Take Over Care of a Julia Tran Case Study - Medical Science Assignment Help

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Introduction

You are a New Graduate Registered Nurse working on the Renal Medical Unit of a large tertiary hospital. You are asked to take over care of a Julia Tran, a 42-year-old woman, and are currently receiving handover at the bedside. Situation Julia was admitted via the Emergency Department (ED) today, after experiencing an acute episode of left flank and groin pain, discomfort with voiding, episodes of vertigo and describes “passing out this morning before coming to the hospital”. Julia’s partner called an ambulance after they found Julia unconscious, but rousable to voice. On arrival to ED Julia was diaphoretic, tachycardic (HR 128) and hypotensive (BP 87/46). Her lips were cyanotic, and skin was pale. Her initial pain score was 8/10 and she showed signs of confusion. The ED team have administered a STAT 1L bag of crystalloid. Urine and blood cultures were sent to the laboratory for microbiology, the results are pending. Pathology: FBC, UEC and BhCG. Results showed elevated white blood cells, with all other results within normal ranges. BhCG – negative. The ward urine analysis showed high specific gravity, blood moderate; leukocytes ++, Glucose nil, Protein +.

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