Nursing Concept Map

JJ is 83-year-old female, admitted for acute mental status and UTI. Patient is alert to place, time and person. Allergies: NKDA, weight 150 lb, BP: 116/42, Temp: 98, Pulse: 60, RR:18, Spo2: 96 with 2.0L/m. Active problems: acute renal failure, anemia, anemia due to blood loss, deep vein thrombosis, at risk for obstructive sleep apnea, lupus anticoagulant disorder, potential for injury, risk for fall, VRE. Past medical history: diabetic mellitus, depression, glaucoma, Parkinson disease, chronic kidney disease, pneumonia, gerd, left ear deaf, Past surgery: pacemaker in 2003, hysterectomy, appendectomy, laminectomy, laser sugery bilateral eyes. Lab: glucose:254, sodium: 140, potassium: 5.8, Hct: 33, Hgb: 10, INR: 1.1 Medications: Amlodipine 10mg 1 tab/daily, ascorbic acid 500 mg tab/daily, cyanocobalamin 1000 mcg 2 tab/daily, docusate 100mg 1 cap 2 time a day, dorzolamide ophthalmic 1 drop in both eye 3 time/daily, famotidine 20 mg 1tab/day, hydralazine 50 mg 1tab 3 time/day, metoprolol 25mg 1 tab/day, prednisone 60mg 3time/day, pyridoxine 100mg 2 tab/day, ferrous sulfate 325 mg 1 tab/day, folic 1mg 1tab/day, heparin 2,456unit= 0.49mL IV push as directed, sodium chloride 3mL IV push as directed. Nursing Concept map: I want 4 problems, 4 interventions on each problem, 3 sources. The 4 problems must be related to each other.

 

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