Posted: August 13th, 2022

Assignment 4: Dyspnea and cough

Assignment four: Dyspnea and cough

RP is a 68 year-old male who was admitted to the hospital from his long-term care facility after 1 week of dyspnea and cough. He was seen by a employees doctor on the long-term care facility and was recognized with a COPD exacerbation. He was prescribed azithromycin, however has not improved after three days of antibiotics. He has a historical past of dyslipidemia, COPD, alcoholic cirrhosis, and HTN. He routinely takes lisinopril, atorvastatin, tiotropium and fluticasone/salmeterol, and has just lately had a heavier reliance on his rescue albuterol inhaler.

Important indicators:BP: 140/86, HR: 89, RR: 18, TMAX: 102.2°F, O2 saturation: 84% on 4LNC, Ache zero/10

Assessment findings: alertness barely altered, however baseline, coarse breath sounds, rhonchi and wheezesheard all through with an occasional productive cough, dyspnea is worse than baseline; common price and rhythm, no murmurs, no edema, decreased peripheral pulses bilaterally, toes cool to the touch; abd barely distended; pores and skin excoriated, in any other case regular

Necessities: 2 pages

Assignment # three Mini Idea Map

Utilizing this state of affairs:

RP is a 68 year-old male who was admitted to the hospital from his long-term care facility after 1 week of dyspnea and cough. He was seen by a employees doctor on the long-term care facility and was recognized with a COPD exacerbation. He was prescribed azithromycin, however has not improved after three days of antibiotics. He has a historical past of dyslipidemia, COPD, alcoholic cirrhosis, and HTN. He routinely takes lisinopril, atorvastatin, tiotropium and fluticasone/salmeterol, and has just lately had a heavier reliance on his rescue albuterol inhaler. RP, a 68-year-old man, was taken to the hospital from his long-term care facility after coughing and having bother respiratory for per week. A employees physician on the long-term care facility checked on him and advised him he was having a COPD flare-up. He was given azithromycin, however after three days, he hasn’t gotten higher. He has had dyslipidemia, COPD, alcoholic cirrhosis, and hypertension previously. He takes lisinopril, atorvastatin, tiotropium, and fluticasone/salmeterol every single day, and he has been utilizing his rescue albuterol inhaler extra and extra currently.

Important indicators:BP: 140/86, HR: 89, RR: 18, TMAX: 102.2°F, O2 saturation: 84% on 4LNC, Ache zero/10

Assessment findings: alertness barely altered, however baseline, coarse breath sounds, rhonchi and wheezesheard all through with an occasional productive cough, dyspnea is worse than baseline; common price and rhythm, no murmurs, no edema, decreased peripheral pulses bilaterally, toes cool to the touch; abd barely distended; pores and skin excoriated, in any other case regular

Discharge Plan:

LabsMicro

Na: 141Creatinine: 1.6Blood Tradition: No development at 48 hrs

Okay: four.2WBC: 19.6Gram Stain: four+ squamous, no organisms

Cl: 98Hgb: 10.8Culture: No development at 48 hours

Bicarb: 23 Hct: 36.2Pneumococcal:Constructive

BUN: 24 Platelets: 300

Radiology

Radiology Chest X-ray confirmed focal consolidation in the precise decrease lobe, suggestive of pneumonia.

You might be anticipated to develop 2 precise nursing prognosis to your affected person. Solely use 1 Nursing Prognosis per web page

Assign 2 precedence interventions for EACH Nursing Prognosis

Set up 1 quick time period purpose

Set up 1 long run purpose

For the short-term purpose, was your affected person in a position to meet it? In that case, how was that demonstrated. If not, what may you do otherwise to Help the affected person to fulfill the purpose?

Please use the pattern idea map beneath for the two Nursing Prognosis you chose

Order | Check Discount

Tags: Assignment 4: Dyspnea and cough