lOMoARcPSD|20734855
lOMoARcPSD|20734855
NRNP 6550 i Human Ken Fowler
NRNP 6550: Advanced Care of Adults in Acute Settings II
i- Human: Ken Fowler V5 updated 2022
, lOMoARcPSD|20734855
Week #7: Week #7 - Conditions of the Renal and Genitourinary Systems
NRNP 6550: Advanced Care of Adults in
Acute Settings II i-Human: Ken Fowler V5
FILL OUT THIS TEMPLET AS YOU GO THROUGH THE I-HUMAN PATIENT
MODULE SO YOU KNOW WHAT YOU ARE DOING AS YOU GO.
YOU ARE ALL WELCOME!!!
Name: Ken
Fowler Age: 70
years
Sex: M
Ht: 5'10" (178.0 cm)
Wgt: 190 lb (86.0 kg) (BMI 27.3)
NOTES FROM i-HUMAN ASSESSMENT:
1) Observations: warm and sweaty
2) Chief complaint: Nausea and fatigue
QUESTIONS: (ask the patient up to 100 questions)
• How can I help you today? "I went to see my doctor this morning
because I have been feeling bad for the past few days. I'm tired,
with nausea & vomiting. Well, he examined me and ordered
some
, lOMoARcPSD|20734855
labs, and then told me that "kidneys are failing," something about
a big change in my creatinine and that I needed to come to the
emergency department. He told me to bring the test results here
with me. [Test results today: creatinine 3.2 mg/dL; 1 month ago
Test results 1.1 mg/dL; urine protein = 400 mg microalbuminuria]
Do you understand what all that means? I sure don't!"
• Do you have a problem with fatigue/tiredness? Yup
• Does your fatigue come and go? No.
• Have you gained or lost weight or intentionally,
despite normal appetite and exercise? Uh… no.
• Have you gained weight? No.
, lOMoARcPSD|20734855
• Has there been a change in your urination frequency? Actually,
I have been peening less recently.
• What is the color of urine, has it changed recently? It's
usually fine, but I have been peeing less recently
• Does anything make your fatigue/tiredness better or worse? No.
• Do you have pain anywhere? If so where? I hurt my back
last week, but that's fine now.
• Have you noticed swelling in any part of your body? No
• Can you tell me about any current or past medical problems she
had? I have high blood pressure. I take medications for that. I
was told last month my blood pressure has caused some kidney
damage. Something about my protein in my urine. Oh, about a
week ago I pulled my back lifting a heavy carton when I was
cleaning out my garage. It was pretty painful so I took something
for the pain. My back is really pretty good right now, but then
this nausea vomiting began.
• Any previous medical, surgical, or dental procedures? Yes. I had
my tonsils out as a kid and then my appendix out about 35
years ago now.
• What treatments have you had for the pain in your back? Just Naproxen.
• Are you taking any prescription medications? I take
lisinopril, metoprolol, and hydrochlorothiazide for BP. I have
not taken anything for the last 24 hours because I feel so sick,
can’t keep the pills down.
NRNP 6550: Advanced Care of Adults in Acute Settings II
i- Human: Ken Fowler V5
lOMoARcPSD|20734855
NRNP 6550 i Human Ken Fowler
NRNP 6550: Advanced Care of Adults in Acute Settings II
i- Human: Ken Fowler V5 updated 2022
, lOMoARcPSD|20734855
Week #7: Week #7 - Conditions of the Renal and Genitourinary Systems
NRNP 6550: Advanced Care of Adults in
Acute Settings II i-Human: Ken Fowler V5
FILL OUT THIS TEMPLET AS YOU GO THROUGH THE I-HUMAN PATIENT
MODULE SO YOU KNOW WHAT YOU ARE DOING AS YOU GO.
YOU ARE ALL WELCOME!!!
Name: Ken
Fowler Age: 70
years
Sex: M
Ht: 5'10" (178.0 cm)
Wgt: 190 lb (86.0 kg) (BMI 27.3)
NOTES FROM i-HUMAN ASSESSMENT:
1) Observations: warm and sweaty
2) Chief complaint: Nausea and fatigue
QUESTIONS: (ask the patient up to 100 questions)
• How can I help you today? "I went to see my doctor this morning
because I have been feeling bad for the past few days. I'm tired,
with nausea & vomiting. Well, he examined me and ordered
some
, lOMoARcPSD|20734855
labs, and then told me that "kidneys are failing," something about
a big change in my creatinine and that I needed to come to the
emergency department. He told me to bring the test results here
with me. [Test results today: creatinine 3.2 mg/dL; 1 month ago
Test results 1.1 mg/dL; urine protein = 400 mg microalbuminuria]
Do you understand what all that means? I sure don't!"
• Do you have a problem with fatigue/tiredness? Yup
• Does your fatigue come and go? No.
• Have you gained or lost weight or intentionally,
despite normal appetite and exercise? Uh… no.
• Have you gained weight? No.
, lOMoARcPSD|20734855
• Has there been a change in your urination frequency? Actually,
I have been peening less recently.
• What is the color of urine, has it changed recently? It's
usually fine, but I have been peeing less recently
• Does anything make your fatigue/tiredness better or worse? No.
• Do you have pain anywhere? If so where? I hurt my back
last week, but that's fine now.
• Have you noticed swelling in any part of your body? No
• Can you tell me about any current or past medical problems she
had? I have high blood pressure. I take medications for that. I
was told last month my blood pressure has caused some kidney
damage. Something about my protein in my urine. Oh, about a
week ago I pulled my back lifting a heavy carton when I was
cleaning out my garage. It was pretty painful so I took something
for the pain. My back is really pretty good right now, but then
this nausea vomiting began.
• Any previous medical, surgical, or dental procedures? Yes. I had
my tonsils out as a kid and then my appendix out about 35
years ago now.
• What treatments have you had for the pain in your back? Just Naproxen.
• Are you taking any prescription medications? I take
lisinopril, metoprolol, and hydrochlorothiazide for BP. I have
not taken anything for the last 24 hours because I feel so sick,
can’t keep the pills down.
NRNP 6550: Advanced Care of Adults in Acute Settings II
i- Human: Ken Fowler V5
