Patient Profile 

Question  Patient Profile W.A. is a 70-year-old woman who presented to the emergency department with fever, severe nausea, vomiting, and diarrhea. She is admitted to the intensive care unit (ICU) with a diagnosis of kidney failure and septicemia. Her previous medical history includes glaucoma, chronic kidney failure, hypertension, and insulin-dependent diabetes mellitus. She had a left above-the-knee amputation 1 year ago. Subjective Data·      W.A.’s daughter states she was able to do her daily chores at home independently, but for the last few days it was getting difficult for her to get around and that she needed to take frequent breaks because of shortness of breath and lack of energy. Her daughter also reports that W.A. had been complaining of headaches with nausea and dizziness for the past few days.·      Goes to hemodialysis 3 days a week Objective DataPhysical ExaminationBlood pressure 178/96, pulse 110, respirations 28, temperature 38.6°C.Oxygen saturation 86% on 15 LPM via maskOriented to name onlyCrackles in bilateral lower lobes2+ edema bilateral lower extremities and handsAbdomen is distended with hypoactive bowel sounds x4 quadrantsDiagnostic StudiesCBC: Hemoglobin 70 g/L, hematocrit 0.24, RBC 2.57 x1012/L, WBC 14.8 x109/LChemistry panel: Serum sodium 132 mmol/L, serum potassium 6.0 mmol/L, calcium 2.33 mmol/L, phosphorus 1.94 mmol/L, glucose 10.93 mmol/L, albumin 24 g/L, serum blood urea nitrogen 27.49 mmol/L, serum creatinine 645 umol/L, eGFR 10, BNP 182 ng/LUrinalysis: Dark yellow and cloudy, protein 28 mg/dL, positive for casts, positive for red blood cells and white blood cells, positive for glucose and ketonesBlood cultures pending  Discussion QuestionsWhat is MODS? After reviewing W.A.’s presentation, what organ systems do you suspect are involved and why? (2 points) Health Science Science Nursing MEDICINE 123 Share QuestionEmailCopy link Comments (0)