QUESTIONS AND ANSWERS. A 70YEARS OLD MAN ADMITTED WITH DELIRIUM AND AGITATION.

A 70years old man is admitted with delirium and agitation. Confused and very agitated.

Secondary diagnosis Hypertension, history of falls ,Dementia.Brought in by ambulance to emergency room and admitted to Medical Surgical floor feels threatened at home by nobody.Standard Precautions. Patient does not have advance Directive so copy of advance Directive is on the chart. Room air with 02 saturation of 97%Blood Pressure 164/80,Heart rate 88,Respiration 18.Allergy: NKDA.Resuscitation Status patient is full code.

Cardiac heart health diet. Hydralizine 25mg PO for blood pressure, Ativan 1mg IV Q4HOURS prn agitation. 0.9NS @ 50ml/hour IV right forearm 20guage clean, patent and intact. Laboratory results are as follows: WBC 8.5.Hgb 13.0,Hct 39.0.K 3.8.Na 144.Discharge plans: Long term placement assistant.Voiding well with assistant to the restroom. Tolerated diet well.

Questions

1.What is Delirium?.

2. What is the difference between Delirium and Dementia?.

3.Why is Ativan 1mg iv given to patient intravenously?.

4.What are the side effects of ativan?.

5.What is hydralizine used for?.

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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