Case Study - Management Of Patients With Chest And Lower Respiratory Tract Disorders

Case Study, Chapter 23, Management of Patients With Chest and Lower Respiratory Tract Disorders 11/14/19 Assignment Case Study, Chapter 23, Management of Patients with Chest and Lower Respiratory Tract Disorders 1. Harry Smith, 70 years of age, is a male patient who is admitted to the medical-surgical unit with acute community-acquired pneumonia. He was diagnosed with paraseptal emphysema 3 Case Study, Chapter 23, Management of Patients With Chest and Lower Respiratory Tract Disorders years ago. The patient smoked cigarettes one pack per day for 55 years and quit 3 years ago. The patient has a history of hypertension, and diabetes controlled with oral diabetic agents. The patient presents with confusion as to time and place. The family stated that this is a new change for the patient. The admission vital signs are as follows: blood pressure 90/50 mm Hg, heart rate 101 bpm, respiratory rate 28 breaths/min, and temperature 101.5°F. The pulse oximeter on room air is 85%. The CBC is as follows: WBC 12,500, platelets 350,000, HCT 30%, and Hgb 10 g/dL. ABGs on room air are pH 7.30, PaO2 55, PaCO2 50, HCO3 25. Chest x-ray results reveal right lower lobe consolidation, presence of apical bullae, flattened diaphragm, and a small pleura