CM 2 - - small amt diarrhea (oozing liquid stool)-...

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Client: C.G. 67yr old Caucasian female Room 204B Admitted 3/6/06 Chief Medical Diagnosis: vomiting, Hyponatremia, prerenal azotemia Medical hx: CAD, MI x5, DM type 2, PVD, HTN and cholecystectomy #2. Altered Nutrition, Less than body requirements R/T insufficient intake of balanced diet AEB: - constipation - BUN 24mg/dl - RBC 3.20 - Hgb 9.5g/dl - Hct 24.4% - Albumin 2.8g/dl - Hyponatremia dx on admission Expected Outcome The client will maintain an adequate nutritional status aeb: - normal BUN, Hgb, Hct and Albumin, and Na+ levels - verbalization of proper nutritional intake - verbalization of readiness to learn nutritional teachings - absence of constipation #3. Constipation R/T insufficient fiber and fluid intake AEB: - change in bowel pattern - inability to pass stool (no bowel movement 4 days)
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Unformatted text preview: - small amt diarrhea (oozing liquid stool)- abdominal pain Expected Outcome The client will maintain usual bowel elimination pattern aeb:- usual frequency of bowel movements- passage of soft formed stool- absence of abdominal pain- absence of straining during defecation #1. Decreased Cardiac Output R/T ventricular damage AEB: - decreased peripheral pulses- medical hx of CAD, MI, PVD- diagnosis of prerenal azotemia- BUN 24mg/dl Expected Outcome The client will maintain adequate cardiac output aeb:- BP WNL- apical pulse b/w 60 – 100 bpm- absence of fatigue and weakness- clear audible lung sounds- usual mental status- palpable peripheral pulses- urine output at least 30cc/hr- absence of edema...
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This note was uploaded on 12/11/2011 for the course NA 123 taught by Professor Na during the Spring '10 term at Abraham Baldwin Agricultural College.

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