hi guys, i was wondering if anybody couldl help me out with an assignment i have been presnted with.. i have no idea where to begin and how to get ot started you see i have all the information but dont know how to get it started if that makes sense... fron the case scenario i am to establish what nursing intervention she needs and what could be causing her to have those symptoms any feedback would be much appreciated thank u so much.catherine wilkes a 22 year old unemployed single mother was admitted 2 days ago through emergency department for collapse for investigation. on arrival at triage it was noted that catherine had her two-year old child at her side and both appeared unkempt. catherine's observations were taken at triage and her blood pressure was report as 75 mmhg / not detectable. her speech was incomprehensible, but all limbs were equal in power and pupils were equal and reacting to light. she was promptly transferred to the cubicle area. whilst in emergency department she underwent a physical examination and blood work up. her speech at this time had improved but was slurred. she was reluctant to discuss her family history. health status: non smoker moderate alcohol intake ulcerative colitis for 6 years ileoanal anastomosis 14 months ago observations: temperature 360c bp now 90/60 respirations 22 breaths per minute pulse 130 beats per minute o2 saturation 100% on room air physical assessment: weight 45kg height 160 cm bruises to lower limbs chest clear abdomen soft, non tender blood results: bgl 7.2 mmol sodium 124 mmol/lhb 116 g/l potassium 5.2 mmol/lhct 0.38l/l chloride 89 mmol/lrcc 4.8 x 1012/l bicarbonate 23 mmol/lmcv 78 fl anion gap 17wcc 16 x 109/l urea 10.3 mmoml/lesr 34 mm/hr creatinine 0.12 mmol/lcrp 31 mg/l catherine reported to the medical officer that she had felt nauseous and dizzy all day and that she had not voided the entire day. while catherine was getting into a hospital gown her medications fell out of her pocket. the nurse asked her if she was taking the medications but catherine did not reply. the nurse took the medications to the medical office and they both noted that the medications were: prednisolone 25mg bd orallymedazine 1 gram bd orally part two further blood tests revealed: prolactin 1211mu/lcortisol 1066 nmol/lprotein 86 g/lalbumin 31.6 g/lggt 113 u/lalt 36 u/l it was noted by the nurse that catherine was previously on mesalazine 250 mg orally tds for ulcerative colitis. she discussed this with the medical officer who withdrew the order for medazine 1 gram and recommenced her on her previous dose of mesalazine the medical officer reported that catherine to undertake a short synacthen test (sst).