NRNP 6550 Week 4 i-Human Case Study Ariela Hernandez
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Primary Diagnosis: Pulmonary Embolism secondary to deep vein thrombosis
Status/Condition (Critical, Guarded, Stable, etc.): Guarded
Code Status: Full Code
Allergies: NKDA
Admit to Unit: ICU
Activity Level: Bed rest
Diet: Consistent Carbohydrate 1800 calorie
IV Fluids: NS 500cc bolus, followed by NS @ 100cc/hr IV
- Critical Drips (If ordered, include type and rate. Do not defer to ICU protocol.):
1. Heparin drip PE/DVT protocol- initiate at 80 units/kg bolus, followed by an infusion of 18 units/kg/hr (Prucnal et al., 2019)
Respiratory: Oxygen (If ordered, include type and rate.), pulmonary toilet needs, ventilator settings: Oxygen via nasal cannula, titrate to achieve O2 saturation ≥ 92%, notify provider if greater than 6 lpm required
Medications (include ALL, tx of primary condition, underlying conditions, pain, comfort needs, etc., dose and route):…….. Continue