Nt1310 Unit 5 Nursing Care Plan

Student Name: Scott Wood Clinical Dates: 2/10-2/11/2015
Initials of assigned patient: OS Unit ICU Room # 8
Patient is admitting diagnosis: STEMI

Discuss event(s) that led up to admission to critical care unit: Mr. OS was admitted to the ER in Oak Ridge Methodist hospital on February 8th for sluggishness, chest pain, nausea, and an overall feeling of weakness. Patient stated “I was tired, my chest hurt, an I could barely catch my breath.” Patients symptoms presented for 3-4 hrs prior to his admission. He had taken a nitroglycerin but it did not ease his pain that much. The patient was found to have an ST elevation MI in leads V4-6 and the inferior leads and an emergency heart cath was done on 2/8/2015.

How will this patient’s past history …show more content…
The probable cause of this alteration is:

The patients current medical condition of MI, which increased his extracellular fluid volume r/t decreased cardiac output, decreased nutritional intake, and subsequent acute kidney damage-- which decreased reuptake r/t the renal tubules, would have caused the low total protein levels in the patient’s blood. The inflammation from his kidneys and his liver would also contribute to this issue. The patient’s position when the blood sample was taken would affect total protein levels because if he were supine then he would indicate lower levels of protein than if he were in a standing position. (Leeuwen, et al, 2013)

B. Complications that may occur due to this alteration are:

The patient did have mild edema in the lower extremities and low protein is a major contributor of edema. The patient presented with other complications of low protein levels: muscle weakness and fatigue. (Leeuwen, et al, 2013)

C. Treatment for this alteration

Show More

Related Documents: Nt1310 Unit 5 Nursing Care Plan

Nt1310 Unit 5 Nursing Care Plan