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This Concept Map, created with IHMC CmapTools, has information related to: rataycmap7, Pt is very pleasant and is particpating in care as much as he is able. His son & daughter-in-law where at the bedside for about 1 hour. Pt is not fully oriented to current situation, and cannot be assessed as to whether or not he is coping. Psychosocial Physical Assessment, Home ???? Aspirin, Home ???? Phenergan, PERRL but sluggish at 2mm, unable to assess accomodation, periorbital edema, favors gaze towards ceiling. Pt is A&O to person. Generalized muscle weakness, moves all extremities. Became less arousable as shift progressed. Developed slight left facial droop noted at 1900. Equal hand grasps, push/pulls. Patient is afebrile at this time. No other sensory impairment noted. Neuromuscular Musculoskeletal Physical Assessment, Nursing Diagnoses ???? Diagnosis No. 1, Nursing Diagnoses ???? Diagnosis No. 3, Medications ???? Hospital, Physical Assessment WK, Lasix (furosemide) 40mg IV BID (loop diuretic) can cause dehydration, hypochloremia, hypokalemia, hypomagnesemia, hyponatremia, hypovolemia, metabolic alkalosis, Last VS noted for shift: Temp: 37.3 BP: 96/40 Resp: 19 HR: 59 SpO2: 99% on 4L NC Pain: 0/10 Vital Signs Physical Assessment, Rocephin (ceftriaxone) 1gm/50mL D5W @100mL/hr QD why tx of infection, Medications ???? Home, WK ???? Patient Information, Diagnostic Tests related to History of Present Illness, Last Bowel Movement today Abdomen firm, tender, & distended. Reducable left inguinal hernia palpable. Pt does not report any pain with palpation. Bowel sounds present x4 quadrants. Catheter draining clear yellow urine. Gastrointestinal Genitourinary Physical Assessment, Home ???? Lasix, Abnormal Labs related to History of Present Illness, Nursing Diagnoses ???? Diagnosis No. 2, Lasix (furosemide) 40mg PO daily why diuresis, WK Priority Nursing Diagnoses