[Solved]: Case Study #2 A 72-year-old male was found…

Case Study #2 A 72-year-old male was found collapsed at home on the floor of his bedroom, incontinent of urine and feces. He complains of significant pain in his right hip with shortening and rotation. His family last had contact with him 3 days prior to his collapse. His medical history consists of hypertension, type 2 DM, osteoarthritis, atrial fibrillation and heart failure. Current medications include enalapril, spironolactone, and Celebrex. The assessment in the emergency department included confusion and combativeness with a Glascow Coma Scale of 13, blood pressure of 78/60, pulse 74 and irregular, RR 32, SPO2 91% via a simple mask at 6 L/min. Lab results including ABGs: pH 7.28, HCO3 18, CO2 48; potassium 7.8 mEq/L, sodium 152 mEq/L, blood glucose level of 52 mmol. First Action to take (choose an item): 1. Administer antiemetics as prescribed, 2. Insert a nasogastric tube connected to suction, 3. Administer kayexelate as prescribed. 4. Encourage breathing into a paper bag, 5. Monitor cardiac rhythm via telemetry, 6. Administer insulin infusion as prescribed, 7. Administer Lasix (furosemide) as prescribed., 8. Administer intravenous colloid solution as prescribed.. Second Action to take (choose an item): 1. Administer antiemetics as prescribed, 2. Insert a nasogastric tube connected to suction, 3. Administer kayexelate as prescribed. 4. Encourage breathing into a paper bag, 5. Monitor cardiac rhythm via telemetry, 6. Administer insulin infusion as prescribed, 7. Administer Lasix (furosemide) as prescribed., 8. Administer intravenous colloid solution as prescribed. Condition most Likely Experiencing (Choose an item): 1. Hyperkalemia, 2. Hypernatremia, 3. Fluid overload, 4. Hyperglycemia. Parameters to Monitor (choose an item): 1. intake, output, daily weights, 2. electrolyte panel, 3. hemoglobin and hematocrit, 4. white blood cell counts, 5. orthostatic blood pressures, 6. pain levels with respositioning, 7. cardiac monitor for dysrhythmias. Parameters to Monitor (choose an item): 1. intake, output, daily weights, 2. electrolyte panel, 3. hemoglobin and hematocrit, 4. white blood cell counts, 5. orthostatic blood pressures, 6. pain levels with respositioning, 7. cardiac monitor for dysrhythmias.