Here is some info that will help in the assignment. It’s all about the patient, use it all it will help you to fill out the boxes and the rest of the boxes just make up.
-The main diagnosis is a problem with the right knee, and she underwent an operation for that and is in the hospital
-The patient is 77 years old and she is a female
-In her room, it says that she has a fall risk
-Last Wt: 68 kg (149 lb 14.6 oz)
-She is currently in isolation
-High Risk for Impaired Skin Integrity
Patient/Family Goals (What is most important to you today and by discharge?): To recover from surgery & go back home.
Steps to Achieve Goals
Plan for the Day: Wean 02, IV fluids, ambulate, therapy eval., bladder management, control pain.
Here is the medication she uses:
– Acetaminophen (Tylenol) tab 650 mg L
– Aspirin chew tab 81 mg
– Calcium Carbonate Antacid (Tums) chew tab 500-1,000 mgt
– Celecoxib (CeleBREX) cap 200 mg
– Melatonin tab 1 mg
– Morphine Sulfate (PF) injection 2 mg
– Naloxone HCI (Narcan) 0.4 MG/ML soln cartridge 0.1 mg
Here is the lab result:
Red Cell Count
4.38
4.00 – 5.20 m/uL
SAH ML
Hemoglobin
12.8
12.0 – 16.0 g/dL
SAH ML
Hematocrit
41.0
36.0 – 48.0 %
SAH ML
MCV
93.6
80:0 – 100,0 fL
SAH ML
MCH
29.2
20.0 – 34.0 pg
MCHC
31.2
SAH ML
31.0 – 37.0 g/dL
SAH ML
RDW CV
16.0 A
11.5 – 14.5 %
SAH ML
Platelet Count
278.0
150.0 – 400.0 k/uL
SAH ML
Absolute Neutrophils
2.65
1.70 – 7.50 k/uL
SAH ML
Comment: New assay method/instrumentation and reference range in use as of July 25, 2023 at 08:00 am.
Absolute Lymphocytes
2.13
L 1.00 – 3.50 k/uL
SAH ML
Comment: New assay method/instrumentation and reference range in use as of July 25, 2023 at 08:00 am.
Absolute Monocytes
0.61
0.20 – 0.90 k/uL
SAH ML
Comment: New assay method/instrumentation and reference range in use as of July 25, 2023 at 08:00 am.
Absolute Eosinophils
0.07
0.00 – 0.50 k/uL
SAH ML
Absolute Basophils
0.01
0.00 – 0.20 k/uL
SAH ML
Absolute Immature Granulocytes
0.02
0.00 – 0.05 k/uL
SAH MLAnd the other file is that assignment just a basically
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