Dehydration and epigastric pain

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Chanthavy Chhet is a 46-year-old who identifies as female and uses she/her pronouns who is being admitted from the ED for dehydration and epigastric pain. Chanthavy introduced her support person as her nephew. Chanthavy speaks Vietnamese. Her nephew speaks English and Vietnamese. Chanthavy requests for the nephew to interpret for her while she is hospitalized. We have contacted the facility's interpreter to assist, and they explained their role to Chanthavy and her nephew. Chanthavy reported not wanting to eat much due to epigastric pain and nausea that has gotten worse over the past month. Over the past week, her nephew reports being concerned because she is not even drinking fluids. They came to the ED today after Chanthavy vomited a small amount of coffee-ground emesis, was weak, and felt dizzy when standing. Vital signs on admission were temperature: 99.4° F (37.4° C), pulse: 92respirations: 18, oxygen saturation = 98% blood pressure: 102/80 sitting; 90/68 standing, weight - 104 lb (47.1 kg). Chanthavy reports this is a weight loss of 10 lb. (4.5 kg) in one month. CBC and BMP were sent to the lab. We are awaiting the results. After receiving handoff report, the nurse should determine the client's priority.

Reference no: EM133758960

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