*NURSING > iHuman Case Studies > Walden UniversityNURS 6550I HUMAN TEMPLATE (All)

Walden UniversityNURS 6550I HUMAN TEMPLATE

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Fw: NURS-6550N-1, Adv Pray Care in Acute Set I.2019 Spring Qtr 02/25-05/19-PT27: iHuman Management Plan 1.Primary Diagnosis: Primary Diagnosis: Community-acquired Pneumonia secondary to influenza ( ... 2) Secondary to Hypoxia (3) secondary to: Tachycardia 2.. Status/Condition: (Critical, Guarded, Stable, etc.) Admit to medical surgical telemetry floor, condition is Stable Dr notified upon arrival to floor with patients room number,. O2 @ 2L via NC continuous for shortness of breath, with Continuous telemonitor for cardiac and Pulse Oximetry, Vital Signs per floor policy every 4 hours. 3. Code Status: Full code 4. Allergies: No known drug and food allergies 5. Admit to Unit: Medical surgical/cardiac floor 6. Activity Level: Activity: as tolerated 7. Diet: Regular 8. IVF (if ordered, include type and rate): Normal saline @75ml/hr Critical Drips (If ordered, include type and rate. Do not defer to ICU Protocol):None 9.Respiratory: 0xygen (if ordered, include type and rate), pulmonary toilet needs, ventilator settings: Oxygen 2 liters via N/C for shortness of breath 10.Medications: (include ALL; tx of primary condition, underlying conditions, pain, comfort needs etc. dose and route) Ceftriaxone 1 g IV once daily for 10 days [Show More]

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