NEED HELP! Fractured Case Study

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Ok, I am a 4th year nursing student, working on a case study. I had it returned to re-evaluate the lab values and clinical data.

Clinical data - 84 year old female whom has been transferred to a residential home post ffall. She is confused and combative. V/S BP110/65 (normal) T 37.7 (slight febrile) R 22 tachypnea Sp02 92% (hypoxic). incontinent of urine - foul smelling

lab values WBC 12000/mm3 - high

Hgb 110g/l -low

K+ 3.2mmol/l (low)

Na+ 135 mmol/l (normal)

serum dig 2.5 (toxic range)

ECG - pending.

medication prior to fall

metoprolol

dig

alendronate

Tylenol

lorazepam

I have associated her falls due to the potential UTI as evidence by incontinence, confusion, increase WBC, and foul smelling urine. Fracture resulting from an underlying osteoporosis along with age, medications etc.

I do know that an elevated WBC occur in infection, tissue damage and severe physical or mental stress. Beta blockers can also increase WBC. however at the same time she has things that would be decreasing her WBC - bone marrow deficiency and severe bacterial infections UTI.

K+ hypokalemia occur in malnutrition, renal dysfunction, and potentate digoxin toxicity, anytime that there is an K imbalance there is heart dysrhythmias

HBG - low occur in nutrition deficiencies, blood loss, renal problems and bone marrow suppression

Digoxin - toxic level

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