Dale Mayman is a 51 year old male with a known liver disease… Dale Mayman is a 51 year o

Dale Mayman is a 51 year old male with a known liver disease… Dale Mayman is a 51 year old male with a known liver disease secondary to alcoholic cirrhosis admitted four days ago because of increased mental confusion. A diagnostic paracentesis was performed in the emergency department at admission and revealed spontaneous bacterial peritonitis(SBP). Antibiotic treatment has been initiated. Despite treatmentmr. Mayman has become hemodynamically unstable and was transferred to the intensive care unit for aggressive fluid replacement two days ago. Throughout the night he has had increased confusion and difficulties breathing requiring a face mask to maintain a saturation greater than 92%. This morning, his breathing has become more labored and his wife is very upsetabout his decline over the last 24 hours. Mr. Mayman refuses to cooperate with his a.a. assessment and attempts several times to remove his oxygen.  Health Science Science Nursing NUR 243 Share QuestionEmailCopy link Comments (0)

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