EAQ WITH NGN: RESPIRATORY QUESTIONS AND ANSWERS

EAQ WITH NGN: RESPIRATORY
QUESTIONS AND ANSWERS

1.fiAnfi82-year-
oldfiwomanfidrovefiherselffitofithefiemergencyfidepartmentfi(ED)fiwithfireportsfioffichestfipain,fishort
nessfioffibreath,fiheadache,fiandfiextremefifatigue.fiClientfistatesfishefihasfibeenficoughingfiupfiafilo
tfioffi"stufffithatfilooksfilikefieggfiwhitesfiwithfiredfistringfiinfiit."fiHerfichestfiandfiabdomenfiarefisorefifro
mfiallfitheficoughing.fiShefihasfibeenfiunablefitofieatfiorfisleepfiwellfiforfithefipastfiweek.fiClientfistatesfi
thatfiherfishortnessfioffibreathfihasficausedfisuchfibadfianxietyfithatfishefican'tfievenficoncentratefitof
ireadfithefipaper.fiClientfiisfiunablefitofilayfiflatfibutfiisfimoreficomfortablefisittingfiuprightfiinfithefi"tripo

dfiposition."fiClientfistatesfishefihasfibeenfihavingfichillsfiandfifeelsfilikefishefihasfibeenfirunningfiafife
verfibutfidoesfinotfihavefiafithermometerfiatfihomefitoficheckfiit.

Pastfihistoryfiincludesfiafihistoryfioffihypertension,fiobesity,fismoking,fiandfichronicfiobstructivefipul
monaryfidiseasefi(COPD).fiClientfilivesfiatfihomefialonefiandfistatesfiallfiherfifamilyfilivesfioutfioffithefi
state.

Currentfi-fianswer--Thefinursefiisfipreparingfiafiplanfiofficarefiforfitheficlient.fi

PotentialfiConditions:
Pneumonia

Actionsfitofitake:fi
-Administerfi4Lfioxygenfiviafinasalficannula
-Educateficlientfionfiincentivefispirometer

Parametersfitofimonitor:fi
-intakefiandfioutput
-respiratoryfirate

2.fi1100:fiAfi72-year-
oldfimanfiarrivesfiatfithefiurgentficareficlinicfireportingfiafifrequentficoughfiforfithefilastfi2fidaysfiprodu
cingfithickfiyellowfimucus.fiHefiisfialertfiandfiorientedfitofipersonfibutfionlyfiablefitofispeakfiinfitwo-
fitofithree-

wordfiphrases.fiHefilivesfialonefiandfireportsfihavingfilittlefiappetitefiandfihasfinotfieatenfiorfidrunkfim
uchfiinfithefipastfiweek.fiGoodfiskinfiturgorfionfichest.fiSkinfitentingfionfihandsfiandfipale,fidryfimucou
sfimembranes.fiHefihasfiafihistoryfioffihypertension.fiHefireportsfismokingfitwofipacksfiofficigarettesfi
afidayfiforfi30fiyears,fibutfihefihasfinotfismokedfiinfithefipastfi20fiyears.

Currentfivitalfisigns:fitemperaturefi99°fiFfi(37.2°fiC),fiheartfiratefi(HR)fi104fibeats/
min,fibloodfipressurefi(BP)fi92/60fimmfiHg,firespiratoryfiratefi(RR)fi32fibreaths/