Assessment Data
Tachycardia, Tachypnea, hypotension, increased or decreased temperature, hypoxemia.
What are abnormal vital signs?
VS: T=98.6, HR=124, RR, 26 BP=87/59, SATS=93%
Acute Kidney injury resulting from hypoperfusion of the kidney causes an elevation in these lab values:
BUN= 36H
Cr=1.8 H
The most common cause of this lab value is severe medical illness in which blood pressure is low and too little oxygen is reaching the body's tissues.
What is Lactic acid? =2.93H
This medication is given to achieve and maintain a MAP of >65mmHg
What is a vasopressor?
Norepinephrine- To increase bp and cardiac output.
Pain or discomfort caused when your heart muscle doesn't get enough oxygen-rich blood.
What is chest pain?
Client complained of pain in the chest, sharp in quality, radiating to the neck and abdominal region.
Besides a heart attach, this lab value could be elevated due to sepsis, renal failure and abnormally fast heart beat.
What is Troponin? = 2.15H
Cardiomegaly and interstitial edema vs infiltrates, mild central vascular congestion
What is Abnormal CXR.
most widely used antibiotic for Gram-positive sepsis
What is Vancomycin?
Presentations that include changes in cognition, mood, behavior and/or level of arousal
What is altered mental status?
Client is A/O x2
Elevation of this lab value is caused by intrinsic cardiac dysfunction or may be secondary to other causes such as pulmonary or renal diseases
What Is BNP? =1395 H
No pulmonary Thrombo emboli, Diffuse bilateral pulmonary opacities, Bilateral pleural effusion, patchy ground glass opacities at the lung bases, cardiomegaly with trace of pericardial effusion.
What is CT Angio results.
This medication is used to relieve moderate to severe pain.
What is morphine?
Normal cap refill time.
<2 seconds.
Cap refill was >3 seconds
Leukocytosis, can indicate a range of conditions, including infections, inflammation, injury and immune system disorders.
What is Elevated WBC count? =23.26 H
A type of irregular heartbeat that is characterized by a faster than normal heart rhythm.
What is Sinus Tachycardia?
This drug is in a group of medications called salicylates and is used prophylactic to prevent MI
What is Aspirin?
Hyperventilation, Crackles, Hypoxemia
What is Respiratory failure?
Crackles in upper lobes and Diminished breath sounds in the lung bases. Some Tachypnea noted RR 26. 60 L HFNC in use.
This lab value is caused by having an elevated blood sugar level over a period of three months.
What is A1C?
A1C= 10.7 H
BG= 207 H
ABG:
PH =7.41
PCO2 =24
PO2 =72
HCO3 =14.9
Fully compensated Respiratory Alkalosis
The cornerstone therapy of Septic shock is volume expansion with administration of this appropriate fluid.
What is Lactated Ringer's Solution.