Problem
On Sunday at 13:42hrs, you are about to leave to have your lunch break when Mr McFarlane's wife calls you from the corridor and states "Nurse! My husband does not look well and something is wrong with him. Please can you come and have a look at him?" On entry to Mr McFarlane's room, you notice the following:
1. He is lying in a supine position
2. His breathing is short and shallow
3. Pale and clammy skin with slight cyanosis around his lips and peripheral extremities
4. His eyes are closed and not opening when you call his name; eyes open with trapezius squeeze (painful stimuli), and the best motor response is localising.
You have taken a set of vital signs and get the following findings:
RR: 9/min, SpO2: 74% Room Air, BP: 100/60mmHg, HR: 45/min and irregular, Temp: 38.7OC, BGL 2.5 mmol/L
The Emergency Team have stabilized the condition of Mr McFarlane. However, his condition remains at risk.
Considering your current concerns about Mr. McFarlane, revise his care plan on the template below:
1. Outline two new nursing diagnoses/problems/ risk factors associated with Mr McFarlane's current health presentations (these nursing diagnoses or risk factors cannot be the same ones used in Assessment)
2. Identify and explain at least one expected outcome(s) Write ONE nursing intervention with rationale that could be instigated for each diagnosis.
3. Specify at least one (1) member of the multidisciplinary team that may be able to support your suggested interventions.