Geriatric Homeostasis Essay

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Geriatric Homeostasis “Let’s get a UA, culture, blood cultures x 2, ekg, cmp, plus mag and phosphate, ABG, d-dimer, BnP, cardiac enzymes, a glucose, rectal temp, O2, and continuous monitoring. Let’s have 2 lines until a central is established. I want a CT, portable chest, and call respiratory for Bi-Pap and in case we have to vent, please have the RSI box at the bedside. We also need 0.9 500cc bolus than run at 150ml until we get the blood work back and place a Foley while getting the UA. After the blood cultures are done go ahead and hang Levaquin. Also let’s do continuous cardiac monitoring and consecutive vital signs.” Though this sounds like a medical show on television, this does actually occur in the average emergency room (ER) in the United States. Although the average lay person may understand they are hearing medical terminology requesting tests to determine what disease pathology is affecting the patient, the average lay person may not understand exactly how these tests are used and analyzed during the initial and on-going assessment and whether these tests are for a critically ill patient or less critically ill patient. Throughout this paper the above mentioned tests will be defined and an explanation will be given of how the tests correlate to the critical thinking, observation, assessment, and decision process. The other aspects to be discussed will include communication between the care-team members and pain management of a patient who may be confused, unresponsive, or both. This paper will present the care of a 73 year old female in multi-system failure, with a history of co-morbidities hypertension and non-insulin dependent type II diabetes. Although both of these co-morbidities can be benign when alone together along with medications the patient is receiving, increases the risk of health decompensation. This patient currently is on three known

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