Respiratory Case Study<\/p>\n
D.Z is a 62-year-old man, admitted at 1600 to a medical floor with a diagnosis of acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD). His past medical history includes hypertension and types 2 diabetes. He has had pneumonia yearly for the past 3 years and has been a two-pack-a-day smoker for 38 years. His current medications include enalapril (Vasotec), hydrochlorothiazide (HCTZ), metformin (Glucophage), and fluticasone\/salmeterol (Advair). He appears anxious and has difficulty breathing at rest. D. Z seems irritable and anxious; he C\/O of sleeping poorly and states that lately, he feels tired most of the time. He reports a productive cough with thick yellow-green sputum. You auscultate decreased breath sounds, expiratory wheezes, and coarse crackles in both bilateral anterior and posterior lower lobes. His vital signs are 162\/84, 124, 36, 102 degrees, and SPO2 88%.<\/p>\n
Doctor\u2019s orders:<\/p>\n
Diet as tolerated <\/p>\n
Out of bed with assistance<\/p>\n
Oxygen to keep SPO2 above 90%<\/p>\n
D5W at 50ml\/hr.<\/p>\n
ECG monitoring<\/p>\n
Arterial Blood Gases (ABG) in the AM<\/p>\n
CBC with differential now<\/p>\n
BMP now<\/p>\n
CXR daily<\/p>\n
Sputum culture<\/p>\n
Albuterol 2.5mg and ipratropium 250mcg nebulizer treatment STAT<\/p>\n
Questions:<\/p>\n
What is COPD? <\/p>\n
What are the signs and symptoms of COPD? <\/p>\n
How is COPD treated?<\/p>\n
Is there any other order you will anticipate from the doctor?<\/p>\n
Explain some of the teaching points you would like to address with this patient?<\/p>\n
State 2 nursing diagnoses.<\/p>\n","protected":false},"excerpt":{"rendered":"
Respiratory Case Study D.Z is a 62-year-old man, admitted at 1600 to a medical floor with a diagnosis of acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD). His past medical history includes hypertension and types 2 diabetes. He has had pneumonia yearly for the past 3 years and has been a two-pack-a-day smoker for 38 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[10],"class_list":["post-97911","post","type-post","status-publish","format-standard","hentry","category-research-paper-writing","tag-writing"],"_links":{"self":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/97911","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/comments?post=97911"}],"version-history":[{"count":0,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/97911\/revisions"}],"wp:attachment":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/media?parent=97911"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/categories?post=97911"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/tags?post=97911"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}