Case study help Please!

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Hi everyone. I am working on a case study for MED Surg II. Its been going along good, and now I'm stumped. The patient has diabetes, renal failure, alcoholism, chest pain etc... One of the questions had a set of data that let me to the conclusion that he has pancreatitis. Now four days later he has improved, but presents with the following when checked....HR 158, BP 100/62, irregular HR and O2 of 89%. Anyone have any idea what could be going on with him now? Any help would be appreciated. Once I conclude what he probably has going on, I can move on to the other questions, but would like to see what people think so I can research those areas to come to a conclusion. Thanks!

What S/S of bleeding do you see?

I was thinking his vitals indicated bleeding too.

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I was thinking his vitals indicated bleeding too.

Could indicate bleeding but there is not enough information to rule out any number of diseases and/or complications.

Again, what in his background could cause every s/s we are seeing?

HR of 158, look up the term "preload." What does preload have to do with the HR, BP, O2%?

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