Case Study #4

1. Structural/ surgical

2. LOC

3. Head CT/ MRI

4. Identifying the underlying cause and treating the underlying cause

5. Thiamine 100mg
     Dextrose 50%
     Naloxone 0.4mg

6. oxygen, fluid and electrolyte replacement, assess for changes in the neruo status, giving anticonvulsants, liquid tears to eyes every 2 hours, use transparent dressing.

7. Risk for aspiration, Self-care deficit, Risk for impaired skin integrity, Disturbed sensory perception, Imbalanced nutrition: less than body requirements, Impaired physical mobility

8. Assess for neuro changes, turn patient every 2 hours, provide mouth care, suctioning every 4 hours or as needed, and perform range of motion exercises