Assignment Part John Assignment Help: How to Answer This Question

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Break the problem into smaller parts and analyze each logically.

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Original Question

EHR assignment part 2: John Miller, was hospitalized a month ago for a left subdural hematoma. He underwent a neurosurgical procedure to drain the blood and recovered well with no complications and no residual neurological deficits. He has come back to the hospital emergency department complaining of episodes of headaches and dizziness. EHR go part 1 information: A 57 year old male (John Miller) presents to the ED via ambulance after sustaining a fall and head injury down a flight of 12 stairs. He presents to triage with a laceration to his forehead and guarding his left shoulder with a possible fracture. At triage is it noted that nurse he is confused to place and time. He was only opening his eyes when the nurse asked him to. He had power to all limbs. His pupils were equal, round and reactive. His blood pressure was slightly elevated, otherwise vital signs were within normal limits. The Emergency physician ordered a CT scan of the head for John. The scan results demonstrated a left subdural hematoma and requires admission to hospital. He has been transferred to the 6A – Neurology Unit and you have been assigned to his care. You arrive to his room and assist the porters in transferring him from the stretcher to bed. through analysing the case study answer these questions below Scheduled Meds Hydrochlorothiazide 12.5 MG Oral Tablet – Dose: 12.5MG DAILY (0800) Active 02/19/2022 08:18 Scheduled Meds Nicorette 2 MG Chewing Gum – Dose: 2mg AS DIRECTED PRN Active Laboratory Serum cholesterol and triglyceride levels ONCE Active Dietetics Low Sodium Diet Three times a day Active Laboratory Serum Creatinine ONCE Active Diagnostics ECG ONCE Active Scheduled Meds APO-RAMIPRIL (Ramipril) 2.5mg Tablet – Dose: 2.5MG DAILY (0800) Active Laboratory urinalysis ONCE Active Scheduled Meds Acetaminophen 325 MG Oral Tablet [Tylenol] – Dose: 650mg Every 4 hours Active Scheduled Meds Phenytoin 100 mg (Dilantin) – Dose: 300mg DAILY (1000) Discontinued 1. Identify the risk factors that have contributed to John’s new diagnosis. (1 mark per risk factor = 3 marks total) 2. Review John’s vital signs. Is treatment required for his blood pressure? Explain why or why not. (1 mark) 3. Review the physician orders, on the Order tab. Select any 6 orders. What is the rationale for each order? Remember when you are asked to provide rationale for an order you are being asked to answer why is this ordered? (12 marks total – 1 mark for each order identified, 1 mark for each rationale provided). 4. Has John been prescribed any antihypertensive medications? If so, which one(s) and why has this medication been prescribed for John? (4 marks)

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