Question: At 1400 Hrs. On Tuesday, Mr. Adebo Ikeme, 83 Year Old Black Male Was Admitted To Your Floor With Complaints Of Significant SOB When Taking The Stairs To His 3rd Floor Walkup In Brooklyn. He Is 5’10” Tall And Weighs 145 Lbs. He Has A 15 Year History Of HTN But Has Not Been Seen For Follow Up In Several Years. He States That The Breathing Problem Started …

At 1400 hrs. on Tuesday, Mr. Adebo Ikeme, 83 year old Black male was admitted to your floor with complaints of significant SOB when taking the stairs to his 3rd floor walkup in Brooklyn. He is 5’10” tall and weighs 145 lbs. He has a 15 year history of HTN but has not been seen for follow up in several years. He states that the breathing problem started about a year ago but got worse this week. His LE evidence 34Edema to the middle of his shins. Mr. Ikeme states that he gets up several times a night to use the bathroom – but only has “a little bit of pee” each time. As he speaks to you, you note that his pupils are bilaterally cloudy and his dark brown irises have a distinct pale blue ring around the perimeter. Admission vital signs: BP 169/102, Pulse 88, Resp 18 & temp. 96.8*F. Identify Key Findings/Significance & NURSING Implications 1 2. 3 4 MD Orders Describe the Nursing Response Captopril 50mg/Day HCTZ 25 mg BID Cardiac diet c no added NACL VS 9 4 hours Activity as tolerated Cardiac monitoring Saline Lock 12 lead ECG 02 Sat vs q8 hours Chem panel (SMAC 20) & troponin x3 Schedule for nuclear stress test in AM