NRNP 6560 IHUMAN WEEK 7 ADVANCED CARE OF ADULTS IN ACUTE SETTINGS II KEN FOWLER WALDEN UNIVERSITY.
Week #7: Week #7 - Conditions of the Renal and
... [Show More] Genitourinary Systems
NRNP 6550: Advanced Care of Adults in Acute Settings II i-Human: Ken Fowler V5
NOTES FROM i-HUMAN ASSESSMENT:
1) Observations: warm and sweaty
2) Chief complaint: Nausea and fatigue
QUESTIONS: (ask the patient up to 100 questions)
• How can I help you today? "I went to see my doctor this morning because I have been feeling bad for the past few days. I'm tired, with nausea & vomiting. Well, he examined me and ordered some labs, and then told me that "kidneys are failing," something about a big change in my creatinine and that I needed to come to the emergency department. He told me to bring the test results here with me. [Test results today: creatinine 3.2 mg/dL; 1 month ago Test results 1.1 mg/dL; urine protein = 400 mg microalbuminuria] Do you understand what all that means? I sure don't!"
• How much water/Floyd do you drink a day? It is hard to keep anything down, I have not been able to drink even water.
• Do you drink alcohol? If so, what do you drink and how many drinks per day? I drink a glass of wine with dinner frequently once or twice per week, but I have not done that for over a week now.
• Do you now or have you ever smoked or chewed tobacco? I've never smoked
• do you use any recreational drugs? If So what? Uh… no
• Do you drink caffeine beverages or eat chocolate? Usually two cups of coffee in the morning.
• Do you have any allergies? No
• Are you taking any over the counter or herbal medication? I am not taking anything now, but when I strained my back I started taking naproxen. I guess that was about 7 to 10 days ago. It took a couple of pills twice a day. It really helped my pain. Do you think they screwed my stomach and that is why I have so much nausea?
• When that you last take your medication? This morning.
• Do you have any problems with itchy scalp, skin changes, moles, thinning of the hair, or brittle nails? Uh… no [Show Less]