Report from emergency room triage nurse: Millie Larsen is an…

Question Answered step-by-step Report from emergency room triage nurse: Millie Larsen is an… Report from emergency room triage nurse: Millie Larsen is an 84-year-old female who lives alone in a small home. She arrived with her daughter, Dina, three hours ago. Her daughter noticed that Millie wasn’t making sense or acting normally during a visit earlier today. She was seen by Dr. Lund an hour ago. He suspects urinary tract infection and has written preliminary orders. An IV has been started and labs have been drawn. They just came back. I haven’t had a chance to look at them. Her antibiotic also just arrived from the pharmacy and needs to be given. I completed a SPICES assessment, which indicated problems with incontinence and confusion. The result is in the health record. The confusion needs to be further assessed, and her fall risk should also be assessed. Can you please do that?Patient DetailsPatient Data: female- Age: 84 years. Weight: 68 kg (150 lbs). Height: 155 cm (61 in).Allergies: No knownPast Medical History: Glaucoma, hypertension, osteoarthritis, stress incontinence, hypercholesterolemia.History of Present Illness: Millie’s daughter became concerned when she stopped over to check on her and found her still in her bathrobe at 3 p.m. The house was very unkempt, and Millie couldn’t remember her daughter’s name. Social History: Not recorded. Primary Medical Diagnosis: Dehydration, suspected urinary tract infection.Surgeries/Procedures & Dates: Cholecystectomy at age 30.Provider’s Orders? Bedrest, bathroom privileges with assistance? Regular, low fat diet? Vital signs and SpO2 every 2 hours? I & O? Notify physician if systolic BP > 150 or < 100; temperature > 38°C, Urine output < 60 mL in 2 hours? Ciprofloxacin 400 mg IV every 12 hours for 24 hours, then Ciprofloxacin 500 mg PO every 12 hours for 10 days. ? Acetaminophen 650 mg PO every 4-6 hours as needed? IV fluids D5 0.45 NaCl + 20 mEq KCl at 60 mL/hr? CBC with diff., BMP, urine analysis, urine culture   List 5 Major health problem    Medications review: Complete the table for each of the medications listed as preparation for the simulation following the example provided. Add rows as needed. Drug Name/Drug ClassHow the drug works/ is this a safe dose?Indication(For what specific reason is this drug ordered for your resident? Nursing assessmentsWhat nursing actions must be done when administering this medication?Side effects/ adverse reactions/ lab monitoringCiprofloxacin 400 mg IV every 12 hours for 24 hours   Ciprofloxacin 500 mg PO every 12 hours for 10 days.     Acetaminophen 650 mg PO every 4-6 hours as needed    IV fluids D5 0.45 NaCl + 20 mEq KCl at 60 mL/hr     ALL Lab Tests including CBC with RBC, WBC, HCT, HGB, PLATELETS,) urine, sputum, cultures, and many more: Please complete the table including laboratory tests need for this patientTEST Normal RangePurposeWhy ordered for this health problemNursing actions that require assessment or follow up (npo, diet changes, med change)      PROCEDURES and DIAGNOSTIC TESTS (ECG, Oxygen, O2 Sat level, radiography, vital signs,I&O including many more). Please complete the table for procedures listing all the procedures. Add rows as needed. TEST/DATE What is the purpose of this test (text reference)Why ordered for this patient (related to primary dx?) Plan of care implications?Nursing actions that require assess or follow up (npo, diet changes, med change)     GERO ASSESSMENT TOOLS.Describe the purpose of each assessment tool and what the scoring means for care planning.1.2.  Based on your review of pathophysiology, medications, procedures and assessment tools, list at least two problems (apply 3 step process:  problem, R/T, AEB) you anticipate the patient in the vSim may present:   Health Science Science Nursing FCNU 2030 Share QuestionEmailCopy link Comments (0)