i-human Management Plan | Betty Burn

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i-human Management Plan Patient: Betty Burns, 53 y.o., 5’6”, Primary Diagnosis: Metastatic Cancer (from breast) Familial and past medical history points to a strong likelihood of the pt’s bre... ast cancer metastasising to the bone. Further pointing to this are the pt’s complaints of fatigue, unintended weight loss, and night. Bone is the most common site of breast cancer metastasis reported in up to 70–80% of patients with metastatic disease. It is associated with significant morbidity, including bone pain, hypercalcemia, pathologic fractures and spinal cord compression—an oncologic emergency causing pain and potentially irreversible neurologic loss (Anderson et al., 2017). The cord compression is confirmed by spinal x-ray. Secondary Diagnosis: Radiculopathy Status/Condition: Critical Code Status: FULL Allergies: NKDA Admit to Unit: Telemetry Unit Activity Level: Diet: Balanced Critical Drips: Respiratory: 100% O2 Medications: HCTZ, Fluticasone/Salmeterol, Prednisone PRN severe asthma attack, Albuterol inhaler Nursing Orders: - Initiate Short-Acting Opioids in Opioid-naive patients - IV Bolus 2mg IV morphine sulfate - reassess effect at 15min - On assessment, if the pain score remains unchanged or is increased, administration of 50% to 100% of the previous rescue dose of opioid is recommended. - If the pain score decreases to 4 to 6, the same dose of opioid should be repeated and reassessment performed every 15 minutes. [Show More]

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