Question

As a RN, what will you teach this patient? What will your teaching session be like? Consider the patient's dx, medications, treatments, treatment options, consults, and spiritual needs, and care & incorporate these in your teaching plan.

Mr. James Robbins, 75 year old male with a history of COPD, DM2 is admitted to the ED with the following symptoms: cough, increasing shortness of breath, temp 100.4, increasing need to use his inhaler (albuterol) - instead of 2 x a day he has been using in 4-5x day. Current Medications at home include: albuterol 2 puffs 4-5x day, serevent 2 puffs bid (q 12 hours), fluticasone 2 puffs bid, metformin 500 mg bid, multivitamin 1 tab qd, calcium with vitamin d 500mg/600mg 2 tablets 2x a day Health care provider orders: Oxygen 2 liters to maintain sat 92%, IVF D51/2 NS at 50 cc/hour, CBC, BMP, Albuterol/Atrovent UD treatments q 4 hours ATC while awake, Solumedrol 40 mg IVP q 8 hours, Serevent 2 puffs q 12 hours, NCS diet, blood glucose checks ac and hs with a sliding scale coverage 0-150 blood glucose - no coverage 151-200 - give 2 units novolog insulin 201-250 - give 4 units novolog insulin 251-300- give 6 units novolog insulin 301-350- give 8 units novolog insulin Greater than 350 call provider Continue with MVI qd and Calcium with vitamin d 500/600 2 tabs bid, fluticasone 2 puffs bid Incentive spirometry at bedside and encourage q 1 hour w/a. Mr. Robbin's sob gets worse and a cxr is performed which shows bilateral pneumonia with bilateral pleural effusions. The health care provider orders: Ceftriaxone 2 gm IV q 8 hours x 5days and increases Mr. Robbin's solumedrol to 60 mg q 8 hours atc x 5 days.

Answer 1

Answer: The patient teaching care plan includes:

• Patient should avoid smoking as well as avoid alcohol consumption.
• Patient should adopt healthy lifestyle.
• Patient should immediately consult to the healthcare professionals if notices symptoms such as increased heart rate, high blood pressure. This is the side effects of the albuterol.
• The patient should avoid traveling as well as reduce the contact with the people.
• It the patient has any symptoms of diarrhea, should consult to the doctor as it is due to the adverse action of the ceftriaxone.