Fiona Lane is a 69-year-old female patient who is coming in the…

Question Answered step-by-step Fiona Lane is a 69-year-old female patient who is coming in the… Fiona Lane is a 69-year-old female patient who is coming in the emergency department by ambulance due to the chief complaint of dyspnea for two days. Patient reports her dyspnea is progressively getting worse and is not relieved with home inhalers. Due to the patient’s worsening condition, Fiona’s spouse Jerry called for an ambulance. Recent Medical History: Patient was recently diagnosed with small cell lung cancer three months ago and she is undergoing radiation and chemotherapy treatment. She currently has issues of acute pain and nausea and vomiting following the radiation and chemotherapy treatments. The patient has had poor PO intake and has lost 15 lbs. this month. The patient has a three lumen PICC line in the right arm. The patient also has a history COPD, diabetes type two insulin dependent, intractable nausea and vomiting, hypertension, anemia and arthritis.Assessment: When you walk into the ER room you find Fiona in lying flat in bed. Patient is unable to speak full sentences and she is coughing excessively. She has bilateral expiratory wheezes. Her skin is color is grey.  Capillary refill is greater than 3 seconds. Her room air saturation is 86% and respiratory rate is 32. Blood pressure is 150/103. Temperatures is 101.1 F. The patient heart rate is 132. Patient rates pain in lungs 10/10. Patient has NKDA. She is a full code. Patient weighs 80kg. 1.      What is your course of action when meeting this patient? Explain step by step how you would care for her and prioritize your interventions for the first 10 minutes of meeting her before calling the physician. (Some examples of concepts to include): Hand hygiene, Patient identifiers, Oxygen).What kind of assessment would you complete on this patient and why? (Full head to toe or a focused assessment). Describe step by step your physical assessment.Please write the SBAR that you would give the physician after assessing this patient for the first time? (The physician is unable to assess the patient due to long ER wait times and high patient census).3.      How would we manage this patient’s oxygen and what are some special considerations in managing her oxygen based on her past medical history?4.      The patient has COPD. What questions should we ask this patient based on this PMH? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)