Pharm_Scenario_02_.,WELL EXPLAINED WITH VERIFIED ANSWERS 100% CORRECT.

1. Document assessment data of Toua Xiong, including a focused history, physical examination (including vital signs), focused respiratory assessment, pain level assessment, and assessment of the oral cavity. Note any abnormal findings. ECG: Sinus tachycardia. Heart rate: 100. Pulse: Present. Blood pressure: 106/63 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 91%. Temp: 99 F. NKA. Mr. Xiong is a 64-year-old male. He has a history of COPD, diagnosed 5 years ago, and he has been to the unit before, for chronic management. Pt stated he takes Advair and Atrovent. Upon assessment, Lung ausculated audible wheezes, out of breath at rest, Stated he had 5/10 pain in the back of his mouth and it hurts more when he swallows and eats. White patches in mouth. 2. Document the medication(s) that were administered. Nystatin 500,000-U 3. Document the patient education provided to Toua Xiong. Include cause of candidiasis infection and teaching regarding proper administration and care of dry powder and metered-dose inhalers, proper administration of Mycostatin, and oxygen therapy. The patient was educated on the drug nystatin, proper use and care of inhaler, and adverse effects of medication. The cause of the pt thrush was from the fluticasone/salmeterol inhaler that changed the normal flora in the mouth. When taken Myocastatin the pt should swish and swallow. COPD pt should only place oxygen on 1-3 L/min. Higher amounts of oxygen can cause adverse effects in patients with COPD and inhibit their mechanism of breathing.