B. Your second patient is 64 years old with chronic obstructive pulmonary disease (COPD). He caught...

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B. Your second patient is 64 years old with chronic obstructive pulmonary disease (COPD). He caught a cold a week ago and pre

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Answer 1

Answer #1

1.The plan of care in this patient are

To treat the underlying cause (infection ) to ease the symptoms of wheezing An antibiotic is necessary to fight this infection.
An inspiratory and expiratory wheeze is an alerting sign to be assessed for initiating necessary treatment.
The patient has to be given oxygen to maintain oxygen saturation
Provide nebulization to loosen the thick secretion and spit out and breathe easily
Provide steam inhalation ,to thin out secretion and to provide moisteness
Provide a high fowlers position to increase lung capacity

2.The following education are needed

Take antibiotic as prescribed, do not stop on own, to treat infection
Teach breathing exercise like purse lip exercise which can prevent expiratory wheeze and it symptoms
Encourage to continue nebulization and steam in home, this can make patient breath easily and prevent secretions
Encourage to monitor oxygen saturation
Report immediately in case of any adverse reactions, breathing difficulties, wheezing,fever.Early medical help can prevent complications

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Answer 2

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