Posted: August 13th, 2022

Assignment 4: Dyspnea and cough

Assignment 4: 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 staff physician at the long-term care facility and was diagnosed with a COPD exacerbation. He was prescribed azithromycin, but has not improved after 3 days of antibiotics. He has a history of dyslipidemia, COPD, alcoholic cirrhosis, and HTN. He routinely takes lisinopril, atorvastatin, tiotropium and fluticasone/salmeterol, and has recently had a heavier reliance on his rescue albuterol inhaler.

Vital signs:BP: 140/86, HR: 89, RR: 18, TMAX: 102.2°F, O2 saturation: 84% on 4LNC, Pain 0/10

Assessment findings: alertness slightly altered, but baseline, coarse breath sounds, rhonchi and wheezesheard throughout with an occasional productive cough, dyspnea is worse than baseline; regular rate and rhythm, no murmurs, no edema, decreased peripheral pulses bilaterally, feet cool to touch; abd slightly distended; skin excoriated, otherwise normal

Requirements: 2 pages

Assignment # 3 Mini Concept Map

Using this scenario:

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 staff physician at the long-term care facility and was diagnosed with a COPD exacerbation. He was prescribed azithromycin, but has not improved after 3 days of antibiotics. He has a history of dyslipidemia, COPD, alcoholic cirrhosis, and HTN. He routinely takes lisinopril, atorvastatin, tiotropium and fluticasone/salmeterol, and has recently 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 trouble breathing for a week. A staff doctor at the long-term care facility checked on him and told him he was having a COPD flare-up. He was given azithromycin, but after 3 days, he hasn’t gotten better. He has had dyslipidemia, COPD, alcoholic cirrhosis, and high blood pressure in the past. He takes lisinopril, atorvastatin, tiotropium, and fluticasone/salmeterol every day, and he has been using his rescue albuterol inhaler more and more lately.

Vital signs:BP: 140/86, HR: 89, RR: 18, TMAX: 102.2°F, O2 saturation: 84% on 4LNC, Pain 0/10

Assessment findings: alertness slightly altered, but baseline, coarse breath sounds, rhonchi and wheezesheard throughout with an occasional productive cough, dyspnea is worse than baseline; regular rate and rhythm, no murmurs, no edema, decreased peripheral pulses bilaterally, feet cool to touch; abd slightly distended; skin excoriated, otherwise normal

Discharge Plan:

LabsMicro

Na: 141Creatinine: 1.6Blood Culture: No growth at 48 hrs

K: 4.2WBC: 19.6Gram Stain: 4+ squamous, no organisms

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

Bicarb: 23 Hct: 36.2Pneumococcal:Positive

BUN: 24 Platelets: 300

Radiology

Radiology Chest X-ray showed focal consolidation in the right lower lobe, suggestive of pneumonia.

You are expected to develop 2 actual nursing diagnosis for your patient. Only use 1 Nursing Diagnosis per page

Assign 2 priority interventions for EACH Nursing Diagnosis

Establish 1 short term goal

Establish 1 long term goal

For the short-term goal, was your patient able to meet it? If so, how was that demonstrated. If not, what could you do differently to help the patient to meet the goal?

I need help writing my essay – research paper use the sample concept map below for the 2 Nursing Diagnosis you selected

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