*NURSING > CASE SOLUTIONS > Case Study, Oral and Parenteral Medication Administration, Skills & Reasoning, Jerry Williams, 62 ye (All)

Case Study, Oral and Parenteral Medication Administration, Skills & Reasoning, Jerry Williams, 62 years old. Latest Grade A Correct Study Guide, Complete Solutions

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Jerry Williams is a 62-year old obese (BMI 35.2) Caucasian male with a history of diastolic heart failure and type II diabetes. Last evening, he began having difficulty breathing with activity. He t... hought he might be getting a cold because he had a runny nose. He reports more swelling in his lower legs the past couple days. He woke up this morning with increased difficulty breathing when he woke up and his wife called 911. Paramedics report that his initial VS: HR:92 RR: 28 BP: 172/88 O2 sat: 80% on room air with scattered expiratory wheezing bilat. He was placed on oxygen by facemask and albuterol nebulizer administered with some improvement in his breathing. His RR is now 24 upon arrival to the emergency department ED). His initial labs have resulted; creatinine of 2.5 (last adm. 1.8), K+ 3.5 (last adm. 3.7) and BNP 944 (last adm. 322). Jerry is given furosemide 40 mg IV in the ED and had 800 mL urine output in the last hour. He is admitted to cardiac telemetry, and you are the nurse responsible for his care. What data from the present problem do you NOTICE as RELEVANT and why is it clinically significant? (Reduction of Risk Potential/Health Promotion and Maintenance) RELEVANT Data: Clinical Significance: 1. obese, type II diabetes, Diastolic heart failure 2. shortness of breath with activity/ increased difficulty breathing when he woke up 3. more swelling in his lower legs 4. High RR and BP and low O2 sat 5. high creatine and BNP labs 1. shows that patient was not in the best health before these problems began 2. shows that there is something going on with his gas exchange 3. could be a problem with purfusion, possible DVT 4. proves that hes is having difficulty breathing and his heart is trying to pick up the slack 5. increase risk for kidney and heart failure [Show More]

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