A 93-year-old patient presented to the emergency department after an unwitnessed fall

A 93-year-old patient presented to the emergency department after an unwitnessed fall. The patient came from her memory care unit with an unwitnessed fall. The patient was unsure if she hit her head. Having pain to the left hip denies any other pain. exam without any concerning findings other than left hip pain and some shortening of the left leg. X-ray received with communicated  intertrochanteric left femur fracture.

 

past medical history dementia, dyslipidemia, shingles, appendectomy

Rhythm strip 630, interpreted by : Normal sinus rhythm at a rate of 65. Inervals:PR 186, QRS 74, QTC 474,

Medication : Fentanyl citrate , ondansetron HCI

Labs: chloride high, BUN high, Creatinine high, GFR low , glucose high

 

 

 

1. narrate a two-page narrative note about the patient’s removal of the IV filter, pre-procedure, and post-procedure

 

2.

Priority 1 Nursing diadnosis

Nursing Diagnosis: 

nursing intervention 1

nursing intervention 2

nursing intervention 3

nursing intervention 4

short term goal

long term goals 

 

Priority 2Nursing diadnosis

Nursing Diagnosis: 

nursing intervention 1

nursing intervention 2

nursing intervention 3

nursing intervention 4

short term goal

long term goals 

 

Priority 3Nursing diadnosis

Nursing Diagnosis: 

nursing intervention 1

nursing intervention 2

nursing intervention 3

nursing intervention 4

short term goal

long term goals