Eva Bahena replied to Corey Narry's topic in Critical Care
What might be causing her altered mental status
Rhabdomyolysis after lying on the floor a long time. The very high CPK and moderate lactate fit this. Muscle breakdown can push potassium up and...
Eva Bahena replied to Corey Narry's topic in Critical Care
I'm most worried Rolando has a serious community-acquired pneumonia that is already pushing him toward sepsis. His high fever, fast heart and breathing, low oxygen (88 % on room air), borderline blood...
Eva Bahena replied to SafetyNurse1968's topic in General Nursing
I'm most worried she's slipping into sepsis or a severe high-sugar crisis such as hyperglycemia. The high fever, fast heart and breathing, elevated blood pressure, four days of vomiting, and new...
Eva Bahena replied to SafetyNurse1968's topic in Critical Care
I'm thinking she might be in the middle of a lupus flare. Lupus can inflame the lining of the lungs, which would explain the cough and crackles we hear. It can also attack red blood cells or the...
Eva Bahena replied to SafetyNurse1968's topic in Critical Care
As a student nurse, my first thought is, "let's rule out anything life-threatening before we blame stress.” I'd grab full vitals and an O₂ sat, do a 12-lead ECG, start an IV, and draw a baseline...
Eva Bahena replied to SafetyNurse1968's topic in General Nursing
Need a clearer picture
Timeline & details of cough (when it started, any mucus or blood)
Other symptoms (weight loss, night sweats, chest pain)
Past TB treatment completion, last...