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NR 304 GI BLEED ISBAR CASE STUDY $9.89   Add to cart

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NR 304 GI BLEED ISBAR CASE STUDY

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NR 304 GI BLEED ISBAR CASE STUDY

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  • December 13, 2022
  • 1
  • 2022/2023
  • Case
  • Isbar
  • A
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I Your Name: Gabrielle Parker Your Title: Student Nurse Reason for Being There:
INTRODUCE
YOURSELF
Patient: Lieberman, Janet A.
Hi
Age: 36 years old
Tra
Gender: Female pre
Height/Weight: 167.6 cm (66 inches)/ 59 kg (130 lb)
S Allergies: Sulfa
SITUATION Code status:
Privacy Code:
Time:
Attending Physician: McGuire, Mark
Patient Chief Complaint: Weakness, Dizziness
Chief Informant: Family History: Patient came to ED alone and states her sister is on her way to the hospital


Current Medications: Social History:
Past Medical History:

B Crohn's disease, intermittent gastritis,
had an ileostomy six months ago
Infliximab IV every 8 weeks Current job is a stock
Patient states she dr
BACKGROUND


VITAL SIGNS:
B/P HR RR TEMP

A 94/56 110 26 37.0 Celcius
(98.6 Farenheit)
9
ASSESSMENT
100/60 114 22 37.1 Celcius 9
FALLS RISK IV Fluids:
IV Site: Left Forearm Accu check:
Y N 0.9% Sodium Chloride 1000mL

ISOLATION Isolation Precautions: Y NX Contact

HEENT




RESPIRATORY




CARDIOVASCULAR



Patient stated she felt light-headed and dizzy
NEUROLOGICAL
Patient states she feels like she is going to faint

Patient voided 500 mL at 1500 in ED
GI/GU
I&O Patient stated abdominal area feels sore and crampy


MUSCULOSKELETAL




INTEGUMENTARY Pale, warm, dry to touch


Blood type is A-. Patient was cross-matched for two units of packed

LYMPHATIC

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