question archive A 65 year old woman is brought to the ED by her family for increasing confusion and lethargy over the past week
A 65 year old woman is brought to the ED by her family for increasing confusion and lethargy over the past week
Subject:NursingPrice: Bought3
A 65 year old woman is brought to the ED by her family for increasing confusion and lethargy over the past week. She was recently diagnosed with small cell cancer of the lung. She has not had any fever or recent illness. She takes no medications at this time.
PE - BP 136/82 HR 84 RR 14 T 98.2
Elderly appearing women who is difficult to arouse and reacts only to painful stimuli. She moves her extremities without apparent motor deficit. Her reflexes are normal. No JVD or extremity edema is present.
Na 108 K 3.8 Bicarb 24 BUN 5 Cr 0.5 Serum osmolality 220 urine osmolality 400
CT Scan of the head shows no brain masses or hydrocephalus
What is your working diagnosis? What is the next step in her treatment?
