XXXXXXXXXXXX Associate Degree Nursing Program Nursing guardianship Plan Student__XXXXX teacher: XXXXXX Date: XXXXXX Patient Initials: XXX ripen: 59 Rm. # reckon Status:_Full DOA__Full DOSurg 10/3/2011 obtainting DX: Fx leftover femur Previous medical History: Lt hip cyst removed 39 age ago. Vision impairment, corrected with glasses. Allergies and reactions (explain how the diligent exhibits the allergy): NKDA Activity: Bedrest. With PT: left(p) toes touch saddle bearing, rt foot well(p) weightiness bearing. fodder/ Include any Fluid Restrictions (amount): fixture diet Vital Signs: (baseline) T-96.9, P-82, R- 22 O2 sit 98% RA, 171/95 pain aim 10. (am) T-97.6, P- 77, R-18 O2 Sat 96%, 166/76 _pain level 4. (PM) T-97.5, P-73, R-18 O2 Sat 98%,122/58 pain level 3. I&O last 24 hours: Oral__980ml IV:_1521.7 Output: 2250 I/O balance: + 251.7 Admit weight: 72.6kgAdmit height: 177.8cmTodays weigh t:_84.5kg. I asked the pt what he normally weighs & he utter about 180lbs or 81.8 kg. I think it entry weight was an error. IV: Type of solution_LR Rate__75ml/hr IV come out mark induct rid of: Dry & Intact, date started: 03 Oct 2011 Equipment: IV pole, IV pump, O2 Sat monitor Treatments: diagnostics and Results: (X-Rays, CTs, etc.) X-ray to Lt get up & Lt femur. Lt shoulder soft tissue stigma and Lt femur fx. CT of Lt femur. Procedures and Results: Two blood transfusion of subscribe cells. One on 10/4 and one on 10/5. No reactions.
|LAB TEST |RESULT ! | design Range |WHAT CAUSED budge? |RELATE TO PATIENTS illness/DIAGNOSIS | | leucocyte 10/3 |H14 |4.5-11 |Trauma caused ? output signal of neutrophils resulting|Pt presented c fx lt femur caused by falling off a 8 ft ladder. | |10/5 |8.8...If you penury to get a full essay, order it on our website: OrderCustomPaper.com
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