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S.S 68 y/o female with widely metastatic lung cancer (comfort care)…
S.S 68 y/o female with
widely metastatic lung cancer
(comfort care)
History of Smoking
Introducing free radicals/irritants and carcinogens
Tobacco
#
Nicotine
#
Mutated lung epithelial cells
Widely spread malignant neoplasm of the lung
metastatic pleural effusion
Chronic Cough
Back Pain
#
decreased physical movement
constipation
Polyethylene glycol 17g Oral BID
muscle atrophy
Weakness
#
Heat Therapy Pad
Right Abdominal Pain
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Hepatomegaly
#
Albumin: 2.5 (low)
Bilirubin: 1.2 (high)
AST: 52 (high)
Other Organomegaly
CT Chest Abdomen Pelvis w/contrast
Chronic Pain
#
]
Anorexia
#
Around the clock pain assessment
Q4h Morphine Sulfate to keep pain at manageable level
Promote restful sleep
Schizophrenia
Respiridone 1mg Oral Qbedtime
#
Lorazepam 1mg Oral Q bedtime
#
Direct Observed Therapy (Medication Administration)
African American
#
Decreased oral fluid intake
Decrease body fluid volume (hypovolemia)
BP: 93/60
HR: 84
BP: 109/70
HR: 101
Allow patient time with family when visitors arrive