NRNP 6540 Week 5 Case Assignment 2022/2024

NRNP 6540 Week 5 Case Assignment 2022/2023 Chamberlain university lOMoARcPSD| NRNP 6540 Week 5 Case Assignment Case Title: A 67-year-old With Tachycardia and Coughing Ms. Jones is a 67-year-old female who is brought to your office today by her daughter Susan. Ms. Jones lives with her daughter and is able to perform all activities of daily living (ADLs) independently. Her daughter reports that hermother's heart rate has been quite elevated, and she has been coughing a lot over the last 2 days. Ms. Jones has a 30-pack per year history of smoking cigarettes but quit smoking 3 years ago. Other known history includes chronic obstructive pulmonary disease (COPD), hypertension, vitamin D deficiency, and hyperlipidemia. She also reports some complaints of intermittent pain/cramping in her bilateral lower extremities when walking, and has to stop walking at times for the pain to subside. She also reports some pain to the left side of her back, and some pain with aspiration. Ms. Jones reports she has been coughing a lot lately, and notices some thick, browntinged sputum. She states she has COPD and has been using her albuterol inhaler more than usual. She says it helps her "get the cold up." Her legs feel tired but denies any worsening shortness of breath. She admits that she has some weakness and fatigue but is still able to carry out her dailyroutine. Vital Signs: 99.2, 126/78, 96, RR 22 Labs: Complete Metabolic Panel and CBC done and were within normal limits CMP Component Value CBC Component Value Glucose, Serum 86 mg/dL White blood cell count 5.0 x 10E3/uL BUN 17 mg/dL RBC 4.71 x10E6/uL Creatinine, Serum 0.63 mg/dL Hemoglobin 10.9 g/dL EGFR 120 mL/min Hematocrit 36.4% Sodium, Serum 141 mmol/L Mean Corpuscular Volume 79 fL Potassium, Serum 4.0 mmol/L Mean Corpus HgB 28.9 pg Chloride, Serum 100 mmol/L Mean Corpus HgB Conc 32.5 g/dL Carbon Dioxide 26 mmol/L RBC Distribution Width 12.3% Calcium 8.7 mg/dL Platelet Count 178 x 10E3/uL Protein, Total, Serum 6.0 g/dL Albumin 4.8 g/dL Globulin 2.4 g/dL Bilirubin 1.0 mg/dL AST 17 IU/L ALT 15 IU/L lOMoARcPSD| Allergies: Penicillin Current Medications: Atorvastatin 40mg p.o. daily Multivitamin 1 tablet daily Losartan 50mg p.o. daily ProAir HFA 90mcg 2 puffs q4–6 hrs. prn Caltrate 600mg+ D3 1 tablet daily Diagnosis: Pneumonia Directions: Answer the following 10 questions directly on this template. Question 1: What findings would you expect to be reported or seen on herchest x-ray results, given the diagnosis of pneumonia? Infiltrations , opacification in the base of the lungs Question 2: Define further what type of pneumonia Ms. Jones has, HAP (hospital- acquired pneumonia) or CAP (community-acquired pneumonia)?What's the difference/criteria? Ms. Jones has CAP. Tutor check on difference which is the type of micro- organism on each one Question 3: 3A) What assessment tool should be used to determine the severity of pneumonia and treatment options? Tutor to search answer CURB-65 Criteria for Evaluation of Pneumonia Severity and Treatment Site and CAP index for patients older than 65 years (Kennedy-Malone et al., 2019). 3B) Based on Ms. Jones'subjective and objective findings, apply that tool and elaborate on each clinical factor for this patient. Tutor to search answer Ms. Jones has a small probability of pneumonia severity, according to the CURB-65 tool. Her BUN is 17, lower than the standard of 19, her RR is 22, lower than 30, and her blood pressure is 126/78, which indicates that her systolic is greater than 90 and her diastolic is greater than 60. As a result, she would receive a score of 0. As a result, she is a low-risk patient who should be treated in an outpatient setting (Kennedy-Malone et al., 2019)