You as a nurse are caring for a 62-year old male patient in the hospital who has an exacerbation of his emphysema. The patient currently takes the following medications lorazepam, Xanax, Cardizem, Flonase, prednisone, Advair, aspirin and uses 2 L of O2 via NC. Based off these medications what other medical conditions do you think has? How do these medical conditions impact this patients emphysema? What diagnostics would you want to see on this patient and why? What nursing interventions would you implement for this patient and why? If you can, please relate to situation you have witnessed/experienced in your clinical/work experiences.
#. Based on the medications given above ,the patient has a medical history of angina , anxiety disorder , arthritis , nasal congestion and stuffiness
#. Diagnosis - Imaging Tests
Chest x-ray
- Supports diagnosis & rules out other reasons for SOB
- Can show up normal even if person has emphysema - use caution
CT scan
- Better because creates cross-section of internal organs
Diagnosis - Lab Tests
Arterial blood gas test - shows how well lungs transfer oxygen into & remove carbon dioxide from blood
Complete blood cell count - increase in RBCs = shows cells are not working as efficiently
Alpha-1 antitrypsin levels - genetic form of emphysema
Diagnosis - Lung Function Tests
Measures amount lungs can hold, how well the air flows in/out of lungs, how well lungs deliver oxygen to blood
Spirometer - blow into it. Results compared to: normal person of same age, size, and sex.
#. Nursing interventions :-
Patient Goal: Maintaining clear breath sounds and patency of patients airway
Nursing Intervention with rationale :1.Adequate fluid intake of 1500-2000 mL/day - Helps to thin secretions 2.Assist patient to lean over bedside table - Helps to aid expansion of the chest 3.Teach and encourage pursed-lip breathing ever 2-4 hour and PRN - Help patient to control dyspnea and possible anxiety
Patient Goal: Patient demonstrates ventilation improvement and adequate oxygenation
Nursing Intervention with rationale: 1.Assess the color of skin and mucous membranes every hour and PRN - Cyanosis may indicate hypoxemia 2.Monitor level of consciousness every 1-2 hours and PRN - Altered LOC may indicate decreased oxygenation 3.Record respiration rate, use of accessory muscles, and depth of breathing - May help to evaluated he level of respiratory distress
You as a nurse are caring for a 62-year old male patient in the hospital who...
you as a nurse are caring for 62 year old Male patient in the hospital who has an exacerbation of his emphysema. the patient currently takes the following medications lorazepam, xanax, cardizem, flonase, prednisone, advair, aspirin and uses 2 L of 02 via NC. based off these medications what medical conditions do you think he has? how do these medical conditions impact this patient's emphysema?. what diagnostics would you want to see on this patient and why? what nursing interventions...
You are a nurse caring for a 47-year-old patient who is homeless. He is admitted to your unit two to three times per year. His medical history includes diabetes mellitus (type 2), hypertension, and alcoholism. After extensive hygienic interventions (to decrease his body odor, wash his hair, and perform oral care), you complete your assessment and find that he is not in compliance with any of his dietary and medication instructions from his last admission. (Learning Objectives #4 & #5)...
1. You are a nurse caring for a 47-year-old patient who is homeless. He is admitted to your unit two to three times per year. His medical history includes diabetes mellitus (type 2), hypertension, and alcoholism. After extensive hygienic interventions (to decrease his body odor, wash his hair, and perform oral care), you complete your assessment and find that he is not in compliance with any of his dietary and medication instructions from his last admission. Considering his history, what...
You are a nurse in a medical–surgical hospital unit caring for a patient who had an open cholecystectomy 3 days earlier. Subsequently, the patient developed a parlay tic ileus. Additional complications require continued postoperative antibiotic infusions. a. What nursing assessment finding could indicate the presence of a paralytic ileus? b. Which medical interventions could have contributed to the development of your patient’s paralytic ileus? c. How long would you expect the paralytic ileus to last? d. In what ways would you expect a...
You are a nurse in a medical–surgical hospital unit caring for a patient who had an open cholecystectomy 3 days earlier. Subsequently, the patient developed a parlay tic ileus. Additional complications require continued postoperative antibiotic infusions. a. What nursing assessment finding could indicate the presence of a paralytic ileus? b. Which medical interventions could have contributed to the development of your patient’s paralytic ileus? c. How long would you expect the paralytic ileus to last? d. In what ways would you expect a...
You are a nurse working in a hospital. You are caring for a newly admitted 70-year-old man who has a diagnosis of pneumonia. He has a productive cough and decreased lung sounds in the bases of his lungs. His oxygen saturation is 92% on 3L of oxygen via NC. While completing the nursing admission history you learn he has a history of smoking one pack of cigarettes per day for 53 years; although he tries to eat well, his source...
You are a nurse working in a hospital. You are caring for a newly admitted 70-year-old man who has a diagnosis of pneumonia. He has a productive cough and decreased lung sounds in the bases of his lungs. His oxygen saturation is 92% on 3L of oxygen via NC. While completing the nursing admission history you learn he has a history of smoking one pack of cigarettes per day for 53 years; although he tries to eat well, his source...
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