Posted: August 19th, 2022

Report from physician’s office: Mr. Henderson

Situation
As a nurse on a basic medical flooring, the RN has obtained a brand new admit. Overview the shopper knowledge offered.
• Richard Henderson
• 58 years previous
• Male
• Admit prognosis: GI bleed
• Historical past: no surgical historical past
• Medical historical past: Gastritis & GERD
• Medicines: Prilosec 40 mg PO day by day, Atenolol 25 mg PO BID, Fiber day by day, Alka Seltzer PO – states he takes this no less than day by day.

Report from physician’s workplace: Mr. Henderson arrived to the physician’s workplace at the moment for a grievance of accelerating belly ache. He states that he’s now throwing up coffee-ground emesis. He states that he didn’t take his BP medicine this morning as a result of he was dizzy. The doctor is admitting him with a prognosis of GI bleed with an EGD scheduled for tomorrow. He’s NPO, and has a 22G IV lock within the left forearm. Report from the physician’s workplace: Mr. Henderson went to the physician’s workplace at the moment as a result of he was having increasingly abdomen ache. He says that he’s now sick with espresso grounds. He says he did not take his blood strain drugs this morning as a result of he felt lightheaded. The physician is placing him within the hospital as a result of he has a GI bleed and an EGD is scheduled for tomorrow. Final set of important indicators BP 106/60 mm Hg, HR 98 beats/min, RR 20 breaths/min, Temp. 98.eight levels F, P.O. 90% on room air. He final vomited about 45 minutes in the past with a small quantity of darkish coffee-ground emesis. His ache is four/10 at current. No ache medicine is ordered presently.
• Lab assessments ordered: CBC and chemistry panel
• CT of the stomach reveals no indicators of free air (no perforation)

When he arrives to the ground, he’s pale, nauseous, and his pores and skin is cool and clammy. When he’s transferred to the mattress from the stretcher, he vomits a considerable amount of coffee-ground emesis and loses consciousness.

Directions
Within the dialogue submit, tackle the next:
1. Whereas receiving report, what issues do you’ve gotten relating to the shopper report?
2. What sort of shock is going on?
three. What stage of shock is the shopper experiencing?
four. What’s your subsequent intervention and why?
5. What further lab assessments would you anticipate?
6. Present further ideas and insights.

Within the preliminary posting present one further useful resource apart from the required studying.

References
Jones, D., DeVita, M., & Bellomo , R. (2011). Speedy-Response Groups. English Journal of Medication, 365, 139-146. Retrieved from Consumer Security Community.
Please make your preliminary submit by midweek, and reply to no less than two different college students’ posts by the top of the week. Please examine the Course Calendar for particular due dates.

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