Question Answered step-by-step Mr. Rohit Sandhu was admitted through the ER last night. Mr. Sandhu… Mr. Rohit Sandhu was admitted through the ER last night. Mr. Sandhu is 75 years old, speaks minimal English and was accompanied by his wife and his eldest son. Mr. Sandhu’s son was concerned when his mother told him that his father has had diarrhea for a week now, does not eat or drink much and mostly sleeps. He is also unsteady on his feet and required assistance getting from the car to the ER waiting room. Lab results reveal: Urine specific gravity: 1.040 Hematocrit: 0.54 K+ 3.2 mmol/L Na+ 134 mmol/L WBC 20,000 mm3 C & S for stool: results pending Vital signs: BP: 90/50 HR: 120 RR: 24 O2 sats: 92% on RA Temp: 37.5 C What other assessments will the nurse make to assess the patient’s fluid balance status? What results might you expect to find? The physician has written orders for this patient’s care. Orders are: – IV NS at 125 mL/hr –Monitor intake and output –electrolytes and CBC q8h –oxygen to keep sats above 94% How will you collaborate with the RN? As a Licenced Practical Nurse, you are caring for Mr. Sandhu from 0700 until 1900. An IV was started in his left hand at 0500 and a 1000 mL bag of NS was hung and rate set as ordered. The RN was successful on her first attempt to initiate the IV. The catheter is a 22 g. At 0700 there was no recorded urine output since Mr. Sandhu was admitted to the unit. Mr. Sandhu has an allergy to shellfish. He has had an anaphylactic reaction in the past. The physician has ordered that all previous medications taken by Mr. Sandhu at home be held until the physician has made his rounds this morning. Previously, Mr. Sandhu was taking the following medications: –ramipril 5 mg PO once daily. –Propranolol 10 mg PO once daily. –Hydrochlorothiazide 12.5 mg PO once daily. –Warfarin 2 mg PO once daily. –Lorazepam 0.5 mg SL q8h PRN. Mr. Sandhu’s medical hx includes: –Hypertension –Atrial fibrillation –Anxiety Other Data: Fluid Intake: 0800 – 1 cup tea, 4 oz milk on cereal 1000 – 1 cup tea 1200 – 2 cups tea, 12 oz vegetable soup 1400 – 1 cup milk 1700 – 1 cup tea Output: 0830 – 50 mL dark, amber urine 0900 – 200 mL dark, liquid stool 1100 – 200 mL yellow urine 1300 – 100 mL yellow, liquid stool 1330 – 300 mL yellow urine 1500 – 400 mL pale yellow urine Documentation required: – intake and output for 12-hour shift. – Peripheral IV record. – Focus charting for assessments at the beginning of your shift and your assessment at 0900 when Mr. Sandhu rings his call bell after using the urinal and then having a bowel movement in the hat in the toilet. Health Science Science Nursing NUR 1001 Share QuestionEmailCopy link Comments (0)
Needs help with similar assignment?
We are available 24x7 to deliver the best services and assignment ready within 6-12hours? Order a custom-written, plagiarism-free paper
Get Answer Over WhatsApp
Order Paper Now