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please help with head to toe assessment for heat stroke patient under these headings and possible...

please help with head to toe assessment for heat stroke patient under these headings and possible nursing

diagnosis .

Joe Barker, a 65-year-old patient, presents from doing work roofing on a 100°F day with 100% humidity to the emergency department with the diagnosis of heat stroke. The patient has the following vital signs: temperature, 104°F, blood pressure, 84/42 mm HG; heart rate, 110 bpm; respiratory rate, 20 breaths/min. The patient is hot, anhidrosis, confused to place and time, and drowsy

  • General Status
  • Vital signs
  • Head, Ears, Eyes, Nose, Throat
  • Neck
  • Respiratory
  • Cardiac
  • Abdomen
  • Pulses
  • Extremities
  • Skin
  • Neurologica
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Answer #1

ANSWER :

HEAD TO TOE ASSESSMENT FOR HEAT STROKE : According to the above mentioned findings of the case the assessment is as follows :

General status -Patient is hot, drowsy, confused, anhidrosis

Vital signs - Temperature 104F, Pulse 110 bpm, Respiration 20 breaths/min, Blood pressure 84/82 mm HG

Respiratory - The patient respiration is 20 breaths/min

Cardiac -Patient is having Hypotension as the BP is 84/82 mm HG

Pulses - The pulse rate is 110 bpm

Skin -The skin is hot

Neurological - Patient is confused and drowsy

NURSING DIAGNOSIS FOR HEAT STROKE :

1. Hyperthermia related to exposure to hot environment as evidenced by increase in body temperature 104 degree F

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