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This Concept Map, created with IHMC CmapTools, has information related to: NUR 421_Semester 2_ Final Clinical CMAP, Medical Diagnosis/Primary Reason for Hospitalization Lower Extremity Weakness/Spinal Stenosis ???? Musculoskeletal -bedridden, morbidly obesed, has orthostatic hypotension, and decreased activity tolerance -has Hx of arthritis -decreased mobility due to unsteady gait, & dyspnea -Hx of LE edema (feet is elevated with pillow) -taking muscle relaxant "Soma", Medical Diagnosis/Primary Reason for Hospitalization Lower Extremity Weakness/Spinal Stenosis ???? Endocrine -has Hx of diabetes mellitus Type II -on Lantus 70 Units daily -nighttime FSBG =266 mg/dL high -0645 (AM) FSBG = 76 mg/dL normal, Immunologic -has Hx of Hepatitis C (blood borne) -Eosinophils =5.2% high (indicating inflammatory process or allergic reaction) ???? Musculoskeletal -bedridden, morbidly obesed, has orthostatic hypotension, and decreased activity tolerance -has Hx of arthritis -decreased mobility due to unsteady gait, & dyspnea -Hx of LE edema (feet is elevated with pillow) -taking muscle relaxant "Soma", Medical Diagnosis/Primary Reason for Hospitalization Lower Extremity Weakness/Spinal Stenosis ???? Pulmonary -c/o dyspnea on exertion with physical activity. -on 2L/min O2 via NC & O2 sat = 100% -uses CNS depressant medications e.g. Lortab (S/E Respiratory depression) -Hx of bronchitis -past Hx of smoking, but has stopped., Musculoskeletal -bedridden, morbidly obesed, has orthostatic hypotension, and decreased activity tolerance -has Hx of arthritis -decreased mobility due to unsteady gait, & dyspnea -Hx of LE edema (feet is elevated with pillow) -taking muscle relaxant "Soma" results in Genital/Urinary -has Hx of congenital defect of no sexual organ (penis) -Xanax & Lisinopril can affect sexual function (impotence & decrease libido) -continent with voiding, Medical Diagnosis/Primary Reason for Hospitalization Lower Extremity Weakness/Spinal Stenosis ???? ????, Medical Diagnosis/Primary Reason for Hospitalization Lower Extremity Weakness/Spinal Stenosis results in Endocrine -has Hx of diabetes mellitus Type II -on Lantus 70 Units daily -nighttime FSBG =266 mg/dL high -0645 (AM) FSBG = 76 mg/dL normal, Medical Diagnosis/Primary Reason for Hospitalization Lower Extremity Weakness/Spinal Stenosis ???? Immunologic -has Hx of Hepatitis C (blood borne) -Eosinophils =5.2% high (indicating inflammatory process or allergic reaction), Immunologic -has Hx of Hepatitis C (blood borne) -Eosinophils =5.2% high (indicating inflammatory process or allergic reaction) results in Pulmonary -c/o dyspnea on exertion with physical activity. -on 2L/min O2 via NC & O2 sat = 100% -uses CNS depressant medications e.g. Lortab (S/E Respiratory depression) -Hx of bronchitis -past Hx of smoking, but has stopped., Immunologic -has Hx of Hepatitis C (blood borne) -Eosinophils =5.2% high (indicating inflammatory process or allergic reaction) ???? Musculoskeletal -bedridden, morbidly obesed, has orthostatic hypotension, and decreased activity tolerance -has Hx of arthritis -decreased mobility due to unsteady gait, & dyspnea -Hx of LE edema (feet is elevated with pillow) -taking muscle relaxant "Soma", Neurological -Has weakness on Bilateral LE -Is on muscle relaxant medication (Soma) -Is on Xanax (antianxiety), Restoril (sedative),and celexa (antidepressant) ???? Cardiac - history of hypertension--on Lisinopril 20-25 mg -on medications that cause orthostatic hypotension (affects circulation/perfusion) -AP =72, regular -MCH =32.1 high (Anemic) -Pale skin on LE, Musculoskeletal -bedridden, morbidly obesed, has orthostatic hypotension, and decreased activity tolerance -has Hx of arthritis -decreased mobility due to unsteady gait, & dyspnea -Hx of LE edema (feet is elevated with pillow) -taking muscle relaxant "Soma" results in Cardiac - history of hypertension--on Lisinopril 20-25 mg -on medications that cause orthostatic hypotension (affects circulation/perfusion) -AP =72, regular -MCH =32.1 high (Anemic) -Pale skin on LE, Nutritional -client is morbidly obese (BMI =43.8) -on consistent carbohydrate diet (1800 ADA) ???? Cardiac - history of hypertension--on Lisinopril 20-25 mg -on medications that cause orthostatic hypotension (affects circulation/perfusion) -AP =72, regular -MCH =32.1 high (Anemic) -Pale skin on LE, Medical Diagnosis/Primary Reason for Hospitalization Lower Extremity Weakness/Spinal Stenosis results in Neurological -Has weakness on Bilateral LE -Is on muscle relaxant medication (Soma) -Is on Xanax (antianxiety), Restoril (sedative),and celexa (antidepressant), Nutritional -client is morbidly obese (BMI =43.8) -on consistent carbohydrate diet (1800 ADA) ???? Endocrine -has Hx of diabetes mellitus Type II -on Lantus 70 Units daily -nighttime FSBG =266 mg/dL high -0645 (AM) FSBG = 76 mg/dL normal, Medical Diagnosis/Primary Reason for Hospitalization Lower Extremity Weakness/Spinal Stenosis ???? ????, Immunologic -has Hx of Hepatitis C (blood borne) -Eosinophils =5.2% high (indicating inflammatory process or allergic reaction) results in Genital/Urinary -has Hx of congenital defect of no sexual organ (penis) -Xanax & Lisinopril can affect sexual function (impotence & decrease libido) -continent with voiding, Endocrine -has Hx of diabetes mellitus Type II -on Lantus 70 Units daily -nighttime FSBG =266 mg/dL high -0645 (AM) FSBG = 76 mg/dL normal results in Nutritional -client is morbidly obese (BMI =43.8) -on consistent carbohydrate diet (1800 ADA), Pulmonary -c/o dyspnea on exertion with physical activity. -on 2L/min O2 via NC & O2 sat = 100% -uses CNS depressant medications e.g. Lortab (S/E Respiratory depression) -Hx of bronchitis -past Hx of smoking, but has stopped. influences each other Gastrointestinal -has congenital Hx of hernia on LLQ abdomen -colostomy incision on RLQ -Constipation (passed hard formed stool into colostomy bag) & needs stool softner., Neurological -Has weakness on Bilateral LE -Is on muscle relaxant medication (Soma) -Is on Xanax (antianxiety), Restoril (sedative),and celexa (antidepressant) ???? Psychosocial -has wife as support system -Disturbed body image -lack of social function due to activity intolerance -anxiety -smoking and alcohol are risk factors