Critical Thinking Week 7 A 53-year-old presented in the emergency department re
Critical Thinking Week 7 A 53-year-old presented in the emergency department reporting shortness of breath, fatigue, and abdominal bloating with pain over the last 4 days. The client received furosemide 40 mg IV and supplemental oxygen prior to transfer to the cardiac intensive care unit. Admission Laboratory ValuesLaboratory TestNormal RangePatient ValueSerum Potassium3.5 to 5.0 mEq/L4.4 mEq/LSerum Creatinine 41 to 61 yearsMale 0.6 to 1.3 mg/dLFemale 0.5 to 1.1 mg/dL1.46 mg/dLBUN Blood Urea Nitrogen10 to 20 mg/dL27 mg/dLSerum Sodium135 to 145 mEq/L139 mEq/L During the first 24 hours of admission, an additional dose of furosemide 40 mg was administered that resulted in 2400 mL of urine output. Client reported a lessening of dyspnea as well as an improvement of abdominal symptoms. Home medications including hydrochlorothiazide, spironolactone, carvedilol, and lisinopril were continued as previously prescribed. Subsequent Laboratory Values (24 hours Later)Laboratory TestNormal RangePatient ValueSerum Potassium3.5 to 5.0 mEq/L3.8 mEq/LSerum Creatinine41 years to 61 yearsMale 0.6 to 1.3 mg/dLFemale 0.5 to 1.1 mg/dL1.87 mg/dLBUNBlood Urea Nitrogen10 to 20 mg/dL27 mg/dLSerum Sodium135 to 145 mEq/L142 mEq/L Based on the comparison of admission and subsequent laboratory values, ___1___ presents a major concern for ___2 _____ and requires ___3 ____ (Please fill in the blanks)Laboratory Values (Option 1)Concern (Option 2)Required Intervention (Option 3)A. Serum PotassiumA. Increase in glomerular filtrationA. Discontinuation of lisinopril B. Serum CreatinineB. The onset of acute kidney injuryB. Decrease of hydrochlorothiazide dosage C. BUNC. Exacerbation of hypertensionC. Decrease of spironolactone dosageD. Serum SodiumD. Exacerbation of congested heart failure (CHF)D. Discontinuation of furosemideProvide a written up rationale (paragraph) for each of your choices- following the rubric! Health Science Science Nursing NSG 430 Share EmailCopy link Comments (0)
Having Trouble Meeting Your Deadline?
Get your assignment on Critical Thinking Week 7 A 53-year-old presented in the emergency department re completed on time. avoid delay and – ORDER NOW
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.