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171153
57y.o M; swollen uvula; dyspnea; dysphagia
Description
Mind Map on 57y.o M; swollen uvula; dyspnea; dysphagia, created by gurley10 on 19/08/2013.
Mind Map by
gurley10
, updated more than 1 year ago
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Created by
gurley10
over 10 years ago
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Resource summary
57y.o M; swollen uvula; dyspnea; dysphagia
Admit to ED
Adverse reaction to lisinopril 20mg QD
Treat/Monitor Side Effects: ortho HTN, dizziness, lightheaded, tiredness, headache, dry cough
Medication discontinued.Call Dr.if fainting, slow/irregular heart rate, fever, chills, sx of increased potassium, change in amount of urine, sore throat
Asses, monitor VS with pulse ox Q4 hours; rest, fluids, Antipyretic; check, wbc w/diff, cbc w/diff, electrolytes especially potassium, monitor urine output
Abnormal labs require additional tests and assessment.
Encourage fluids, rest, remind to stand slowly, pain reliever, cough suppressant, cont monitor VS Q shift
If relieved: lower dose or consider changing medication
If unrelieved:stop medication and change medication
Slightly abnormal VS:90,140/90, 24, 37C, 96%RA (diff breathing)
HEENT: mild upper lip swelling, moderate uvula swelling (patent airway)
Provide antihistamine and monitor VS with pox Q4 hours
If resolved, cont to monitor & discontinue lisinopril
If not resolved, cont to provide antihistamine and fluids and monitor VS Q4 hours. Assessment is necessary within 24 hours.
Possible inflammatory response
Other Medical History
Diet controlled Diabetes type II
Hypertension
Obesity
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