Describe something new you learned this week

Describe something new you learned this week or something you gained a deeper understanding or anything surprise you regarding prioritizing First patient old Francis Miller down the hall. Admitted 3 days ago after a fall at home . They have been super confused since arriving here. Oriented to self, but that’s it. They are 89 years old, and they were admitted just 3 months ago for weakness and falls with lots of bruises and scrapes on their arms and legs. The family is thinking supportive living will be needed. Vital signs are stable, on room air. Pleasant, but frequently needs reorientation – keeps trying to get out of bed to go to “work”! The daughter has been at the bedside which is helpful. She’s not there right now – just stepped out to get a coffee and a bite to eat, should be back in a bit. Second priority patient who has DKA Patient admitted with DKA with High Blood sugar level 27 with vomiting and abdominal pain, Patient is in acidosis. ABG was bad. Lab drawn again 0600 and numbers have perked up overnight.Afebrile.Patient GCS scale is 15/15. Last IV Gravol was given 0130 and have only complain of mild abdominal discomfort for now. HR rate is between 95-125 and BP between 94/55 – 110/62.IV is running as well and Insulin infusion as well. Our outcome for this patient is to make sure the blood sugar levels are within normal range to treat DKA and manage patient symptoms of pain and vomiting along with keeping vital signs stable. Third Patient 2 ; 67 y old Post Covid pneumonia came from ICU yesterday,He was extubated few days ago .Requiring high O2 levels, running FiO2 60%, 35L,plus the non-rebreather is flush overtop Desatting to the mid-70s with only small movements and takes a few minutes to recover. PPN is running until we can wean the oxygen down enough to go without the mask.Tolerated some ice chips overnight. The desired outcome we are trying to achieve here for now is to prevent patients going into respiratory failure and maintain levels of oxygen.

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