Pt is a 67 y.o female as documented in addition to chronic smoking and malnutrition, she initially substained a right intertrochanteric hip fracture which was treated with intranadullary nailing last year. This unfortunately went on to a aseptic nonunion with subsequent screw cut out. Pt than underwent conversion to hemiarthroplasty complicated by distal femur fracture which was treated by ORIF of the distal femur. Pt was discharged to a rehab facility on chronic ceftriaxone with the plan for life long chronic suppression. Altered mental status and hypertension and leukocytesis. UA was suspicious to possible UTI. CT shows no obvious evidence but chronic perioslitis of her proximal femur. Risks for fall, left risk restriction, thrombocytosis, asymptomatic puria, lactic acidosis, chronic back pain, CVA with dysphasia presenting for septic shock, COPD, anxiety, depression, anemia, opioid use, smoking, Encephalopathy. Base the patient nursing report, medications, and labs please do the questions below. 1. What is causing the abnormal lab values in YOUR PATIENT? 2. Are the abnormal lab values at the patient’s baseline, or worse? 3. What labs that were drawn specifically correlate to your patient’s medical diagnoses? 4. Trend labs, note which ones are getting better and why and which ones are getting worse and why. 5. What nursing interventions do you expect to complete to correct the abnormal lab value(s) in THIS patient?

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Pt is a 67 y.o female as documented in addition to chronic smoking and malnutrition, she initially substained a right intertrochanteric hip fracture which was treated with intranadullary nailing last year. This unfortunately went on to a aseptic nonunion with subsequent screw cut out. Pt than underwent conversion to hemiarthroplasty complicated by distal femur fracture which was treated by ORIF of the distal femur. Pt was discharged to a rehab facility on chronic ceftriaxone with the plan for life long chronic suppression. Altered mental status and hypertension and leukocytesis. UA was suspicious to possible UTI. CT shows no obvious evidence but chronic perioslitis of her proximal femur. Risks for fall, left risk restriction, thrombocytosis, asymptomatic puria, lactic acidosis, chronic back pain, CVA with dysphasia presenting for septic shock, COPD, anxiety, depression, anemia, opioid use, smoking, Encephalopathy. Base the patient nursing report, medications, and labs please do the questions below. 1. What is causing the abnormal lab values in YOUR PATIENT? 2. Are the abnormal lab values at the patient’s baseline, or worse? 3. What labs that were drawn specifically correlate to your patient’s medical diagnoses? 4. Trend labs, note which ones are getting better and why and which ones are getting worse and why. 5. What nursing interventions do you expect to complete to correct the abnormal lab value(s) in THIS patient?