Pt is a 67 y.o female as documented in addition to chronic smoking and malnutrition, she initially substained a right intertrochanteric hip fracture which was treated with intranadullary nailing last year. This unfortunately went on to a aseptic nonunion with subsequent screw cut out. Pt than underwent conversion to hemiarthroplasty complicated by distal femur fracture which was treated by ORIF of the distal femur. Pt was discharged to a rehab facility on chronic ceftriaxone with the plan for life long chronic suppression. Altered mental status and hypertension and leukocytesis. UA was suspicious to possible UTI. CT shows no obvious evidence but chronic perioslitis of her proximal femur. Risks for fall, left risk restriction, thrombocytosis, asymptomatic puria, lactic acidosis, chronic back pain, CVA with dysphasia presenting for septic shock, COPD, anxiety, depression, anemia, opioid use, smoking, Encephalopathy. Base the patient nursing report, medications, and labs please do the questions below. 1. What is causing the abnormal lab values in YOUR PATIENT? 2. Are the abnormal lab values at the patient’s baseline, or worse? 3. What labs that were drawn specifically correlate to your patient’s medical diagnoses? 4. Trend labs, note which ones are getting better and why and which ones are getting worse and why. 5. What nursing interventions do you expect to complete to correct the abnormal lab value(s) in THIS patient?

Curren'S Math For Meds: Dosages & Sol
11th Edition
ISBN:9781305143531
Author:CURREN
Publisher:CURREN
Chapter9: Parenteral Medication Labels And Dosage Calculation
Section: Chapter Questions
Problem 6.4P
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Pt is a 67 y.o female as documented in addition to chronic smoking and malnutrition, she initially substained a right intertrochanteric hip fracture which was treated with intranadullary nailing last year. This unfortunately went on to a aseptic nonunion with subsequent screw cut out. Pt than underwent conversion to hemiarthroplasty complicated by distal femur fracture which was treated by ORIF of the distal femur. Pt was discharged to a rehab facility on chronic ceftriaxone with the plan for life long chronic suppression. Altered mental status and hypertension and leukocytesis. UA was suspicious to possible UTI. CT shows no obvious evidence but chronic perioslitis of her proximal femur. Risks for fall, left risk restriction, thrombocytosis, asymptomatic puria, lactic acidosis, chronic back pain, CVA with dysphasia presenting for septic shock, COPD, anxiety, depression, anemia, opioid use, smoking, Encephalopathy. Base the patient nursing report, medications, and labs please do the questions below. 1. What is causing the abnormal lab values in YOUR PATIENT? 2. Are the abnormal lab values at the patient’s baseline, or worse? 3. What labs that were drawn specifically correlate to your patient’s medical diagnoses? 4. Trend labs, note which ones are getting better and why and which ones are getting worse and why. 5. What nursing interventions do you expect to complete to correct the abnormal lab value(s) in THIS patient?
5-7=4.6
5-8= 3.8-
5-9= 3·3·
5-10 = 4.1
вим
5-7--- 44
5-8 35
26
5-9-
5-10-16
7:45AM
Temp: 96.1
Spoz: 96
BP 146/108
HR- 85
RR: 18
Pain = 7
101
106
Creat
1.55
Het
Mg
57 25.1
133
5-8 22.5 599 139
106
103
0.67
0.48
0.43
plt
787
&GFR
33
60
66
60
5-9--21.8.
5-10- 24.5 SSY
PH, Venous Ploz llenous Pozllenous
5-727.29
47
5-87.34
41
сог
22
22
25
26
561 140..
24
23
-11:45Am
Temp:
Spoz: 84
RR: 19
SpO₂:88
Bp: 14/0/50
Pain 5
Anion Gap Mg WBC
16
UI
1.7
25-8
9
7
95.7
Calu
132
79
91
82
Ca
7.8
8.4
8.2
8.3
TUR AST ALT Alka Phosp Pop
1.0
6.2
16
88x
68
2.9
n
2.1
13.2
9.3
RBC afgb
3.22 8.1
2.90 7.3
2.85 7.5
3.20 8.1
137
-89
Transcribed Image Text:5-7=4.6 5-8= 3.8- 5-9= 3·3· 5-10 = 4.1 вим 5-7--- 44 5-8 35 26 5-9- 5-10-16 7:45AM Temp: 96.1 Spoz: 96 BP 146/108 HR- 85 RR: 18 Pain = 7 101 106 Creat 1.55 Het Mg 57 25.1 133 5-8 22.5 599 139 106 103 0.67 0.48 0.43 plt 787 &GFR 33 60 66 60 5-9--21.8. 5-10- 24.5 SSY PH, Venous Ploz llenous Pozllenous 5-727.29 47 5-87.34 41 сог 22 22 25 26 561 140.. 24 23 -11:45Am Temp: Spoz: 84 RR: 19 SpO₂:88 Bp: 14/0/50 Pain 5 Anion Gap Mg WBC 16 UI 1.7 25-8 9 7 95.7 Calu 132 79 91 82 Ca 7.8 8.4 8.2 8.3 TUR AST ALT Alka Phosp Pop 1.0 6.2 16 88x 68 2.9 n 2.1 13.2 9.3 RBC afgb 3.22 8.1 2.90 7.3 2.85 7.5 3.20 8.1 137 -89
to d
then under
l femur f
abrichme
Ceftri
Alter
Preu
Medications
Asthma
Budessoride (Pulmicort Respules) nebulizer solution Dising
Sodium Chloride Flush lomt intravenous #terende blockage
noina
COPD to proverd SOB
Sodium Chloride Flush 20m L Intravenous
Sodium chlonde Flush lom L- intra-colleter
Tiotropium bromich 2.5 mcgl/actuation (Spiriva Rhapirnat) inhaler Sineg 2 puff
Clonaze PAM ( Klono fin) disintegrating tab orzing coral
Pantoprazole (Protoninx) DR lab Hong to hawt bure and of the x
Valomy in (Vancoun) in die sochum Chloride 0.9%. ML WVPB 750ing intrakanous
Buprenorphine-naloxone (suboxone) & Pain
"SL I film
bacter p
(mg
nollesilatigeon to you to 180
th
012
37
Cefe pinze (Maxipioze) 29 in Seochum chloroke 0.9%. SomL INAB intravenous
Senna-clocusate (Periclace.) 8.6-50mg 2tab & Stool Soft Buck
Bacteria
Held
by provider hepenin G000 unit ml subcutorious
Mitazapine (Peperon) 30mg) depression
Transcribed Image Text:to d then under l femur f abrichme Ceftri Alter Preu Medications Asthma Budessoride (Pulmicort Respules) nebulizer solution Dising Sodium Chloride Flush lomt intravenous #terende blockage noina COPD to proverd SOB Sodium Chloride Flush 20m L Intravenous Sodium chlonde Flush lom L- intra-colleter Tiotropium bromich 2.5 mcgl/actuation (Spiriva Rhapirnat) inhaler Sineg 2 puff Clonaze PAM ( Klono fin) disintegrating tab orzing coral Pantoprazole (Protoninx) DR lab Hong to hawt bure and of the x Valomy in (Vancoun) in die sochum Chloride 0.9%. ML WVPB 750ing intrakanous Buprenorphine-naloxone (suboxone) & Pain "SL I film bacter p (mg nollesilatigeon to you to 180 th 012 37 Cefe pinze (Maxipioze) 29 in Seochum chloroke 0.9%. SomL INAB intravenous Senna-clocusate (Periclace.) 8.6-50mg 2tab & Stool Soft Buck Bacteria Held by provider hepenin G000 unit ml subcutorious Mitazapine (Peperon) 30mg) depression
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