maroon stools for 3 days and new unset dizziness his skin is rather pale?

Question

patient is an 81 year-old male.His BP is 130/78_ P(palse) 84.On standing his BP 100/63_P, 124.
states pain on his kness(arthritis), Hypertention, intermittent constipationand strain when has bowel movement, occasional heartburn when eating., and mild emphysema and bronchitis
He use Medications;
Hydrochlorothiazide 25mg dailr for hypertention
Ventolin inhaler as needed for bronchitis
Ranitidine 75mg over the counter
Extra strenght Tylenol about 5 days out of the week for arthritis.
what would be nursing Diagnosis, Planing, implamentation, and Evaluation?
What is Mr. Jones"s Diagnosis is?
Thank you

Answer 1

Wow, really trying to get someone to do your work!
lets, see....bp is a little orthostatic, and hr goes up, likely volume depleted, probably hypokalemic, and probably anemic- needs a CBC and Chem 7.
may have GERD- no big deal. Give him colace for constipation and tell him not to valsalva when stooling.
Every 81 y.o. has aching knees.
He's got a GI bleed...from the chronic tylenol or possibly diverticulitis, or maybe even an SBO or a mass.

Answer 2

Maroon stool would indicate rectal bleeding, and after 3 days, he may have lost enough blood to explain the new-onset dizziness, and pale skin. Also he's probably very weak. His doctor should be notified to see how he might be helped.