A 85-year-old Asian female presented to the emergency department accompanied

Question A 85-year-old Asian female presented to the emergency department accompaniedby her husband with a chief complaint of altered mental status. Upon assessment, the patient was lethargic, and alert and oriented to person only. The patient’s heart rate was 136, blood pressure 104/50, oral temperature 99 degrees Fahrenheit, oxygen saturation 97% on 4 liters nasal cannula, and respirations 26 per minute. The patient’s blood glucose was obtained with a result 454. Further orders, such as labs and imaging were made by the provider to rule out potential diagnoses. A rectal temperature was obtained revealing a fever of 103.7 degrees Fahrenheit. The patient remained restless on the stretcher. After one hour in the emergency department, her heart rate spiked to 203 beats per minute, respirations became more rapid and shallow, and she became more lethargic. The patient’s altered mental status, increasing heart rate and respirations caused the providers to act rapidly. Medical History The patient’s husband reports that she is diabetic he denies any other medical conditions. In addition, the patient’s husband states that she has not been exposed to any sick individuals in the past few weeks. The husband reports a family history of diabetes, otherwise no significant familial history. No history of smoking, drinking, or illicit drug use was to be noted. Describe Sepsis etiology and pathophysiology Physical nursing assessment findings (list 6): What laboratories and diagnostic testing will be indicated for this patient if any (List 5): What treatment if any will be prescribed for this patient by the provider: What other consultants will be asked to see this patient: What nursing interventions with rationale (List 6) Patient/family teaching (List 6): List 3 nursing diagnoses with rationale pertaining to this case (List 3) Health Science Science Nursing NUR 068 Share QuestionEmailCopy link Comments (0)

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