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Source:

Nursing2015

October 2005, Volume 35 Number 10 , p 88 - 88

Author

  • VINCENT M. VACCA RN, CCRN, MSN

Abstract

EARLIER TODAY, Sam Pappageno, 60, was clinically stable. But now when you assess him, you find that he can't follow simple commands, has orthostatic hypotension, and is oliguric with dry mucous membranes. You take his vital signs: BP, 100/60; heart rate, 120 beats/minute; respirations, 16; temperature, 98.6° F (37° C); and SpO2, 95% on room air.

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