Medical Case 5

Florida Southwestern State College

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Medical Case 5 Skyler Hansen Documentation Assignments Case Study
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april 2022

2021/2022

A+
Document your focused assessment for Skyler Hansen. Pt not oriented X3. Took Pt vitals: BP 128/76 mm Hg, Sp02 97%, RR 19/min unlabored and equal bilaterally, pulse 90/min strong and regular, temp 99 F, skin turgor normal, skin is cool and sweaty, 0 pain on scale of 0-10. Pt went into hypoglycemia crisis, blood glucose measured: 44 mg/dL, provider contacted immediately. Pt IV access in right hand, assessed IV site for infiltration.
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