Question

K.B. is a 32-year-old woman being admitted to the medical floor for complaints of fatigue and dehydration. While taking her history, you discover that she has diabetes mellitus (DM) and has been insulin dependent since the age of 8. She has undergone hemodialysis (HD) for the past 2 years because of end-stage renal disease (ESRD). You initial assessment of K.B. reveals a pale, thin, slightly drowsy woman. Her skin is warm and dry to the touch with poor skin turgor, and her mucous membranes are dry. Her vital signs are 140/88, 116, 18 99.9 F (37.7 C). She tells you she has been nauseated for 2 days so she has not been eating or drinking. She reports severe diarrhea.

KB 32 year old female

c/o fatigue, nausea x 2days, severe diarrhea and dehydration; DM-Insulin dependent since age 8; Hemodialysis (HD) for the past 2 years for ESRD. AV fistula in her left arm

NPO Epoetin 3 x/week with dialysis Nephrocaps vitamin supplement daily

Labs on admission- Na 145mEq/L K 6.0 mEq/L Chloride 93 mEq/L BUN 48 mg/dL Cr 5.0mg/dL Glucose 238 mg/dL CBC WBC 7600/mm3 RBC 3.2 million/mm3 Hgb 8.1g/dL Hct 24.3% Platelets 333000/mm3 Vital signs on admission 140/88, HR 116, RR 18, T-99.9

1- Prepare a Patient Preparation Worksheet based on the info above

Patient Name/Age and Chief Complaint	Vital Signs/ Telemetry/EKG	IV	Labs	Meds	Assessment	Other

Answer 1

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