439 CASE SCENARIO, MR LONGBOY,JOURNEY. ALTERED MENTAL STATUS.

Age/Sex : 79years old man.

Status :Impatient Admission.

Attending Doctor: Don’thate,Big.

Medical record number: Q555500512.

Account number:Q000000071

Department: MedTelemetry.

No family members at his bedside.

Son: Lam Longboy. 999-999-0000

Confused, AMS.

Limitation of treatment.

Aspiration Pneumonia, Encephalopathy, Leukocytosis,AKI,Hypernatremia.

Hypoxic,Respiratory failure.

No distress,quiet, denied pain 0/10.

Round the Clock Respiratory therapists treatment.

Lasix 20mg ivp Q8hours.

Zosyn 3.375gm IV Q8hrs.

Saline lock left forearm.

Morphine sulfate 2mg IV Q2hours .

Assessment of pain 0/10.

Reassessment of pain level 0/10.

Laboratory Studies.

WBC =13.0.

H/H 9.3/31% .

Bun 22,Cr=2.0.

NA =144.

K=3.7.