August Saunders

First try again to educate the patient on what’s going on and why she needs to be monitored. Offer to call her daughter for her and explain what is going on and the importance of why she needs to be monitored (to the daughter). Or if the patient is adamant on leaving, possibly her daughter should be listed as her emergency contact, so go ahead and call anyways ??? Educate her on s/s of what to look for. Offer her daughter some assistance on hooking her up with case management (if possible) so she could get some services to help with her mom while she’s at work.

Also pt inr

You are awesome. God bless you.

Dehydration. Start fluids. But she might need some albumin as well. Values are low. Need LFT. Head and AP CT and ECG. She is Malnourished, her bmi is low. Last bm??