A 68-year-old elderly woman, Mrs. NM, comes into the emergency room

Question Answered step-by-step A 68-year-old elderly woman, Mrs. NM, comes into the emergency roomwith a Chief Complaint of generalized weakness and moderate shortness of breath, with heavy epistaxis for the past 20 hours. The patient also related that she had bitten the inside of her mouth about 1 week ago, and she still had mild, occasional bleeding from the site, despite being extremely careful with chewing food and brushing teeth. Pt. also stated that she sometimes her stools are very dark, but stated that she eats beets every night. Pt. reported a recent upper respiratory infection, which she went to see her Primary Cacre Physician for, who prescribed Bactrim for 7 days, which she completed two days ago. Pt. denied any changes in appetite. Pt. history includes, Breast Cancer (2 years ago), Diabetes Miletus, Hyperlipidemia, and High Blood Pressure. Surgery history includes Right Breast Mastectomy. Current reported Medications: Tamoxifen, Glyburide 2.5 mg BID, Atorvastatin 20 mg QHS, Norvasc 5 mg BIDPt. denies smoking, drinking, and/or illicit drug usePt. denied use of any herbal and/or over the counter medications. On Physical Examination, the patient was an elderly woman with no apparent distress but obviously weak. Height and weight were appropriate for age. Multiple attempts for BP on the right arm revealed 90/55. Oxygen Saturation: 95% on room air. Pt. was afebrile. Lungs were clear to auscultation. Neurological evaluation was normal. Skin was dry and turgor was reduced. There was a round, inflamed lesion of dried blood located on the right buccal mucosa. Skin revealed diffuse petechial on the bilateral upper and lower extremities, as well as across the lower abdomen. Laboratory work-up: Basic Metabolic Panel: Within in normal limitsWhite Blood Cell: 8 μLHgb: 7.1 g/dL Hct: 21.2 %Platelet count: 50,000 mm3 1.    What is the medical management with this disease process?2.    Which types of blood test do you anticipate being ordered? (Explain the normal values for each) references please Health Science Science Nursing NUR 470 Share QuestionEmailCopy link Comments (0)