Andre Davis Clinical worksheet with corrections.docx - Clinical Worksheet Date Student Tyler Bennett Assigned vSIM Andrew Davis MH Initials AD Age 56

Andre Davis Clinical worksheet with corrections.docx -...

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Clinical Worksheet Date: 4/29/2020 Student: Tyler Bennett Assigned vSIM: Andrew Davis MH Initials: AD Age: 56 male M/F Code Status: Diagnosis: Alcohol withdrawal syndrome Length of stay: Allergies: NKA HCP: Consults: Isolation: Standard Fall Risk: high Transfer: IV Type: Location: Fluid Rate: Critical Labs: Serum Albumin: 3.1, ALP-125, AST-44, bilirubin-1.1, ETOH-50 Other services: Consults Needed: Why is your patient in the hospital (Answer in your own words and include the History of present illness): voluntarily came in for rehabilitation from alcohol Health History/Comorbities (That relate to this hospitalization): no health history other than and ORIF to humerus 2 years ago. Shift Goals/Patient Educaiton Needs: 1. Help pt with the tremors 2. Help pt with anxiety 3. Keep pt safe, substance abuse, 4. Maintain airway provide pt education about CIWA-Ar results and medication Path Discharge: education on alcoholism, manage anxiety and stressors
Path to Death or Injury: Aspiration, respiratory arrest Clinical Worksheet Alerts: What are you on alert for with this patient? (Sign & Symptoms)

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