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Source:

Nursing2015

March 2012, Volume 42 Number 3 , p 72 - 72

Author

  • Lisa Huffman MSN, RN, CNS, CCRN

Abstract

MR. W, 64, IS TRANSPORTED to the ED by ambulance after his daughter found him on the kitchen floor where he'd been lying for several hours. He told his daughter that he had "passed out" and was "too weak to get up by himself."Mr. W's health history is unremarkable. He complains of generalized weakness and myalgia and has voided 100 mL of reddish-brown urine. He's alert and oriented; his vital signs are: temperature, 100.2[degrees] F (37.9[degrees] C); heart rate, 96; respirations, 18; BP, 102/60; and SpO2, 99% on room air. He's attached to a cardiac monitor, which shows normal sinus rhythm. Peripheral I.V. access is established, and blood and urine specimens are obtained and sent to the lab. A computed tomography scan of the head is negative and the 12-lead ECG is normal.His blood work results include: creatinine 2.7 mg/dL (normal, 0.6 to 1.2 mg/dL); potassium 6.2 mEq/dL (normal, 3.5 to 5.2 mEq/L); creatine kinase 38,400 u/L (normal, 38 to 174 u/L); calcium 7.9 mg/dL (normal, 8.8 to 10.4

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