Hyponatremia. Left eye swollen due to fall. Patient fell in the shower twice, did not sustain any fracture
nursing
Description
Care plan infos
65-year-old male
Admitted Jan 27
Admission diagnosis: Hyponatremia. Left eye swollen due to
fall. Patient fell in the shower twice, did not sustain any fracture
Other admission notes
Patient complained of fatigue, recent weight loss, fever and
night sweat
Medical history
Enlarge prostate, myocardial infarction, chronic back pain,
schizophrenia. Also have history of cocaine use
Vitals
Height 67”
Weight 67kg
BMI 23.13
Awake and alert X3
BP 124/71
Pulse 83
Spo2 97%
Respiratory 18
Temperature 98.3
Urine output 250 ml recorded at 9.30am
Bowel movement at 11:15am (black tarry) about 200 ml
Pulse 2+
Clear bilateral
No allergies
Sodium 128
Wbc 10.07
Hemoglobin 6.9
Hematocrit 20.6
Potassium 3.8
Chloride 97
Calcium 7.3
Glucose 86
BUN 18
Creatinine 1.07
Co2 26
Medications
3 units of blood day 1 of admission
Potassium
Sodium chloride
Lovenox
Magnesium
Methocarbamol
Tramadol
Aspirin
Other notes
On regular diet
