VSIM for Nursing Mona Hernandez; Completed.
Mona Hernandez had influenza 10 days prior to admittance. Symptoms: Dry couch, fever, malaise. Saw PCM yesterday and was diagnosed via chest x-ray (white spots in RLL) with pneumonia, admitted at this time. Pneumonia is an infection of the lungs. It is caused by bacteria, virus, or fungi. Sputum sent to lab to determine cause. Infection inflames alveoli which then fill with pus/fluid which reduces O₂ in blood. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) PATIENT INFORMATION ANTICIPATED PHYSICAL FINDINGS Mona Hernandez 72 y/o Female NKA Hispanic Catholic RLL pneumonia Rales/crackles w/ auscultation Productive cough Colored mucus Malaise Tachycardia Fever ↑ respiratory rate Low SPO₂ Low BP ANTICIPATED NURSING INTERVENTIONS Raised Pt to High sitting position Ambulate x3 daily Asses O₂ Administer supplemental 0₂ via nasal cannula (3 L/min) Auscultate lungs Evaluate pts pain level (1/10 scale) Educate pt on - pneumonia - incentive spirometer - importance of coughing, emesis, ambulation Encouraged coughing Vitals every 4 hrs Chest X-Ray – ID pneumonia in lungs (white spots) Sputum culture – determine organism causing pneumonia to isolate correct treatment plan. Specimen collected prior to broad spectrum ABX administration.
Geschreven voor
- Instelling
- Black Hills State University
- Vak
- VSIM for Nursing
Documentinformatie
- Geüpload op
- 15 juli 2021
- Aantal pagina's
- 12
- Geschreven in
- 2020/2021
- Type
- Overig
- Persoon
- Onbekend
Onderwerpen
-
vsim for nursing mona hernandez completed
