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This Concept Map, created with IHMC CmapTools, has information related to: rataycmap6, Depakote (divalproex sodium) 125mg PO BID anticonvulsant, vascular headache suppressant can cause heptotoxicity, indigestion, N/V, pancreatitis, prolonged bleeding time, thrombocytopenia, 1600 2000 Temp: 35.5 Temp: 35.5 BP: 98/50 (62) BP: 114/84 (81) Resp: 18 Resp: 18 HR: 58 HR: 62 SpO2: 100% on RA SpO2: 100% on RA Pain: 0/10 Pain: 0/10 Vital Signs Physical Assessment, Diagnostic Tests related to History of Present Illness, Medications ???? Home, B.D. ???? Medications, Skin intact with no signs of skin breakdown. Braden score: 15. (sensory perception = 3; moist =3; activity = 1; mobility = 2; nutrition =3; and friction/shear = 3). Decreased skin turgor, dry oral mucosa, skin clammy and pale. Integumentary Physical Assessment, Home ???? Depakote, Medications ???? Hospital, Heart rate & rhythm regular. Peripheral pulses palpable at 2+. Capillary refill ɚ sec. S1 and S2 heart sounds auscultated. Hemodynamic vital signs stable. Blood pressure was of concern but is now running at least in 90s/50s. Cardiovascular Physical Assessment, Nursing Diagnoses ???? Diagnosis No. 1, Dopamine 2mcg/kg/min IV, titrate to BP can cause H/A, arrhythmias, hypotension, ECG changes, N/V, extravasation, Depakote (divalproex sodium) 125mg PO BID anticonvulsant, vascular headache suppressant why possible history of headaches or seizures, RN stated true indication unknown to RN or physician, Pt. is for the most part pleasant, does not show any signs of anxiety. There is no family currently present at the bedside, but his daugther visited earlier in the day. Pt is unable to participate in care. Psychosocial Physical Assessment, Aricept (donepezil) 10mg PO QD anti-Alzheimer's, cholinergic can cause H/A, diarrhea, nausea, arthritis, muscle cramps, depression, B.D. ???? Patient Information, Lungs are clear to auscultation. Pulse ox stable on room air. Pt is using some accessory muscles for breathing. Respiratory Physical Assessment, Home ???? Aricept, Last Bowel Movement was prior to admission. Abdomen soft, non-tender, non-distended. Pt does not show any signs of pain with palpation. Bowel sounds hypoactive x4 quadrants. Foley currently draining clear yellow urine. Gastrointestinal Genitourinary Physical Assessment, Pt. is unable to bathe or brush teeth independently. He is able to eat with some assistance. He is a total care for toileting. He is being turned q2h. Functional Physical Assessment, Abnormal Labs related to History of Present Illness