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In SBAR format, explain how the patients

In SBAR format, explain how the patients current condition changes/worsens to respiratory acidosis/alkolosis or metabolic acidosis/alkolosis within a one week period at home. cite two references (nursing central, ATI, article, or textbook). Create two open ended questions at the end in regards to the patients new diagnosis and treatment plan. Situation: 29 female presents to the emergency room with complaints of diarrhea, weakness, and abdominal pain after taking 3 bottle of magnesium citrate. Background: She states that she has not had a bowel movement for 8 days and saw on “Tiktok” that people were taking bottles of magnesium citrate to have bowel movements within 30 minutes. She states last night she took 1 full bottle and had no results. She took 2 more bottles. She has been having liquid stools since last night and this evening started having abdominal pain and increased weakness. Allergies: NKDA. Medical history: Vitamin deficiencies, anxiety, depression, and gastric bypass surgery 3 years ago. Home medications: Tylenol 650mg PO prn, ibuprofen 600mg PO prn, sertraline 200mg PO daily, buspirone 20mg PO daily, B12 25mcg sublingually daily, Vitamin D 1000 IU PO daily, multivitamin, Vitron-C 65mg PO daily Assessment: Patient is Alert and Oriented person, place, time and situation, baseline mental status. Patient is showing signs of being irritable. Patient is having tremors in her bilateral hands and hyperactive DTR in left brachioradialis. Breathing is slightly decreased at rest, lungs are clear and patient is maintaining own airway. Mucus membranes are dry. Bowels are hyperactive in all 4 quadrants. Pain rated at an 8 on the 0-10 scale in left lower abdomen. Vital signs at check in were: HR 124 tachy abnormal. Respirations: 16 weak, room air SPO2 93%. BP: 98/60. Oral Temp: 97.0 Cap refill at finger tips 4 seconds. Labs: BMP Labs: Range: 10/9/2022: Today: Na+ 135-145 136 131 (Low) K+ 3.5-5.0 3.9 3.3 (Low) Cl- 98-106 9.9 98 Ca 8.4-10.5 8.4 7.6 (Low) Mg 1.5-2.5 1.6 1.0 (Low) BUN 5-20 16 15 Phos 3-4.5 3.5 3.0 Glucose 70-100 91 72

 
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