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Clinical Week 5_ Skyler Hansen.pdf - Dina Selimovic...

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Dina SelimovicProfessor Deborah DiconstanzoClinical Week 5: Skyler Hansen11 March 2021Documentation Questions1.Document your focused assessment for Skyler Hansen.Mr. Hansen came in not oriented x3. I immediately took his vitals which were as follows:blood pressure was 128/76 mmHg, SpO2 was 97%, respiration rate was 20 breaths per min(unlabored and equal bilaterally), pulse was 90 beats per min strong and regular, temperature was99°F. Patient went into a hypoglycemic crisis, where I then called the provider andcommunicated via SBAR. The patient’s blood glucose measured 44 mg/dL. I then followedorders, obtained IV access in his right forearm and administered 50 mL of dextrose 50% in waterIV as ordered.2.Identify and document key nursing diagnoses for Skyler Hansen.
3.Document Skyler Hansen’s blood glucose levels that occurred in the scenario.
4.Document the changes in Skyler Hansen’s vital signs and clinical manifestations ofhypoglycemia throughout the scenario.

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Term
Fall
Professor
N/A
Tags
Carbohydrate, Blood sugar, Skyler Hansen

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