MedicalCase05_SkylerHansen_DA.docx - Medical Case 5: Skyler...

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Medical Case 5: Skyler HansenDocumentation Assignments1.Document your focused assessment for Skyler Hansen.Pt not oriented X3. Took Pt vitals: BP 128/76 mm Hg, Sp02 97%, RR 19/min unlabored andequal bilaterally, pulse 90/min strong and regular, temp 99F, skin turgor normal, skin is cooland sweaty, 0 pain on scale of 0-10. Pt went into hypoglycemia crisis, blood glucosemeasured: 44 mg/dL, provider contacted immediately. Pt IV access in right hand, assessed IVsite for infiltration. Administered 50 mL of dextrose 50% in water IV as ordered. Pt SpO268%, O2 NC administered 2L/min as ordered, raised HOB Re-assessed vitals, Pt stable: bloodglucose 169 mg/dL Attached 3-lead ECG as ordered. Provided Pt with protein and carbsorally as ordered.2.Identify and document key nursing diagnoses for Skyler Hansen.Acute confusion r/t hypoglycemia AEB BS 44mg/dLIneffective health management r/t lack of understanding pf preventive hypoglycemia.
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Term
Fall
Professor
NoProfessor
Tags
Trigraph, Carbohydrate, Blood sugar, Wolters Kluwer

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