Question

PN 200 Fundamentals of Nursing II Concept Map - Pneumonia The sister of Calvin Kline called to report that her 71 year-old brother came down with a fever 2 days ago. Now he has shaking chills, productive cough, inability to lie down to sleep because "He cannot stop coughing" Mr. Kline is examined at the hospital's Primary Care Clinic, and is diagnosed with community acquired pneumonia (CAP) and now is admitted to your floor. The intern is busy and asks you to complete your routine admission assessment and call him with your findings. Your assessment findings are as follows: Mr. Kline's vital signs are B/P 154/82, P. 105, R. 32, and T. 103 F. on room air. O2 sats on room air are 84%. You auscultate decreased breath sounds in the LLL interiorly and posteriorly, course crackles LUL. His nail beds are dusky on fingers and toes. He has a cough productive of rust-colored sputum and complains of pain in his left chest when he coughs. Mr. Kline appears to be well nourished and adequately well hydrated. He is a lifetime non-smoker, non-drinker. Past medical history CAD/MI X 2/stent X 3. On metropolol, amiodipine, Lisinopril, furosemide, type 2 diabetes mellitus on metformin and roliglitazone. He reports that he has not been sexually active for 15 years but was always monogamous with his wife of 49 years. He has never gotten a fluor the Pneumovax vaccines. He does report getting hives when he took an antibiotic pill a few years ago but does not remember the name of the antibiotic 2. Which of these assessment findings concerns you? (State what each symptom represents 3. What do the abbreviations CAD and MI mean? 4. Why would each of the medications listed would be prescribed for this patient (state the action of each medication listed)? Revised 9/12

Answer 1

0 The assessment finding which concerning are - High blood pressure, His pulse rate, high respiratory rate ,high temperature Normal BP = 100/60 - 130/80 Normal Pulse rate = 60-100 bpm Normal Respiratory rate = 12-18 / min. Temperature 236.5-37.4°C .=103 F = 39.44°C . His vital signs are high. @ CAD - Coronary artery disease MI - Myocardial infarction. Metropolol, amiodipine, lisinopril, furosemide these drugs are used for treating heart conditions Metropolo 1:- prevents strokes, kidney problems, fereats .. chest pain, High BP. Amiodipine :- treats high B.P, coronary artery disease, 1. chest pain. Lisenope" :-treats high BP, heart failure, attacks furosemide :- treat fluid build up due to heart failure Metformin, rosiglitazone treats high blood sugar of , high bp, type 2 diabetes. Lic