NURS 6550N Week 3 I-Human - All Answers are 100% Correct

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Week 3: I-Human (Redo) Primary Diagnosis: Esophageal Neoplasm Status/Condition: Critical Code Status: Full Resuscitation Code Status Allergies: Seasonal Allergies but no known food or drug allergi... es Admit to Unit: Admit to the ICU for diagnosis/management of esophageal neoplasm, and monitor/protect airway. Activity Level: Will maintain on bedrest to rule out whether patient’s fatigue is related to primary diagnosis. Diet: NPO for barium swallow study and EGD with biopsy (Merck Manual, 2019). After procedure will refer to speech therapy’s recommendations for dietary needs. If patient tolerates will maintain on clear liquid diet. Dependent on the plan of care that the patient wishes to proceed with can determine what diet status they have after a confirmed diagnosis of esophageal cancer. If patient is undergoing chemotherapy, radiation, and order surgery the best choice of nutrition during this time may be PEG tube feeding or TPN IV gtt (Mayo Clinic, 2018). IVF: During NPO status for procedures (before confirmation of diagnosis) it is important to start D5W@75cc/hr to keep patient’s blood sugars in a normal range until further nutritional decisions can be made. Critical Drips: If TPN is ordered for patient’s management of nutritional status. -TPN@75cc/hr and Lipids@10cc/hr (Nutrition consult will appropriately dose according to patient’s weight and caloric needs) Respiratory: Apply supplemental oxygen via nasal cannula to support patient’s oxygen requirements. Start at 2 L O2 NC and titrate up as necessary to keep O2 saturation >95%. Perform pulmonary toilet needs such as cough, deep breathing, suctioning, and frequent oral care. Be sure to frequently monitory patient’s respiratory status and ability to maintain airway due to primary diagnosis. Medications: (include ALL, tx of primary condition, underlying conditions, pain, comfort needs etc. dose and route) -Continue patient’s home medications if [Show More]

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