CASE SCENARIO. FEVER, ELEVATED LFT,PANCREATITIS.

A 65years old female. S/P fever, elevated lft,pancreatitis.Complain of abdominal pain fluid like symptoms. Secondly Diagnosis DM,HTN,HIGH CHOLESTEROL. Weight 160lbs, Height 5feet 6inches. NO Risk for fall.No suicidal risk.Isolation status: Contact Isolation.Full code. Allergy NKDA.NPO × medications. Medications: 0.9NS at 125ml/hour infusing via pump to right forearm 18guage ,clean/patent/intact. Dilaudid 0.5mg IV Q3hours prn severe pain. Morphine sulfate 2mg IV Q4hours prn severe pain. Norco 10/325mg 1tablet po Q6hours prn moderate pain.Tylenol 650mg po Q4hours prn temperature. Zosyn 3.378gm IV Q8hours.Zofran 4mg IVP Q4hours prn nausea and vomiting. Laboratory tests:Cbc with differential, Lft,Chem 7 at 05am today.Ambulates to the bathroom and the hallway.Uses the urinal at bedside at night.Blood pressure 123/75,Pulse 78,Respiration 18,02 saturation of 97%,temperature 100.4°F.Patient called frequently for pain.Dilaudid given x2,Morphine sulfate given x2,Zofran 4mg IVP x2,Tylenol 650mg po x2 during twelve hours shift.

QUESTIONS.

1.Why is patient on contact isolation?.

2.Why is patient calling frequently for pain?.

3.The patient remains NPO.Why is that?.

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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