Please help me with learning how to this CARE PLAN

Please help me with learning how to this CARE PLAN.

below is the scenario. Thank you in advance

 

Vitals 

BP: 80/60 

Temperature: 102.4

O2 sat %: 74

HR –120

 

patient is 74years old.

Experiencing shortness of breath, for the last few days.

 

 

  • Ambulates with a walker
  • her diaper is soiled with urine
  • Bilateral low extremes and edema presented to her low extremes
  • Placed on bi-pap and is now SP02 levels has increased to 95%
  • expresses her having difficulty breathing.
  • states she is suffering with high cholesterol.
  • upon checking Finger stick reading is over 500
  • past medical history states she has diabetes, high blood pressure and high cholesterol
  • Alert and oriented x1
  • States she Ran out of insulin but states that she rarely takes them anyway
  • chest Xray shows left lower lobe imagery
  • placed on bypass machine
  • now saturated at 95%
  • will be admitted to med surg floor because of pneumonia

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