Question

Case Study: Aspiration Pneumonia

Please complete provided below.

Error! Reference source not found. Aspiration Pneumonia Patient Profile Sam, a 27 uncontrollable fever. He was transferred from a long-term care facility. He has a history gunshot wound to his left chest. Following a cardiac arrest after the accident hypoxic encephalopathy. He has a tracheostomy and gastrostomy tube. methicillin-resistant Staphylococcus aureus (MRSA) in his sputum. -year-old African-American male, was admitted to the hospital because of an of a he developed He has a history of Subjective Data Family says that they visit him regularly and very devoted to him. Objective Data Physical Examination · Thin, cachectic African American man in moderate respiratory distress Unresponsive to voice, touch, or painful stimuli Vital signs: temperature 104° F (40° C), heart rate 120, respiratory rate 30, O2 saturation 90% Chest auscultation revealed crackles and scattered rhonchi in the left upper lobe Diagnostic Studies . Serum albumin 2.8 g/dl (28 g/L) . White blood cell (WBC) count 18,000/ul (18 x 10 L) o Sputum specimen: thick, green colored, foul smelling; cultures pending Arterial blood gases: pH 7.29, Pa02 80 mm Hg, PaCO240 mm Hg, bicarbonate 16 mEq/L e Stool culture positive for Clostridium difficile Chest x-ray: infiltrate in left upper lobe; no pleural effusions noted Critical Thinking Questions 1. What types of infectious disease precautions should be taken related to Sam's hospitalization? 2. What clinical manifestations of aspiration pneumonia did Sam exhibit? Explain their pathophysiologic bases. 3. What antibiotic medication is likely to be prescribed? 4. What is his oxygenation status and metabolic state? 5. What other clinical issues need to be addressed in his plan of care? 6. What family interventions would you initiate? 7. Based on the assessment data presented, write one or more appropriate nursing diagnoses. Are there any collaborative problems?

Answer 1

A spiuaton pneumonia is a result of complication of pelmonary aspiration as in this when inhalation octns te xngeal or gastvc contents nto the louver ainays that i's the ac ophary rel matenal to the lungs. Foods can travelc hack ub from stomoch to esophagus Sumpfones Chect pain Risk factoxrs Shorthess of breath )Impalved Conccjousress Wheezin 2) Lung clirea se 3) Seižuse, Shoke Fatique Treament is generally concicls oh ant biones Buch je. beta- lactamase in bibi toas The oeygenation Stahes is uental Status, pulse rate breathing pattern contribute the onygenation status Where a, and post abcoupive slate as the time that has metabelic Ptate censich of Abcoyptive sed ince the person hos taken n ned and the Changes in their body's energ rocessingis the post-ahcorptive. The Ahospve state last aroundl hour hours both cluri and after a peron has eaten a meal