Upon arrival on the medical surgical unit, VS: T 37.5° C (98.6° F), BP 106/54, P 114 and regular,
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Get it written →Upon arrival on the medical surgical unit, VS: T 37.5° C (98.6° F), BP 106/54, P 114 and regular, R22 and shalow. O2 saturation is 96% on RA. C.J. reports apain level of 6/10 in her epigastric area that is cramp- ing and intermittent, “coming in waves.” C.J. is A&0*4, PERRIA, apical pulse is rapid and steady at 114. Lung sounds are clear bilaterally; her abdomen is soft, extremely tender on light palpation with rebound tenderness and hyperactive bowel sounds in the LUQ, RUQ, and L L , and normal in the RLQ. Occasional borborygmi are present. MAE. Dorsalis pedis pulses are 2+ bilaterally without any dependent edema present. C.J. states, “I have been nauseated occasionally for the last few weeks on and off. Then this morning I started having severe cramping and vomiting that wouldn’t stop. I decided to come into the emergency room when I noticed the blood and the pain got too bad.” IV site: LFA 16 g without redness, tenderness, or swelling; transparent dressing in place, signed and dated. 1000 mL 0.9 NS running at 100 mL/hr on infusion pump. The PCP asks you to check C.J. for orthostatic hypotension. Explain what orthostatic hypotension is and how to assess for it. What is the rationale for assessing it in C.J.?
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