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NRN202 Clinical Preparation

Pathophysiology Concept Mapping

Define: Nursing Assessment:


 adequate ventilation, adequate oxygen, cervical spine
Fever is defined as the elevation of protection if required, airway protection if required
core body temperature above normal;  Oxygen
in normal adults, the average oral adequate circulation (BP, PR , periphery)
temperature is 37°C (98.6°F). History of Presentation
Past Medical History
Allergies, Medications, Drug/Substance Use

Medical Diagnosis:

Altered mental
status
S & S: Medications:
Decreased conscious state drowsy
stupor: non responsiveness to pain or Depends on the underlying cause.
painful procedures
Delirium - altered perception,
hallucination
Lethargy - decreased activity, loss of
eye contact

Lab Tests: Causes/Risk Factors:


CNS process (hemorrhage, non-hemorrhagic stroke,
ECG, blood sugar,electrolyte panel, liver function seizures, mass lesion)
tests, urinalysis,EtOH, ASA, Tylenol Intoxication
toxicology screen, thyroid function tests, CT Head Trauma
lumbar puncture, Sepsis/infection
Cardiac/vascular

Nursing Considerations/
Patient Teaching:

Depends on the underlying cause, once determined it is


advised to teach the patient how to recognize/avoid the
situation (if feasible). Teach the caregiver, how to
recognize/avoid the situation.

Concept Map NRN202

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