iHuman Patient Alfred Manning
Prework
A 25 year-old male paraplegic who arrives at the emergency department via private car. Over the past two days, he has experienced an increase in nasal congestion, headache, and dia
...
iHuman Patient Alfred Manning
Prework
A 25 year-old male paraplegic who arrives at the emergency department via private car. Over the past two days, he has experienced an increase in nasal congestion, headache, and diaphoresis.
1. What are your primary concerns for this patient and what assessments and interventions would be associated with your concerns? Why?
2. What do you anticipate the patient’s home medications prior to admission might be? Why?
3. What medications do you anticipate the healthcare provider would prescribe while the patient is in the hospital? Why?
4. What medications do you anticipate the healthcare provider prescribing for the patient’s discharge? Why?
1. What are your primary concerns for this patient and what assessments and interventions would be associated with your concerns? Why?
My primary concern will be associated with the headache. Maybe he has an increase in intracerebral blood pressure. So I will first assess his mental status, senses, and balance. Sometimes we can tell high intracranial pressure by looking at the eyes with an ophthalmoscope. (spinal tap (lumbar puncture) can also be done.
The patient can also be assessed for ingrown toenail, constipation, hemorrhoids, UTI, sexual stimulation and kidney stones (Lewis et al., 2017).
Interventions:
• Blood pressure needs to be monitored frequently because of paroxysmal hypertension (unstable high blood pressure)
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