Question

Hous- 2. Charlie is a 42-year-old male presenting with a runny nose, sore throat, and productive cough. Vital signs: T-102.4°F (oral); P-115 bpm;R-18; BP—128/82 Al

Answer 1

Chief complaints:runny nose,sore throat,productive cough

Vital signs

Temperature-102.4 degree F

Pulse-115 bpm

R-18bpm

BP-128/82 mmhg

According to the case Charlie looks like having a viral fever or flu like symptom.

Medical management:The patient can be adminstertred paracetamol for fever, combination medicine of montelukast and crtrizine hydrochloride to reduce allergic response which causes runny nose .and warm saline gargles to relieve sore throat.Cough expectorant to remove the productive cough

If the symptoms persisit laboratory workup for Complete blood count which will help us to differentiate whether it's viral or bacterial infection.A sputum culture or throat swab can be done to precisely know the organism or virus causing the infection

Nursing management

Diagnosis 1 Altered body temperature related to bacterial or viral infection as evidenced by a body temperature of 102.4 degree F

Goals: patient has a temperature of less than 100 degree F after 24 hrs

Intervention

Assess the temperature to have a baseline value.

Remove any extra clothing's .

Keep the room ventilated

Adminster antippyretics as per order

Give tepid sponge with cold water

Diagnosis 2 impaired fluid volume balance as evidenced by higher heart rate secondary to fever

Goal:patient has a HR between 70-90bpm after 24 hours

Intervention:Assess the patient intake output to understand a baseline level

Administer oral fluids to prevent dehydration.

Adminster IV fluids if necessary

Encourage having oral soups juices,Coconut water to relieve dehydration.

Encourage warm saline gargles to relive sore throat .