10TH CASE SCENARIO(Nursing).

Age / sex : 92years Female.

Floor: Medical 500048

Admitted 03/05/2012.

CODE STATUS: DNR( Do not resuscitate).

Diagnosis: Cardiac Arrest.Fell at home.Anoxic Encephalopathy.

S/p Asystolic Arrest. Acute Respiratory Failure.

PMH: Afib. ,CAD,GERD,CHF,LPIDS,NEOPLASM of PANCREA.At home she went into cardiac arrest. EMS called ,CPR started at home until EMS team arrived. Placed on ventilator.Do not wean off.

Comfort care.Morphine drip 5ml/hour via PCA PUMP.

02 2L NC.

Medications:

Albuterol .

Solumedrol 125mg iv Q8hrs.

Extubated.

Versed 2mg iv

Keppra 1000mg iv

Lactic acid 4.9

0.9NS bolus intravenously given.

IJ( internal jugular):Triple lumen left subclavian.

PLAN: Call family when patient expires.

Vital sign:

BP 78/45

Hr: 67

Respiration: 10

Temperature: 36.4

02 Saturation 93% with 02 at 2liter NC.

Published by edochie99

A Registered Nurse with over twenty years of hospital experience, an author with Masters Degree in Nursing,also Bachelor Degree in Nursing,graduated in 1996 from USC,University of Southern California.MSN in 2009 University of Phoenix.

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