In: Nursing
Patient Height is 5’5 weight:165lbs Age:70 sex: Female
Code status: full code
Braden Score: 22
Admitting Diagnosis: R/O Ketoacidosis
Chief Complaint: Weakness, thirsty, lethargy
PMHx: NIDDM, Hypothyroidism, Hypertension
PSHx: None Allergies: ACE Inhibitors, Penicillin
Home Medications: Metformin 1000mg po twice daily with meals
Levothyroxine 0.12 micrograms po once daily
Losartan 100mg po once daily
Glasses: None Upper partial dentures
Vital Signs: 101.3°F, 100 apical pulse , Respirations 28, Blood
Pressure 161/90, SaO2 – 94% ,Pain: none
Hematology
WBC- 8.7 Hgb- 11 g/dl Hct- 38 %
Chemistry
Na+ - 139
K+ - 3.4 345
Cl- 101 BUN- 18
Cr- 1.8 Glucose-
Other Labs
Transferrin- 220 Albumin- 3.0 Prealbumin- 40
Develop a Nursing care plan for scenario?
Identify both actual and high risk diagnoses (at least six). Formulate a complete care plan for three healthcare needs having the greatest priority