Sftblgrl21

I'm not sure about the BNP? I only wrote down all of the abnormal lab values! Her blood pressures were very low (like 104/50?) she was taking a medicine that improved the blood pressure but I can't remember the name of it?

I had a patient who had a recent surgery for a craniotomy of an acoustic neuroma from the brain. She has a history of CHF, Osteoarthritis, hypothyroidism. Currently diagnosed with GI bleed, transient hypotension, hematuria, yeast infection and rectal lesion. Colonoscopy was performed due to patient having persistent hematochezia. 2-3 polyps were found but they didn't perform polypectomy because it appeared the patient had rectal carcinoma. Also, a severe case of cytomegalovirus was found. She went to surgery later that afternoon for a ventriculoperitoneal shunt. The following labs are low: sodium at 134, CO2 at 19, Calcium at 7, HgB at 11.2, HcT at 32.5, PLT at 115 and RDW was high at 17.7 I am definitely going to use Deficient Fluid Volume r/t gi bleed aeb hypotension Thought about using Risk for Impaired Skin Integrity r/t (bed rest, frequent incontinence,hypovlemia leading to skin ischemia) aeb multiple lesions on behind (will need to get appropriate word?) BUT I need another diagnosis? She is confused quite a bit of the time. I don't feel as though she understands too much more than direct commands. Possibly a deficient knowledge? ANY HELP at this point would be AWESOME!!!!

She was admitted with chest pain and EKG changes? I've never been so frustrated as I am right now trying to figure this one out? I will def look into the website? Thanks for your help! I appreciate your feedback.:)

I've had success in the past putting these care plans together but this one has got me by the tail? Any help? 56 yo female came into dr office with substernal chest discomfort & fatigue EKG shows sinus brady @ 56 bpm with ST-T wave changes Previous: hx of bicuspid aortic valve and LV systolic dysfunction, last measurement of aortic valve 1.2 Family hx: father passed away w/ MI and CAD Assesment: cardiac enzyme negative, EF 35-40%, no CHF symptoms, heart had regular rate, rhythm,no murmur,rub or gallop; lungs were clear. Nurse gave in report that she had tricuspid valve enlargement. The only abnormal lab value was HDL at 83. She was scheduled for a catheterization but I wasn't able to see the outcome of it. Pt stated she's under quite a bit of stress at work due to company downsizing number of people on staff thus putting more work on herself. In preparing for a company event planned for Sat PM, she explained she had tingling in her left arm most of the day Fri while moving,organizing items. Saturday was back and forth with tingling and sharp achey chest pains that only lasts for seconds. Sunday she was very fatigue. Mon-Wed she worked with tingling, chest pains and pain also presented btw shoulders. Dr appointment on Thurs sent her to ED for further evaluation. NOW!! My questions are: 1. Can I do my care plan on chest pain? 2. There isn't a diagnosis of CHF, CAD or anything other than the chest pain? 3. Could I do it on the previous findings of bicuspid aortic valve and lv dysfunction or stenosis of the aortic valve? Wasn't sure if i should do this bc it wasn't what she was admitted for this time? Diagnosis: I was thinking pain, anxiety and deficit knowledge? Any help would be greatly appreciated? I've never been this lost before? Usually I have a diagnosis of a disease, not a symptom?