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  • Isbar Hypovolemic Shock

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    Lerma Pagcaliwangan
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    Nurse Rafaela calls Dr. Rosales about an 80-year-old female patient, Ms. Enrile, who is lethargic and responding slowly after being admitted two days ago for a motor vehicle accident. During the night, Ms. Enrile fell and had a nose bleed. Upon assessing her, Nurse Rafaela found her vital signs were abnormal, including low blood pressure, irregular pulse, shallow breathing, and low oxygen levels. The nurse is concerned Ms. Enrile is in hypovolemic shock and requests the doctor come see the patient, asking if any interim steps should be taken.

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    Nurse Rafaela calls Dr. Rosales about an 80-year-old female patient, Ms. Enrile, who is lethargic and responding slowly after being admitted two days ago for a motor vehicle accident. During the night, Ms. Enrile fell and had a nose bleed. Upon assessing her, Nurse Rafaela found her vital signs were abnormal, including low blood pressure, irregular pulse, shallow breathing, and low oxygen levels. The nurse is concerned Ms. Enrile is in hypovolemic shock and requests the doctor come see the patient, asking if any interim steps should be taken.

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    © All Rights Reserved
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    47 views1 page

    Isbar Hypovolemic Shock

    Uploaded by

    Lerma Pagcaliwangan
    Nurse Rafaela calls Dr. Rosales about an 80-year-old female patient, Ms. Enrile, who is lethargic and responding slowly after being admitted two days ago for a motor vehicle accident. During the night, Ms. Enrile fell and had a nose bleed. Upon assessing her, Nurse Rafaela found her vital signs were abnormal, including low blood pressure, irregular pulse, shallow breathing, and low oxygen levels. The nurse is concerned Ms. Enrile is in hypovolemic shock and requests the doctor come see the patient, asking if any interim steps should be taken.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    I

    Is this Dr. Rosales? I am Nurse Rafaela, nurse on ward. I am


    calling about Mr. Enrile, 80 years old female.

    S
    I am concerned because she is lethargic and respond to
    verbal stimuli slowly.

    B
    She was admitted 2 days ago due to motor vehicle accident,
    right arm with cast and will be discharge this morning. During
    the night, she fell, with slight nose bleeding.

    A
    I have just assessed the patient personally, vital signs are:
    BP: 90/70 (lower than her usual 130/88), P: 110, irregular
    respiration of 14 (shallow), O2 sat: 92%, skin is cool and with
    slight cyanosis on nail beds. I think that he is showing signs
    of hypovolemic shock.

    R
    I request that you come and see the patient this time. Is there
    anything I should do for the meantime, or anything you will
    need as part of your assessment?

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