A 14 year old male comes into the emergency with complaints of dizziness, headache & bloody vomitus for 1 day. He has been nose bleeding passively for three days & actively for 24hours. The accompanying guardian has had him lean back in an effort to stop the bleeding.
On assessment he has cold clammy skin and is weak looking while being pale with some confusion. Vital signs: BP 94/55, HR: 120b/m, Spo2 94% on room air with a temperature 34.9 degrees celsius having cold clammy skin.
Write a care plan for this patient on Epixtasis. Let us know in the comments section how that goes. Here is a seven column Nursing Process and some tips and ideas on writing Nursing Care Plans.