Alfred Manning _ iHuman patient_2020 | NR 442 iHuman patient Alfred Manning

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iHuman patient Alfred Manning Prework A 25 year-old male paraplegic who arrives at the emergency department via private car. Over the past two days, he has experienced an increase in nasal congestio... n, headache, and diaphoresis. 1. What are your primary concerns for this patient and what assessments and interventions would be associated with your concerns? Why? My primary concern will be associated with the headache. Maybe he has an increase in intracerebral blood pressure. So I will first assess his mental status, senses, and balance. Sometimes we can tell high intracranial pressure by looking at the eyes with an ophthalmoscope. (spinal tap (lumbar puncture) can also be done. The patient can also be assessed for ingrown toenail, constipation, hemorrhoids, UTI, sexual stimulation and kidney stones (Lewis et al., 2017). Interventions: • Blood pressure needs to be monitored frequently because of paroxysmal hypertension (unstable high blood pressure) • identify and monitor what precipitated the symptoms o sit up patient straight (this helps move more blood to the lower body and ease blood pressure) or in bed with neutral head position o loosen or take off any tight clothing or accessories o empty bladder o in case of constipation use digital stimulation to empty bowel • observe for changes in vital signs such as bradycardia or tachycardia. • Assess for chest pain, nausea, blurred vision Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (2017). Medical surgical nursing: Assessment and management of clinical problems (10th ed.). Mosby. [Show More]

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