what are the primary health problems for Patrick Lake ? Background…

Question Answered step-by-step what are the primary health problems for Patrick Lake ? Background… what are the primary health problems for Patrick Lake ? Background info:Patrick Lake experienced is a 64-year-old man experiencing heart racing and shortness of breath. The patient has a history of hypercholesterolemia for 15 years, hypertension for 10 years, intermittent atrial fibrillation, glaucoma for 2 years, and osteoarthritis for 10 years. His wife called his primary care physician, who instructed her to call 911 and take him to the emergency department. When he arrived at the hospital he was placed on a cardiac monitor and his heart rate was 130. His other vital signs were: respirations 30, blood pressure 100/60, and O2 SAT 94%. He had +2 pitting edema in the leg without the amputation, and he reported that the prosthesis he uses for his above-the-knee amputation from a war injury in his 20s was snug and rubbing.  At admission: Mr. Patrick Lake was admitted to the cardiac care unit today for rule out new onset heart failure. His wife is at his side. He is alert and oriented x 3. Patrick is having shortness of breath and feels like his heart is racing. He is on a cardiac monitor where his heart rate was 130. His other vital signs are: RR: 30, BP: 100/60, SaO2: 94%; he has +2 pitting edema in the leg without the amputation, and he reports that his prosthesis is snug and feels like it is rubbing. He is in atrial fibrillation rate of 120-130; he is on a heparin drip of 1000 units/hr; he received a 5 mg bolus of diltiazem followed by a diltiazem drip of 5 mg/hr. He reports no pain at this time. Patient received furosemide 40 mg IV in the emergency department. Voided 1000 ml of clear yellow urine. IV site is intact with no redness, tenderness, or swelling. Patient was oriented to the room and surroundings; pt. teaching was completed on his medications and safety precautions. No areas of skin breakdown noted. Pain is 0 on a scale of 0-10. Fall risk assessment done – score of 5.                                                                            Next day: Patrick is alert and oriented x 3. His vital signs are stable. Monitor shows mostly sinus rhythm with occasional runs of atrial fibrillation; lungs are clear; heart rate regular; trace edema in foot without the amputation and with some general swelling of stump. All peripheral pulses are palpable and +3. Patient’s weight this morning was 178 lbs. Client is still complaining his prosthetic leg was a little snug and he thought the stump was a little sore; however, there was no skin breakdown. IV site is intact with no redness, tenderness, or swelling. No complaints of pain at this time. No areas of skin breakdown noted.                                                                                  Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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