How to Answer Luis Cruz Years Questions (Complete Guide)
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Original Question
Luis Cruz, 44 years old, was transferred from the emergency room (ED) to the intensive care unit (ICU) with a diagnosis of probable bleeding in the gastrointestinal (GI) tract. The emergency room history established that he was seen as an outpatient a week ago for epigastric pain following heavy drinking during the New Year’s party. Luis indicated feeling nauseated and hangover for 48 hours and having had several episodes of severe pain since the party. He was diagnosed with gastritis and sent home with antihistamine and antacid. He was warned not to smoke. Even though he returned to his job as a commodity trader, he hasn’t been feeling well since the party. He has taken two aspirin two to three times a day for epigastric pain in addition to his prescribed medications. He returned to the emergency room due to nausea, two episodes of vomiting large amounts of a dark brown fluid, and a complaint of extreme weakness. In addition, he has experienced dizziness when sitting down or standing up abruptly. His vital signs at admission and the 6:00 PM labs were as follows: Hora HR (bpm) Respiraciones (respiraciones/min BP (mm Hg) Otros datos del paciente 7 pm 112 16 104/64 8 pm 115 18 100/60 Temperatura 37.9oC (100.2oF) 9 pm 120 20 98/60 10 pm 120 20 100/60 Hgb 12.3 g/dl Hct 36% 11 pm 120 20 96/54 Durmiendo Midnight 112 20 92/50 Temperatura 36.7oC (98oF) 120 ml orina ámbar anulada At midnight, the NGT was closed to administer drugs. When the NGT was opened at 12:30 am, a return of 300 ml of blood was obtained. Mr. Cruz became anxious and did not rest. His skin turned pale and sweaty. Nasal cannula oxygenation was started at 4 L/min. Vital signs at 12:30 MN were as follows: BP 84/50 mm Hg – lying down HR 126 bpn Breaths 28 breaths/min Answer in the discussion forum: According to the patient’s signs and symptoms, discuss in five sentences what the patient’s physiological changes are. Support your answer with scientific evidence. Determine two nursing diagnoses for this patient in PES format and using the nomenclature NANDA, NIC and NOC. Determine two goals for the patient that are related to the nursing diagnoses you mentioned using NOC nomenclature. Mention two priority nursing interventions. Explain the scientific rationale for each of the interventions you mention using the NIC nomenclature.
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