L is a 32 yr. old woman who was found lying down in the street near the hospital. She is awake but confused. She is unable to give any medical…
Question Answered step-by-step Ms. L is a 32 yr. old woman who was found lying down in the streetnear the hospital. She is awake but confused. She is unable to give any medical history and has no idea how long she has been in the street.Clinical Assessment:Ms L is admitted to the critical care unit with muscle pain and minimal dark urine output. She continues to be confused but her neurological examination results are otherwise normal. She repeatedly tells the nurses that she is tired, has pain everywhere, and just wants to sleep. She is able to move all her extremities and has no signs of injury on skin examination. Lab tests show the following results: CPK = 40,400, serum myoglobin level = 2.5, urinary myoglobin level = 300 and serum potassium = 4.8. Baseline vital signs were as follows: BP = 85/60, Heart rate = 128 (sinus tachycardia), resp rate of 18, temp of 101.3 degrees F, and O2 saturation = 90%. The toxicology screen showed that the patient tested positive for cocaine. The Glasgow Coma Scale score was 14.Medical Diagnosis:Ms. L is diagnosed with rhabdomyolysisQUESTIONS:1. What major outcomes do you expect to achieve for this patient?2. What problems or risks must be managed to achieve these outcomes?3. What interventions must be initiated to monitor, prevent, manage, or eliminate the problems and risks identified?4. What interventions should be initiated to promote optimal functioning, safety, and well-being of the patient?5. What possible learning needs would you anticipate for this patient?6. What cultural and age-related factors might have a bearing on the patient’s plan of care? Health Science Science Nursing NURSING 4316 Share QuestionEmailCopy link Comments (0)
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