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In: Nursing

Patient Height is 5’5 weight:165lbs Age:70 sex: Female Code status: full code ​Braden Score: 22 Admitting...

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

Solutions

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