Darrell Johnson 64Yrs Old Male CC: Worsening Parkinson's disease COMPLETE EXPERT FEEDBACK (ANSWERS) PLUS RATIONALES-

Darrell Johnson 64Yrs Old Male CC: Worsening Parkinson's disease COMPLETE EXPERT FEEDBACK (ANSWERS) PLUS RATIONALES- DOCUMENTATION WITH REFLECTION PAPER |2023 UPDATE SOLUTIONS 2 3 Name: Darrell Johnson Room: unknown Admit Date/Time: Age/sex: 64/M Code Status: Full MD: Dr. Porter Dx: worsening Parkinson’s disease Hx: Parkinson’s disease diagnosed two years ago Allergies: No known Precautions: High Fall risk Fall Risk Level: High I&O: unknown Activity Level: low Weights: 165 lb Tele: N/A Rhythm: N/A Diet: regular Fluid Restrict: N/A VTE Proph: N/A Chemsticks: N/A O2/Resp. Therapies: N/A, 99% RA Adm VS: HR: 64, RR 26, Temp 98.6 F, SpO2 98%, BP 124/76 2nd VS: HR: 70, RR 20, Temp 98.8 F, SpO2 99%, BP 128/72 Call parameters (VS, output, etc.): None ordered Head to Toe Assessment: Tremors, cogwheel rigidity Soft, slurred speech Bradykinesia Mask-like facial expression Orthostatic hypotension IV Type: 20 G peripheral IV Location: R antecubital Insertion Date: Day 1 Fluids: NS 5ml q8 IV Scheduled labs/Procedures: CBC Compr5ehensive metabolic panel Psychosocial: Denies changes in concentration, anxiety, panic, depression, irritability, insomnia, suicidal ideations, violence/abuse history, eating concerns. Patient Care Priorities: Fall precautions Monitor orthostatic BP Meds, VS & Nursing Care Schedule Carbidopal/Levodopa 25/100 mg PO TID Multivitamin 1 tablet PO daily Flush peripheral IV with NS(0.9%) 5ml IV q8 PRN Meds: NS(0.9%) 5-10 ml IV PRN for medications/ flushing 4 Wounds/Dressings/Drains: None Abnormal Labs: Results Pending Misc. (Consults, needs, d/c plans, etc): Consults PT, OT, social work Medication adjustment Rehabilitation Recommend speech therapy consultation