How to Answer Patient Came Clinic Questions (Complete Guide)
Understanding this question requires applying core subject principles.
What This Question Is About
This question relates to patient came clinic and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves patient came clinic. A strong answer should include explanation, application, and examples.
Original Question
The patient came to the clinic and is asking for help. You are going to perform assessment and you will order some blood work.(The assessment you will perform will reveal some symptoms, the blood work if you select the right lab test will help you to determine the correct diagnosis). The assessment you will do. (Head to toe) Patient is complaining of headache, dizziness, and you notice some confusion, the patient is not able to recall the correct date. A+Ox2 The patient tongue is dry and the mouth is dry as well with unpleasant odor. You can see some white patchy areas in the back of the throat. The patient’s blood pressure is low (100/55mmHg)m the heart rate is elevated 101 per minute. Respiratory system seems to be within normal limits at this point, but patient is complaining of occasional cough, which could be related his upper respiratory infection. The patient is stating that he feels very much like not eating, complaining of nausea, the patient vomited once at home prior coming to the clinic. The patient is urination without any difficulties, but today he has been not voiding normally. Upon skin assessment you notice dry skin and poor skin turgor. What labs will you order? What other assessment needs to be put in place? What other tests should be done?(Only five lab test results are available, upon request the lab/teacher will share them). The story begins……… There is ( how old) (gender) who came to the clinic presenting with…….. His past medical history ( based on the S+S) is most likely…….. , and that is why this happened ….. OUR conclusion is he is SUFFERING FROM ……………………………………………………………………………….. What is the plan for his treatment? (List meds,IVF,therapy) to fix the problem. Is there a prevention plan for your patient so it doesn’t happens again? What would be the most appropriate nursing diagnosis for your patient? Sodium deficit Primary dues to an imbalance of water rather than sodium . Low urine sodium – kidneys retain sodium to compensate ( sweating, vomiting diarrhea) Aldosterone deficiency Adrenal insufficiency SIADH antidiuretic hormone Medications anticonvulsants, antidepressants, DDAVP EXCESIVE ADH WATER RETENTION AND DILUTIONAL HYPONATREMIAAND INNAPPROPRIATE EXCRETION OF NATRIUM VIA URINE WHEN LESS THAN 115 MMOL/L INTRACRANIAL PRESSURE, CONFUSION, PAPILARY EDEMA, BRAIN SWELLING DEATH SODIUM ADMINISTRATION LR OR NS INCREASE BY 12MEQ/L PER 24 HRS AVOID NEURO DAMAGE DEMYELINIZATION 35 NS FLUID RESTRICTION BRAIN INJURY 3%NS AVP RECEPTOR ANTAGONIST STIMULATES FREE WATER EXCREATION NURSING I/O WEIGHT TEACHING FOOD RICH IN SALT
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