3 Synthroid ® , Lasix ® , Coumadin ® , and metoprolol. Mr. Issler is very pale” (University of Phoenix, 2015, para. 4). “His vital signs are as follows: Pulse- 58, BP 176/84, Respirations- 22, Pulse oximetry 88. He is 72 inches tall and weighs 147 pounds. His labs results are as follows: hematocrit- 29.6%, hemoglobin- 10.4, BUN- 29, Creatinine- 2.0, INR-2.5” (University of Phoenix, 2015, para. 4). Plan of Care PATIENT’S DATA 71years, male CHF History of DVT Vital signs: HR – 58, B/P – 176/84, respirations – 22, oxygen saturation – 88% Complains of generalized weakness Complains of shortness of breath (SOB) Infiltration of bilateral lower lobes on the chest x-ray Cool, very pale, and diaphoretic skin States he does not know if he has hypo- or hyperthyroidism Possesses a large bag of medications, including Synthroid, Lasix, Coumadin, and metoprolol NURSING DIAGNOSIS OUTCOME INTERVENTIONS Impaired gas exchange, R/T excessive fluid in the The patient will demonstrate improved ventilation and Provide supplemental oxygen at the lowest concentration
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