1. What signs and symptoms are of concern in this patient's presentation? 2. What could these be telling you is happening to the patient? 3. Of the concerning symptoms, which of these is a priority? Please explain your answer. 4. What can we do to stabilize this patient? Why
A 70 year old male patient was admitted 2 days ago to the geriatric unit for complaints of a UTI. The nurse doing rounds on her patient observed drowsiness, but was able to answer questions appropriately. The patient has a history of Addison's disease, discontinuation of IVF - NS 0.9%. The client is to be discharged home for 14 doses of Augmentin. 45 minutes after the patient was given her d/c instructions, the client begins to experience/exhibit the following:
- Drowsy and confused to place and situation
- Reports blurry vision
- Respirations equal and unlabored
- Vitals: T97 (oral), P88 (regular), R14, BP 98/44, SPO2 96% room air
- Skin is cool and diaphoretic
- Areas of skin hyperpigmentation
- Joint pain listed as a 2/10
Questions:
1. What signs and symptoms are of concern in this patient's presentation?
2. What could these be telling you is happening to the patient?
3. Of the concerning symptoms, which of these is a priority? Please explain your answer.
4. What can we do to stabilize this patient? Why
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