The patient chart reads.
The patient is a 65-year-old male weighing 65 kg recovering stroke patient.
Past Health history (+) Hypertension since 2000 (+) CAD since 2015 (+) history of asthma (-) DM
Aspirin 80 mg/tab 1 tab once a day
Atorvastatin 80 mg/tab 1 tab at bedtime
Budesonide/Formoterol (Symbicort) 160/4.5 mcg 1 puff twice a day Digoxin 0.5 mcg/tab 1 tab once a day
Metoprolol 25 mg/tab 1 tab twice a day
Furosemide 20 mg/tab twice a day
Lactulose 30 ml at once a day, hold if BM >2/day
He was brought to the local community hospital due to difficulty of breathing and expiratory wheezes; diagnostic exams show Chest X-ray is clear and CBC shows platelet count= 145,000 and WBC= 5.0. Blood chemistry further shows SGPT=80 and CBG= 160 mg/dL. Additional orders were made as follows:
Salbutamol nebulization, 1 nebule every 8 hours Prednisone 40mg/tab twice a day
Esomeprazole 40mg once a day Monitor CBG every 4 hours
Start Regular Insulin using the following sliding scale: <180= none 181-200= 2 units/SC 201-220= 4 units/SC 221-240= 6 units/SC 241-260= 8 units/SC >280=refer
Develop a nursing care plan for Decreased cardiac output due to Insufficiency of the heart to pump blood in order to meet metabolic demands related to increased blood pressure