emergency

[british1]

The change of shift report tells you that Ms. Brenda Paisley, a 35years old homeless woman was admitted with acute asthma and cellulitis of her right foot. She had a very restless night. She is still dyspneic at 28 breaths/min and still demonstrating inspiratory and expiratory wheezes and complains of shortness of breath. She is maintaining an oxygen saturation of 90 to 92 % on oxygen at 2L/min via nasal cannula. On examination, she is restless but oriented to person, place and time. Her skin is cool and moist. She states, I don't feel so good and my foot is really hurting me. I don't feel like much breakfast because of the pain and the difficulty breathing”. She further states, I don't know what is happening to me. I can't make it to the bathroom and so I just wet myself and the bed. I feel so embarrassed”.

V/S BP: 149/88, P:98, R:28, O2 Sat: 90%, T: 99.1

need rationale and assessment

so far my diagnoses are ineffective breathing pattern, tissue perfusion, sleep disturbance, imbalance nutrition and ineffective coping.

[Nurse Leigh]

This is the third time you've posted this. We are willing to assist, but you need to do the bulk of the work. Please share with us your thoughts on the matter first.