Sharee Thomas | 32 years old
Chief Complaint: Sharita Tarmus presents to the emergency department with complaints of progressive weakness in her legs, which she has noticed over the past 3 days. She also reports tingling in her hands and feet.
Medical History:
Sharita has a recent history of an upper respiratory infection approximately two weeks ago, treated symptomatically at home. She has no significant past medical history, no known allergies, and is not currently on any medications.
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Nurse's Note:
Patient is admitted to the emergency department with complaints of weakness in her lower extremities, which she reports has been worsening over the past 72 hours. She now finds it difficult to walk and is concerned as the weakness appears to be spreading upward. She denies any difficulty breathing at this time but reports a “pins and needles” sensation in her hands and feet. She is anxious and tearful, concerned about what might be happening.
Vital Signs:
Blood pressure: 138/82 mmHg
Heart rate: 92 bpm
Respiratory rate: 18 breaths/min
Temperature: 98.6°F (37°C)
SpO2: 98% on room air
Provider's Orders:
Admit to ICU for close monitoring.
Perform a lumbar puncture and send CSF for analysis.
Start IV fluids: Normal Saline at 75 mL/hr.
Continuous ECG monitoring.
Neurology consult.
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Follow Up Questions:
Question 1: What is the primary reason Sharita is being admitted to the ICU?
Question 2: Why was IVIG therapy initiated for Sharita?
Question 3: What are the indications that Sharita might require mechanical ventilation?
Question 4: What would be the nurse's priority intervention if Sharita’s oxygen saturation continues to decline despite supplemental oxygen?
Answers to Questions Below
Answers
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