NURSING Care Plan Week 8
NURSING Care Plan Week 8
KARI (on telephone): That is Kari the nurse from the Emergency Division. I’m calling to provide you a switch report on Ms. Janet Lieberman. Janet is a 36-year-old girl who got here as a result of she felt weak and dizzy. She has a historical past of Crohn’s illness with intermittent gastritis and 6 months in the past she had surgical procedure and an ileostomy. Traces of serosanguineous effluent have been current in her ostomy bag upon arrival. Her Blood sort is A-. She is typed and cross-matched for 2 models of packed RBCs, so please administer as quickly as they’re obtainable. She began on Infliximab IV six months in the past and the final dose was given seven weeks in the past. Her very important indicators have been temperature 98.8, pulse 114, respiration 22, blood stress 100/60, and oxygen saturation 95%. Her hemoglobin is seven milligrams per deciliter and her hematocrit is 21%. She has an IV of zero.9% sodium chloride 1000- milliliters infusing at 150-milliliters per hour, and has 700-milliliters remaining within the bag. We began an IV whereas she was in ED. Her pores and skin has been pale, heat, and dry to the contact. She voided 500-milliliters at 1500 within the ED. A hemoccult of her stool was despatched to the lab. Esther: Had been the coagulation exams inside regular vary? KARI: Sure, her professional time is 12.2, her PT is 21 seconds, and her INR is zero.7. Esther: Okay, thanks for the report. KARI: You’re welcome. I’ll convey her as much as your unit in a couple of minutes. Esther: Thanks. KARI: Hello Esther, that is Janet Lieberman. Esther: Hello Ms. Lieberman, my identify’s Esther. I’ll be caring for you this night. KARI: I gave you a switch report a pair minutes in the past. Ms. Lieberman wants the 2 models of packed RBCs as quickly as attainable. Esther: Okay. Ms. Lieberman, I have to take a fast have a look at your ostomy bag. MS. LIEBERMAN: Certain, okay. Esther: Thanks. Do you’ve got any household right here? MS. LIEBERMAN: No, I got here alone to the emergency room in the present day, however I’ve a sister who’s on her method to the hospital. KARI: Do you’ve got any questions earlier than I depart? Esther: No, thanks for the report. I can take it from right here. KARI: I’m going again to the Emergency Division now. Esther’s going to be caring for you. I hope you’re feeling higher quickly. MS. LIEBERMAN: Thanks a lot for taking such excellent care of me. Esther: Ms. Lieberman, I have to ask you some questions. MS. LIEBERMAN: Okay, what else do that you must know? Esther: I have to Assessment your belly standing. Are you having belly ache? MS. LIEBERMAN: Oh sure, it’s very sore and crampy. Esther: On a scale of zero to 10, with zero being no ache, and 10 being insufferable, how do you fee your ache now? MS. LIEBERMAN: I might say a 6. Esther: When did the ache start? MS. LIEBERMAN: Uh, after I received up this morning. Esther: Can I ask you the place the ache is? MS. LIEBERMAN: Sure, it’s right here within the high of my abdomen. Esther: Okay, Have you ever observed something that brings on the ache or makes it worse? MS. LIEBERMAN: I’m fairly positive stress makes it worse. Esther: Okay. MS. LIEBERMAN: After I get burdened I don’t eat wholesome meals after which I get complications and take Ibuprofen. Esther: Okay, once you’re feeling slightly bit higher I’d prefer to Assessment some methods to handle your stress. For now, I have to take a take heed to your bowel sounds. MS. LIEBERMAN: Certain, Okay
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WEEK 8 NURSING CARE PLAN
WEEK 8 NURSING CARE PLAN
KARI (over the telephone): That is Kari, the Emergency Division nurse. I am calling to provide you an replace on Ms. Janet Lieberman’s switch. Janet, a 36-year-old girl, arrived as a result of she was feeling dizzy and weak. She has Crohn’s illness with intermittent gastritis and had surgical procedure and an ileostomy six months in the past. When she arrived, there have been traces of serosanguineous effluent in her ostomy bag. Her Blood sort is A-. She has been typed and cross-matched for 2 models of packed RBCs, so please administer them as quickly as they develop into obtainable. She began on Infliximab IV six months in the past and the final dose was given seven weeks in the past. Her very important indicators have been
