57y.o M; swollen uvula; dyspnea; dysphagia

Descrição

Mapa Mental sobre 57y.o M; swollen uvula; dyspnea; dysphagia, criado por gurley10 em 19-08-2013.
gurley10
Mapa Mental por gurley10, atualizado more than 1 year ago
gurley10
Criado por gurley10 mais de 10 anos atrás
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0

Resumo de Recurso

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

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