Please ??? Your help needed immediately

[kleona]

mr. d. 64 yo male with hx. of copd, htn, type ii dm. he has just arrived this from the ec with the diagnosis of uncontrolled htn, (admitting bp was 220/110), and chest pain. the symptoms that brought him into the ec were severe morning h/a with occasional vomiting x 3 days, sob and c.p.

when you examine him you notice a large bruise on his right elbow and hip. he relays a h/o a fall recently. he complains of dysphagia which he attributes to a sore throat from vomiting. he ia slightly disorientated and drowsy, but received a dose of zofran for vomiting before he was brought up to your unit.his ha has returned but he feels he can not take anything po because of his earlier vomiting.

• labs: na: 145, k: 3.7, cl:110, c02: 30, bun: 22, crt: 1.5, bs 210
  
• hgb 12.7, wbc: 10.3, plts: 110. troponin
• chest x-ray: no effusions, or pnemonia, but emysematous changes noted
  
• current bp: 156/98 hr:78 reg., rr: 24 on 4l o2

what could be happening to mr. d.? is all his symptoms related to htn?

thank you all of you!!

[cardiacRN2006, ADN, RN]

I am done with school assignments, but thank you very much. Regarding this one, my intend is to see how everyone could answer it, and give different ideas.

If that were really the case, your title of this thread wouldn't have been: "Please ??? Your help needed immediately."