You have a 72 year old female

You have a 72 year old female white patient who is 4’7 and weighs 95lbs. Patient has allergies to metformin and any products containing pork. Patient came in due to fluid overload. Patients medical history includes end stage renal disease, CVA, Hyperlipidemia, hypertension, peptic ulcer, COPD, Type 2 diabetes, anemia. Past surgical history shows cardiac, eye, abdominal surgery as well as fractures. A rapid was called for this patient due to seizure like symptoms (uncontrollable tremors all of a sudden) presumably caused by an ABG of 7.25-PH, 60 CO2, 75 PAO2, 28 HCO3. Patient is fairly unresponsive and requires much stimulation to alert. Patient requires the use of a translator to communicate as they do not speak English. Recent Vitals include BP 110/60, HR 82, RR 15, 97.5F Temp, 95 SPo2, 10/10 Pain. Patient is a former smoker, has diminished breath sounds with crackles in lower lobe, hypercapnia noted due to recent narcotic use. Patient receives Dialysis 3 times a week. What are 3 nursing diagnoses for this patient? Please use actual supported diagnoses in a Related to as Evidenced by format. The 1st diagnosis being the most important for the patient. (Such as Hypercapnia) What recommendation would you make to the doctor for this patient? What is a therapeutic procedure for this patient? Thanks!

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