Patient data history and physical nurses

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Reference no: EM133807999

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Patient Data History and Physical Nurses' Notes Flow Sheet Orders 1600: Placed nonrebreather mask on client, inserted a 20-gauge intravenous (IV) catheter, and started NaCl at 200 mL/hr. Client instructed not to get out of bed at this time. 1615: Administered epinephrine 0.01 mg/kg intramuscularly (IM) in left ventrogluteal and applied topical diphenhydramine to hives. 1645: Client states, "it feels like my heart is racing, and I feel lightheaded" Performed a physical assessment: Cardiovascular: Sinus tachycardia. No murmur noted. Weak pulse (+1), cyanosis noted on fingertips Respiratory: Tachypnea, auscultated wheezing, and crackles throughout bilateral lung fields, dyspnea Gastrointestinal: Active bowel sounds Genitourinary: Dark amber-colored urine, urinary frequency, and nocturia, slight burning and pain when urinating Notified rapid response team.

Reference no: EM133807999

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