NRNP 6550 Week 8 i-Human Case Study ErinBradley
Course : Course
Contributed : Amelia
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Primary Diagnosis: Hyperthyroidism with thyrotoxic crisis, CAP
Status/Condition (Critical, Guarded, Stable, etc.): Critical
Code Status: Full Code
Allergies: NKDA
Admit to Unit: Intensive care unit
Activity Level: Bedrest with bathroom privileges with assistance
Diet: NPO except for meds until stable, then regular diet
IV Fluids: NS 2000cc bolus IV, then D5NS 150cc/hr while NPO
- Critical Drips (If ordered, include type and rate. Do not defer to ICU protocol.): None
Respiratory: Oxygen (If ordered, include type and rate.), pulmonary toilet needs, ventilator settings: Oxygen via NC to maintain saturation of ≥ 94%, titrate up to 6 lpm
Medications (include ALL, tx of primary condition, underlying conditions, pain, comfort needs, etc., dose and route):
- Propanolol 60 mg orally every 4 hours (Chiha et al., 2013)
- Propylthiouracil (PTU) 1000 mg orally initially, then 250mg orally every 4 hours
- Lugol’s solution 10 drops diluted in 4oz water orally every eight hours (give one hour after PTU administration)
- Hydrocortisone 300 mg IV initially, then 100mg IV every 8 hours (Radhi et al., 2020)
- Ceftriaxone 1g IV every 24 hours
- Azithromycin 500 mg IV, then 250mg IV every 24 hours
- Lorazepam 1 mg IVP every 4 hours PRN agitation
- Acetaminophen 650 mg orally every 4 hours PRN mild pain or temp > 100.4 F
- Zofran 4 mg IVP every 4 hours PRN nausea
- Maalox 30 cc orally every 4 hours PRN indigestion.... Continue
