A 38 yo white female had been admitted for severe RLL pneumonia. After 5 days she left AMA because she was not allowed to smoke. At this time there was a "spot" on her RLL. She later appeared at the doctor's office without an appointment and said something was very wrong. She had flu-like symptoms which was getting worse. She could only speak in short sentences and was unable to inhale deeply. She was transported immediately to the hospital. The woman appears malnourished, poor personal hygiene and has yellow tobacco stains around her fingers. She is in moderate to severe respiratory distress.
Data: BP 130/60, HR 112, RR 36 T 37.7, trachea slightly shifted to left, absent BS over RML and RLL
CXR: large right-sided pleural effusion, partially collapsed RML and RLL
Patient has improved what therapies and education do you recommend to the patient?
Therapy is ICD drainage
Respiratory support if unable by ventilator aur bag mask ventilation
Bronchiodilator as sever distress
Education
Stop useing chewingable tabacco,
Persional hygiene
Antibiotics-amoxicilline+amicacine for the pneumonia components
A 38 yo white female had been admitted for severe RLL pneumonia. After 5 days she...
A 38 yo white female had been admitted for severe RLL pneumonia. After 5 days she left AMA because she was not allowed to smoke. At this time there was a "spot" on her RLL. She later appeared at the doctor's office without an appointment and said something was very wrong. She had flu-like symptoms which was getting worse. She could only speak in short sentences and was unable to inhale deeply. She was transported immediately to the hospital. The...
A 38 yo white female had been admitted for severe RLL pneumonia. After 5 days she left AMA because she was not allowed to smoke. At this time there was a "spot" on her RLL. She later appeared at the doctor's office without an appointment and said something was very wrong. She had flu-like symptoms which was getting worse. She could only speak in short sentences and was unable to inhale deeply. She was transported immediately to the hospital. The...
A 38 yowf had been admitted for severe RLL pneumonia. After 5 days she left AMA because she was not allowed to smoke. At this time there was a "spot" on her RLL. She later appeared at the doctor's office without an appointment and said something was very wrong. She had flu-like symptoms which was getting worse. She could only speak in short sentences and was unable to inhale deeply. She was transported immediately to the hospital. The woman appears...