Homeostasis and Pain Management in Multi-System Failure Essays

1876 Words Oct 23rd, 2012 8 Pages
Homeostasis and Pain Management in Patient with Multisystem Failure

Homeostasis and Pain Management in Patient with Multisystem Failure

A. Assessment of Patient
The assessment of Mrs. Baker should include vital signs including pulse oximetry. Given her difficulty in breathing, lung sounds should be auscultated. Because she is on two different medications that could affect blood pressure, lisinopril and hydrochlorothiazide (HCTZ), hypotension could be one cause of her collapsing. In addition to vital signs, decreased peripheral pulses and capillary refill can also be indicators of hypotension. Also, because HCTZ is a diuretic, dehydration should be considered. Since she was in her backyard when she collapsed, it could be that
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These would be helpful in diagnosing dehydration and/or kidney function. Electrolytes are also essential in cardiac function. In fact, serum electrolytes are a good overall way to assess homeostasis in a patient.
A radiographer will use an X-ray machine to obtain the chest x-ray, either in the radiology department, or will use a portable model. A chest x-ray is another way to assess respiratory function. A chest x-ray could show fluid in the lungs, as well as atelectasis or infiltrate. It would also show cardiomegaly, which is another indicator of congestive heart failure. A portable chest x-ray would be beneficial, as it would not require Mrs. Baker to be taken from the emergency department.
Finally, if Mrs. Baker has been a patient at this facility before, the Electronic Medical Record can make it easy to find information on her past medical history. This is an improvement over medical records of years past, which usually had to be located in extensive file cabinets or even on microfiche. Sometimes these records were lost or misfiled. Electronic Medical Records are usually easy to locate. C. Data Collection Prioritization
Vital signs, pulse oximetry, and a visual assessment should always be the first assessments performed on a patient. The severity of the vital signs will determine whether emergency life-support interventions need to be initiated at once, and will give the

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