Text:Sodium
5-12 = 140
5-14 = 139
5-15-138
5-17-139
Anton Gap
5-12-10
5-14-8
5-15-8
5-17-10
Albumin
5-16=26
5-17=2.7
Hematont L
5-12-284
S-14-29.7
сог
5-12=22
5-14:25
5-15-25
S-17-415-17=105 5-17=24
Potassium
5-12-38
5-14- 4.6
S-15-4.)
BUN
Creatinine
5-12-20 5-12= 0.74
5-14 = 22 S-14=0.77
5-15-22 S-15=0.80
5-17=16 5-17 = 0·75 5-17-60
Calcium
AST
ALT
5-12=89
5-16=20 5-16-10 5-16=77
5-14-8-9 5-17-25 5-17-12 5-17-82
5-15=8-8
5-17 = 88
chlorch
5-12=108
5-14 =106
5-15-105
5-16= 25.7
5-17 = 26.2 R = 19
Temp:95
BP = 107/45
HR=89
RBCL
5-12=2.93
Glucose
&GFR
5-12=60 5-12=107
5-14=60 5-14-98
5-15-60
5-15=93
5-17=101
WBC
Hemoglobin L
5-12-9-5
5-131= 3·05 5-14=10.1
5-16= 2.78 5-16=8-6
5-17-4-5 5-17 = 2.69 5-178.5
5-12-6-2
5-14 = 6.1
5-16=3.9
Vitals 10
SPOZ-100
Poin 4
Alkaline Phosphatase Protein &
5-16-5-8
5-17-5-9
Vitals 1115
Temp 85
Bp: 102/51
SpO2 99
2:20
HR:84
ради о
Transcribed Image Text:Medicamens
Acetaminophen (Tylenol) 6.50mg
Allbuterol (Provertel HFA, VENtuli, Minhaler 2puffo helps with our lungs
Bisacodyl (Dulcolax) EC tabs long slaordfice
Budesonide Formoterol (Symbicort ) 160-4. Smcg inhaler z paff
wheezing 4 SOB
Ceftriaxone in dixhose (Rocephin) / grom / 50mL 200tibutic
Cyanocobalamin (utamin B-12) 300mcg altelp with V12 deficing anemia
Famotidine (Pep (id) Hong
Gabapentin (neurontin) Capsule zoong
Heparin 5,000 u injection Sion
pratropium-albutrol (Duoneb)0.5. 2.5mg 3m²
Loktated ringers bolus soume (completel
Coltated ringers infusion (
Latanoprost (xalatan) 0.005/0fth thalmic Solution I drop
lidocaine (Lidodem)s. Ipotch
1. docaine (Uro-Set, GlyDo) Jelle (Expired)
Magnesium hydroxide (MILK of Magnesia) Suspension 30mL
Melatonin Sing
Metoprolol tar trote (Lopressor) Bong Ropinirole (Requip) o Smy
Simvastatin (20(or) 20mg
Omeprazole (Prilosec) capsule zomg Sodium chlonde flush 3 mL
Mirtazapine (Remeron) 7.5mg,
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