Scenario
\nAs a nurse on a general medical floor, the RN has received a new admit. Review the client data provided.
\n\u2022\tRichard Henderson
\n\u2022\t58 years old
\n\u2022\tMale
\n\u2022\tAdmit diagnosis: GI bleed
\n\u2022\tHistory: no surgical history
\n\u2022\tMedical history: Gastritis & GERD
\n\u2022\tMedications: Prilosec 40 mg PO daily, Atenolol 25 mg PO BID, Fiber daily, Alka Seltzer PO \u2013 states he takes this at least daily.<\/p>\n
Report from physician\u2019s office: Mr. Henderson arrived to the physician\u2019s office today for a complaint of increasing abdominal pain. He states that he is now throwing up coffee-ground emesis. He states that he didn\u2019t take his BP medication this morning because he was dizzy. The physician is admitting him with a diagnosis of GI bleed with an EGD scheduled for tomorrow. He is NPO, and has a 22G IV lock in the left forearm. Report from the doctor’s office: Mr. Henderson went to the doctor’s office today because he was having more and more stomach pain. He says that he is now sick with coffee grounds. He says he didn’t take his blood pressure medicine this morning because he felt lightheaded. The doctor is putting him in the hospital because he has a GI bleed and an EGD is scheduled for tomorrow. Last set of vital signs BP 106\/60 mm Hg, HR 98 beats\/min, RR 20 breaths\/min, Temp. 98.8 degrees F, P.O. 90% on room air. He last vomited about 45 minutes ago with a small amount of dark coffee-ground emesis. His pain is 4\/10 at present. No pain medication is ordered at this time.
\n\u2022\tLab assessments ordered: CBC and chemistry panel
\n\u2022\tCT of the abdomen shows no signs of free air (no perforation)<\/p>\n
When he arrives to the floor, he is pale, nauseous, and his skin is cool and clammy. When he is transferred to the bed from the stretcher, he vomits a large amount of coffee-ground emesis and loses consciousness.<\/p>\n
Instructions
\nIn the discussion post, address the following:
\n1.\tWhile receiving report, what concerns do you have regarding the client report?
\n2.\tWhat type of shock is occurring?
\n3.\tWhat stage of shock is the client experiencing?
\n4.\tWhat is your next intervention and why?
\n5.\tWhat additional lab assessments would you anticipate?
\n6.\tProvide additional thoughts and insights.<\/p>\n
In the initial posting provide one additional resource other than the required reading.<\/p>\n
References
\nJones, D., DeVita, M., & Bellomo , R. (2011). Rapid-Response Teams. English Journal of Medicine, 365, 139-146. Retrieved from Client Safety Network.
\nPlease make your initial post by midweek, and respond to at least two other students\u2019 posts by the end of the week. Please check the Course Calendar for specific due dates.<\/p>\n","protected":false},"excerpt":{"rendered":"
Scenario As a nurse on a general medical floor, the RN has received a new admit. Review the client data provided. \u2022 Richard Henderson \u2022\u2026<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7545,2809,7548,7546,7544,7543,7549,7547],"tags":[7678,8989,8988,7387,633,8991,630,8987,8994,8467,15,8990,7656,7571,8993,66,8992],"class_list":["post-101939","post","type-post","status-publish","format-standard","hentry","category-best-dissertation-services-uk","category-cheap-dissertation-writing-services-uk","category-dissertation-writing-services-cost","category-dissertation-writing-services-uk-reviews","category-master-dissertation-writing-services","category-phd-thesis-writing-services-uk","category-thesis-writing-writing-help-australia","category-top-dissertation-writing-services","tag-best-custom-paper-writing-service","tag-best-online-paper-writing-service","tag-best-paper-writing-service","tag-best-research-paper-writing-services","tag-cheap-research-paper-writing-service","tag-cheapest-paper-writing-service","tag-college-paper-writing-service","tag-free-paper-writing-service","tag-free-term-paper-writing-service","tag-paper-writing-service","tag-paper-writing-service-reddit","tag-professional-paper-writing-service","tag-someone-to-write-my-paper","tag-websites-that-write-papers-for-you","tag-what-is-the-best-paper-writing-service","tag-write-my-paper","tag-write-my-paper-for-me-free"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/101939","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=101939"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/101939\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=101939"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=101939"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=101939"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}