Mr. Pepper is 74 y/o who presented to the ED with shortness of breath, fatigue, and “swollen legs and stomach”. In assessing his health history, you found out that he smokes a pack a day. His wife reported that he has been sleeping with two pillows propped behind him. Upon further evaluation Mr. Pepper reported that he had not been taking his fluid pill because he ran out. In obtaining his assessment, you noted bilateral crackles, bilateral lower edema of +3 and distended abdomen. His V.S. are: BP 92/48, P 88, R 30, T 98.9, SPO2 of 88% on room air. You decide to supplement him with 2 L of O2. Mr. Pepper was admitted to 6 South for Heart Failure exacerbation and for diuresis. He was administered Lasix with Potassium supplements. He stated relief from his fatigue and shortness of breath. During hospital stay you noted that his wife was bringing him Chinese food. The patient also requested multiple times to go outside and smoke. Upon discharge, Mr. Pepper was in good spirits and ready to go home. He was educated about his heart failure and disease process and management throughout his hospital stay.
What other interventions might the nurse consider? What procedures, medications and labs do you anticipate?
The following interventions had to be considered by a nurse when caring for these types of patients
Procedures
Medication
Laboratory investigation
Mr. Pepper is 74 y/o who presented to the ED with shortness of breath, fatigue, and...
Mr. Blue is a 45 year old who came into the ED for shortness of breath. He has a medical history of asthma. Upon assessment, you find cyanosis of the lips, a productive cough, temp is 102.1, BP 135/89, HR 110, RR 34, and has rapid and shallow breathing. Breath sounds are diminished bilaterally and you hear coarse rhonchi in the upper lobes. X-ray indicates bilateral pneumonia. ABG is drawn: pH 7.42 PCO2 24 HCO3 24 1. What does this...
Mr. Blue is a 45 year old who came into the ED for shortness of breath. He has a medical history of asthma. Upon assessment, you find cyanosis of the lips, a productive cough, temp is 102.1, BP 135/89, HR 110, RR 34, and has rapid and shallow breathing. Breath sounds are diminished bilaterally and you hear coarse rhonchi in the upper lobes. X-ray indicates bilateral pneumonia. ABG is drawn: pH 7.42 PCO2 24 HCO3 24 What does this ABG...
Carl Vinson, a 65-year-old Caucasian man, was admitted today with increased shortness of breath, fatigue, and decreased level of consciousness. Mr. Vinson has a history of liver disease, most likely related to a long history of alcohol use. Upon arrival to the unit, he is somnolent and responds only to shouting and shaking. Upon arousal, he is only able to state his first name. His wife accompanies him to the unit, and describes that he has become increasingly restless over...
Mr. Gregg is a 65-year-old African-American male who was admitted with complaints of increased fatigue, shortness of breath, and headache. He states that he retired 9 months ago after 45 years as a construction worker. He now leads a sedentary lifestyle, and doesn't have as much energy as he used to have. He has gained 50 pounds since retirement. Upon assessment, Mr. Gregg weighs 255 pounds and is 5' 11" tall. Vital signs are temperature 98.8°F, pulse 88 beats per...
Mr. Gregg is a 65-year-old African-American male who was admitted with complaints of increased fatigue, shortness of breath, and headache. He states that he retired 9 months ago after 45 years as a construction worker. He now leads a sedentary lifestyle, and doesn't have as much energy as he used to have. He has gained 50 pounds since retirement. Upon assessment, Mr. Gregg weighs 255 pounds and is 5' 11" tall. Vital signs are temperature 98.8°F, pulse 88 beats per...
Information Gender Male Patient Name: Charles Jones DOB:04/20xx Age: 68 Weight: 82 kg (180 Ibs) Height: 183 cm (72 inches) Religion: Baptist Race: African American Major support: Wife Allergies & Sensitivities No known allergies Social history Mr. Jones lives with wife. Both retired 3 years ago. He worked as a school maintenance Jones has three adult children who are very supportive of their parents. Prior medical history: Mr-Jones has had for hypertension the-last 10 years, and was diagnosed with atrial...
Carl Edwards is a 75-year-old man with congestive heart failure. Having sustained three myocardial infarctions in the last 10 years, he has decreased left ventricular function. Mr. Edwards takes Digoxin, Capoten, Coreg, and Lasix for management of this disease. Today he presents to the emergency department with fatigue, generalized weakness, and feelings of “skipping” heartbeats. Upon arrival, he is placed on the cardiac monitor, his vital signs are assessed, and an IV is inserted. He currently denies chest pain, but...
History: Mr. Dan Griffith is a 65 year old male who presented to the emergency department with shortness of breath and chest tightness of recent onset. He has a 7 year history of COPD and is on oxygen at home. Physical assessment reveals a respiratory rate of 32 and slightly labored, temperature of 98.9, and SpO2 of 86% while on oxygen via nasal cannula at 2 L/min. Question: Mr. Griffith is admitted to the pulmonary unit with acute exacerbation of...
The patient is a 68 year old man who has had shortness of breath for the past 2 to 3 days. His past medical history includes a 40 year of smoking a pack as day – history, COPD, and heart failure. He reports that he became concerned when he woke from sleep because he could not breathe. Your physical assessment reveals crackles in the lower lobes bilaterally. His oxygen saturation is 84% without supplement oxygen. What are some areas of...
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