i-human Management Plan.
Patient: Betty Burns, 53 y.o., 5’6”,
Primary Diagnosis: Metastatic Cancer (from breast)
Familial and past medical history points to a strong likelihood of the pt’s breast cancer metastasis-
ing to the bone. Further pointing to this are the pt’s complaints of fatigue, unintended weight loss, and
night. Bone is the most common site of breast cancer metastasis reported in up to 70–80% of patients
with metastatic disease. It is associated with significant morbidity, including bone pain, hypercalcemia,
pathologic fractures and spinal cord compression—an oncologic emergency causing pain and potentially
irreversible neurologic loss (Anderson et al., 2017). The cord compression is confirmed by spinal x-ray.
Secondary Diagnosis: Radiculopathy
Status/Condition: Critical
Code Status: FULL
Allergies: NKDA
Admit to Unit: Telemetry Unit
Activity Level:
Diet: Balanced
Critical Drips:
Respiratory: 100% O2
Medications: HCTZ, Fluticasone/Salmeterol, Prednisone PRN severe asthma attack, Albuterol inhaler
Nursing Orders:
- Initiate Short-Acting Opioids in Opioid-naive patients - IV Bolus 2mg IV morphine sulfate
- reassess effect at 15min
- On assessment, if the pain score remains unchanged or is increased, administration of 50% to 100% of
the previous rescue dose of opioid is recommended.
- If the pain score decreases to 4 to 6, the same dose of opioid should be repeated and reassessment per-
formed every 15 minutes.
This study source was downloaded by 100000841689952 from CourseHero.com on 07-04-2022 23:43:14 GMT -05:00
https://www.coursehero.com/file/69058666/Acute-Care-iHuman-Week-9-plan-pdf/
Patient: Betty Burns, 53 y.o., 5’6”,
Primary Diagnosis: Metastatic Cancer (from breast)
Familial and past medical history points to a strong likelihood of the pt’s breast cancer metastasis-
ing to the bone. Further pointing to this are the pt’s complaints of fatigue, unintended weight loss, and
night. Bone is the most common site of breast cancer metastasis reported in up to 70–80% of patients
with metastatic disease. It is associated with significant morbidity, including bone pain, hypercalcemia,
pathologic fractures and spinal cord compression—an oncologic emergency causing pain and potentially
irreversible neurologic loss (Anderson et al., 2017). The cord compression is confirmed by spinal x-ray.
Secondary Diagnosis: Radiculopathy
Status/Condition: Critical
Code Status: FULL
Allergies: NKDA
Admit to Unit: Telemetry Unit
Activity Level:
Diet: Balanced
Critical Drips:
Respiratory: 100% O2
Medications: HCTZ, Fluticasone/Salmeterol, Prednisone PRN severe asthma attack, Albuterol inhaler
Nursing Orders:
- Initiate Short-Acting Opioids in Opioid-naive patients - IV Bolus 2mg IV morphine sulfate
- reassess effect at 15min
- On assessment, if the pain score remains unchanged or is increased, administration of 50% to 100% of
the previous rescue dose of opioid is recommended.
- If the pain score decreases to 4 to 6, the same dose of opioid should be repeated and reassessment per-
formed every 15 minutes.
This study source was downloaded by 100000841689952 from CourseHero.com on 07-04-2022 23:43:14 GMT -05:00
https://www.coursehero.com/file/69058666/Acute-Care-iHuman-Week-9-plan-pdf/
