nursing case study

   History A widely authoritative, refractory woman who is approximately 100 years old and lives after a while her 2 daughters. She has a Glasgow coma lamina (GCS) of 15. A fact finds that she has: Hypertension Coronary artery disease Congestive core failure Cataracts Hearing impairments Knee osteoarthritis IDDM Her medications are Lisinopril 10mg daily, furosemide 40 mg daily, ASA 81 mg po, and metoprolol 50mg XL bid. 1. What sensory deficient insufficiencys to be harangueed precedently talking to the client? 2. What does a GCS of 15 balance? 3. After a while the medications –list the category of each refuse and its force. After a while Lisinopril what electrolyte and dietary prearrangement insufficiencys to be harangueed? What superior policy chattels of Lisinopril would inducement involvement of the dermis, subcutaneous edifice, and the mucosa? What does ASA do the platelets? How does metoprolol move the blood sugar? 4. Of these refuses ordered which one would the protect scrutiny? Must be 250 signification after a while the scrutiny entity in-one answered after a while at last 3 references  APA format points obtain be fascinated off all scrutinys insufficiency to be answered. Cutting and pasting the expression is known but it does not enumerate inside the 250 signification. Presentation and Examination Patient develops abdominal indisposition increasing aggravate 5 days; obstipation for 1 day.  She is acutely ill and she appeared cheerless and toil depleted.  On exam, she has abdominal distention, hypoactive bowel investigate and no magnitude is base.  Her core is plentiful and has an S3. Her 2 D answer likenesss Mitral stenosis and an EF of 45%. Her abdominal Cat Scan likenesss a intussusception of the wide domestic. A NGT is inserted. Labs are as follows: Laboratory findings: WBC..................13, 290              HCT...................42 Na.....................128 K.......................2.6 Bun/creatinine.....30/1.1 Lactic acid……… >5 mmol/L VS: T 100F, 110, RR 16 BP 100/72 1. What is intussusception and what composition does it demand? 2. When placing an NGT the protect knows that a indubitable way to appraise it? Portray how it is to be manufactured?  3. What is the typical lactic smooth and what does it likeness in this scenario? What does the BUN/ CR manifest? What other abtypical lab toil would be a pre-eminence to harangue and what appraises would the protect insufficiency to prepare? 4. What crystalloid would be used to hydrate the client? 5. What is abtypical of her life-containing signs and why? What is her Balance arterial exigency and her pulse exigency – portray the provisions and the typical smooths?  Must be 250 signification after a while the scrutiny entity in-one answered after a while at last 3 references  APA format points obtain be fascinated off all scrutinys insufficiency to be answered. Cutting and pasting the expression is known but it does not enumerate inside the 250 signification.