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Exam (elaborations)Lippincott Williams & Wilkins: Complex Diagnosis & Management in Acute Care Practicum (nr 571)

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. Document your focused assessment for Skyler Hansen. - Skyler Hansen is an 18-year-old male. When I started my assessment, he was delirious and only alert to self. He was unable to tell me if he ha... d any allergies or where he was. When I started my assessment, I felt his skin and it was sweaty and cool to touch. His lungs sounded clear and vital signs were normal. He then went into a hypoglycemic crisis and when I checked his blood glucose it was 39. 2. Identify and document key nursing diagnoses for Skyler Hansen. - Imbalanced nutrition due to lack of carbohydrates 3. Document Skyler Hansen’s blood glucose levels that occurred in the scenario. - During the hypoglycemic crisis: 39 - Once the interventions happened: 169 4. Document the changes in Skyler Hansen’s vital signs and clinical manifestations of hypoglycemia throughout the scenario. - 0:10 Patient status - ECG: Sinus rhythm. Heart rate: 90. Pulse: Present. Blood pressure: 128/77 mm Hg. Respiration: 19. Conscious state: Somnolent. SpO2: 97%. Temp: 99 F (37 C) - 1:10 Patient status - ECG: Sinus rhythm. Heart rate: 91. Pulse: Present. Blood pressure: 132/78 mm Hg. Respiration: 19. Conscious state: Somnolent. SpO2: 97%. Temp: 99 F (37 C) - 2:10 Patient status - ECG: Sinus rhythm. Heart rate: 91. Pulse: Present. Blood pressure: 129/76 mm Hg. Respiration: 19. Conscious state: Somnolent. SpO2: 97%. Temp: 99 F (37 C) - 3:10 Patient status - ECG: Sinus rhythm. Heart rate: 92. Pulse: Present. Blood pressure: 126/75 mm Hg. Respiration: 19. Conscious state: Somnolent. SpO2: 97%. Temp: 99 F (37 C) - 4:10 Patient status - ECG: Sinus rhythm. Heart rate: 92. Pulse: Present. Blood pressure: 126/75 mm Hg. Respiration: 19. Conscious state: Somnolent. SpO2: 96%. Temp: 99 F (37 C) - 5:03 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 125/75 mm Hg. Respiration: 20. Conscious state: Unconscious. SpO2: 96%. Temp: 99 F (37 C) - 6:03 Patient status - ECG: Sinus tachycardia. Heart rate: 118. Pulse: Present. Blood pressure: 133/80 mm Hg. Respiration: 23. Conscious state: Unconscious. SpO2: 92%. Temp: 99 F (37 C) - 6:44 Patient status - ECG: Sinus tachycardia. Heart rate: 121. Pulse: Present. Blood pressure: 143/85 mm Hg. Respiration: 28. Conscious state: Unconscious. [Show More]

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