Ok...but only cause I'm bored..! I'll try something abut simpler for the applicants.
58yr old female on neurosurgical ward. Admitted following a fall, subdural haematoma with surgery for evacuation 2 days ago. She's been talking about a Christmas pudding in the washing machine and asking who else lives in this flat for the past half hour. She has IV access, catheter was removed this morning as she has been out of bed and walking to toilet, although the sheets are now wet, and her pillow case. Wound to right side of head with clips, and PMH of diabetes type 2. What would you first do?
Obs 4 hours ago:
Respiratory rate: 18
Sats 97% on room air
Heart rate: 82
Temp: 37.2
BP: 117/66
Blood glucose: 6.4
Eating and drinking well and independantly.
GCS: 15, pupils equal and reacting to light, no limb deficits.
Urine output: 110mls per hour, although catheter then removed
Bowels not yet open.