Carell is a 73-year-old female retired secretary, previously in good health, who is brought to ER by her 81-year- old husband. Carell and her husband report nausea, vomiting, diarrhea, and abdominal cramping since last night. Symptoms began after eating "bad food" at a buffet-style restaurant. Carell 's husband reports that his symptoms have improved. Carell continues to have diarrhea and dry heaving. Subjective Carell reports extreme fatigue, weakness, and dizziness with position changes: "Feels like l'm going to black out." Severe nausea and vomiting; thirsty but cannot keep anything down; even sips of water result in "dry heaves." Cramping, intermittent abdominal pain. Watery brown diarrhea, profuse during the night, somewhat
Carell is a 73-year-old female retired secretary, previously in good health, who is brought to ER by her 81-year- old husband. Carell and her husband report nausea, vomiting, diarrhea, and abdominal cramping since last night. Symptoms began after eating "bad food" at a buffet-style restaurant. Carell 's husband reports that his symptoms have improved. Carell continues to have diarrhea and dry heaving. Subjective Carell reports extreme fatigue, weakness, and dizziness with position changes: "Feels like l'm going to black out." Severe nausea and vomiting; thirsty but cannot keep anything down; even sips of water result in "dry heaves." Cramping, intermittent abdominal pain. Watery brown diarrhea, profuse during the night, somewhat
Chapter17: Drugs And Dissection
Section: Chapter Questions
Problem 1CP
Related questions
Question
100%
Assessment of patient 1
Transcribed Image Text:Carell is a 73-year-old female retired secretary, previously in good health, who is brought to ER by her 81-year-
old husband. Carell and her husband report nausea, vomiting, diarrhea, and abdominal cramping since last
night. Symptoms began after eating "bad food" at a buffet-style restaurant. Carll 's husband reports that his
symptoms have improved. Carell continues to have diarrhea and dry heaving.
Subjective
Carell reports extreme fatigue, weakness, and dizziness with position changes: "Feels like I'm going to black
out." Severe nausea and vomiting; thirsty but cannot keep anything down; even sips of water result in "dry
heaves." Cramping, intermittent abdominal pain. Watery brown diarrhea, profuse during the night, somewhat
diminished now.
Objective
Vital signs (SUPINE): Temp 100.1° F (37.8° C). BP 102/64 mm Hg. Pulse 70 bpm, regular rhythm. RR
18/min, unlabored.
Helped to seated, leg-dangling position. Vitals: BP 74/52 mm Hg. Pulse 138 bpm, regular rhythm. RR
20/min, unlabored. Skin pale and moist (diaphoretic). Reports light-headed and dizzy in seated position.
Returned to supine.
Respiratory: Breath sounds clear in all fields; no adventitious sounds.
Cardiovascular: Regular rate (70 bpm) and rhythm when supine, S1 and S2 are not accentuated or
diminished, no extra sounds. All pulses present, 2+ and equal bilaterally. Carotids 2+ with no carotid
bruit.
Abdomen: Bowel sounds hyperactive, skin pale and moist, abdomen soft and mildly tender to palpation.
No enlargement of liver or spleen.
Neuro: Level of consciousness alert and oriented; pupils equal, round, react to light and accommodation.
Sensory status normal. Mild weakness in arms and legs. Gait and standing leg strength not tested
because of weakness. Deep tendon reflexes 2+ and equal bilaterally. Babinski reflex → down-going toes.
What is your assessment to Carell? Why you came up with that assessment?
Expert Solution
This question has been solved!
Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.
Step by step
Solved in 3 steps
Recommended textbooks for you