Brief Patient History : T is a 72-year-old woman with a history of hypertension treated with an angiotensin-converting enzyme (ACE) inhibitor and…

Question Answered step-by-step Brief Patient History Clinical AssessmentDiagnostic Procedures:Ms. T is a 72-year-old woman with a history of hypertension treated with an angiotensin-converting enzyme (ACE) inhibitor and thiazide diuretics. She has a past 100 pack-year history of tobacco abuse but quit smoking 2 years ago. Ms. T lives independently in a senior apartment. Friends bring Ms. T to the hospital because of a fall. Ms. T states that she has a severe headache but cannot recall whether she hit her head during the fall. Ms. T is also having difficulty recalling recent events.: Ms. T is admitted to the intensive care unit from the emergency department because of nonspecific electrocardiogram (ECG) changes suggestive of inferior wall ischemia and electrolyte abnormalities. She is awake, alert, oriented to person, time, and place, and unable to recall the events leading to her hospitalization. She states that her headache is severe and feels like someone is hitting her head with a hammer. Her skin is warm and dry. Ms. T’s gait is visibly unsteady. : Ms. T’s vital signs include the following: BP, 180/92; HR, 100 (sinus rhythm); RR, 24; T, 98.8° F.Ms. T reports that her headache is a 10 on the Baker-Wong FACES scale. Laboratory findings include the following: sodium, 116 mmol/L; potassium, 3.3 mmol/L; chloride, 88 mmol/L; carbon dioxide, 22 mEq/L; magnesium, 1.8 mg/dL; urinary sodium level, 30 mmol/L; urine osmolality, 118 mOsm/L. Troponin I on admission is negative. ECG: normal sinus rhythm; T-wave inversion in leads II, III, and AVF; change from prior ECG suggesting inferior wall ischemia. Chest x-ray study indicates the presence of a mass in the right upper lobe, strongly suggestive of neoplasm. Medical Diagnosis: Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is diagnosed.Questions: 1.  What major outcomes do you expect to achieve for this patient? Health Science Science Nursing NURS 355 Share QuestionEmailCopy link Comments (0)

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