Posted: August 12th, 2022

case study 1: HH is a 68 yo M

Nursing
Topic: Case Study

Paper details:

This is a discussion post, please use at least 3 references and citations. The Case Study is Below.
case study 1: HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomitinbptg. Ht: 5’8” Wt: 89 kg, Allergies: Penicillin (rash)

Case Study

The following is a case study of HH who is a 68-year-old man receiving treatment in a medical ward for the past three days. The health practitioners admitted HH with community-acquired pneumonia. Community-acquired pneumonia is a body disorder affecting the lungs and it develops in people outside a hospital center (Metlay, Waterer, Long, Anzueto, Brozek, Crothers & Whitney, 2019). HH requires a special medication due to the disorders from HH’s past medical history. The past medical history shows that HH is significant for chronic obstructive pulmonary disease affecting the supply of air. Another disorder from the past medical history is having is high blood pressure. Also, the past medical history shows hyperlipidemia which is a genetic disorder caused by high levels of lipids in the blood, and diabetes which is a disorder characterized by unbalanced levels of sugar.
One of the medical interventions I would recommend is that health practitioners should continue using the empirical antibodies for they have helped HH improve his medical condition. Another medical intervention that I would recommend is that medical practitioners should give HH promethazine. Promethazine is a drug that helps to control nausea and vomiting thereby it will be of great help to HH (Maurya, ud din Parray, Maurya, Kumar & Patel, 2018). Another medical recommendation that I need to take in treating HH is using tetracyclines instead of penicillins. The reason why I need to use tetracyclines is that HH is allergic and using penicillins will affect him (Granados-Chinchilla & Rodríguez, 2017). Another medical recommendation essential to HH is engaging him in aerobic activities to address the issue of Chronic obstructive pulmonary disease.
In terms of health education, one of the strategies that will help HH is guiding him on healthy eating as well as lifestyle. Healthy eating will help HH address the chronic disorder present in the past medical health. Another approach that HH needs to take is gathering more information concerning highly contagious infections such as community-acquired pneumonia. HH needs such information to remain alert and avoid places that can expose him to such contagious infections.

References
Granados-Chinchilla, F., & Rodríguez, C. (2017). Tetracyclines in food and feedingstuffs: From regulation to analytical methods, bacterial resistance, and environmental and health implications. Journal of Analytical Methods in Chemistry, 2017.
Maurya, N., ud din Parray, M., Maurya, J. K., Kumar, A., & Patel, R. (2018). Interaction of promethazine and adiphenine to human hemoglobin: a comparative spectroscopic and computational analysis. Spectrochimica Acta Part A: Molecular and Biomolecular Spectroscopy, 199, 32-42.
Metlay, J. P., Waterer, G. W., Long, A. C., Anzueto, A., Brozek, J., Crothers, K., … & Whitney, C. G. (2019). Diagnosis and treatment of adults with community-acquired pneumonia. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. American journal of respiratory and critical care medicine, 200(7), e45-e67.

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