EMS arrived and observed blood stains

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Reference no: EM133873101

Question

Client found on bathroom floor by the daughter who called 911. EMS arrived and observed blood stains on clients clothing and in the bathroom. client present to ED with confusion and lethargy. Daughter present and is the historian for the client.

Social history: Client is recently widow(1 year ago) and is retired. Daughter states client does not smoke ingest alcohol, or use illegal drugs. Daughter states client live alone but that family and neighbors visit the client daily, especially since the loss of her husband year ago.

Past medical history: Osteoarthritis-seeing orthopedic surgeon every 6 months started on 400 mg ibuprofen orally TID three months ago. also started on PPI at that time for gastric mucosal protection. Daughter did not recall the name of the medication. Major depression: evaluated and screened for depression 6 months ago, as well as possible dementia. started on setraline 25mg orally daily.

Home medications: 400 MG ORALY tid, setraline 25 mg orally daily, acetaminophen, asprin.

Vitals signs as follow: B/P 80/50, HR 120-Sinus tachycardia, RR26, Spo2 90% on room air.

neuro oriented to person and place, moaning, lethargic, confused, asking for dead husband, but easily reoriented, aurosable to touch

- What medical problem(s) / condition(s) may be occurring?

- What do you think the diagnosis is, and what simple pathophysiology or complications can you describe and why?

- What labs or diagnostics do you think would be drawn?

- What are nursing priorities for this case?

Reference no: EM133873101

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