Question Patient Overview:Client Name: Gender:  Race:  Age:  Height

Question Patient Overview:Client Name: Gender:  Race:  Age:  Height: Location:  Physician:  Client Information Zed Sween                Male                                  Caucasian83   Weight: 152 lbs               5’6″                                      PCU Dr. Kane                             :  Mr. Sween is admitted from nursing home due to decreased PO intake, mental status changes and unstable vital signs.  Portable CXR done in nursing home indicates left upper lobe infiltrate.Past Medical History Osteoporosis, vitamin D deficiency, vertebral compression fractures with chronic pain, type 2 diabetes, Hypertension, rheumatoid arthritis, coronary artery disease; received pneumococcal vaccine 2 years ago Allergies:  Erythromycin Social History:  Widower. One daughter lives in same town.  Resides in long-term care facility Surgeries/Procedures: Vertebroplasty 2 years ago Possible Interventions:  Administration of SC/PO/IV meds; glucose monitoring with administration of insulin; incorporate lab values into medication administration; collection of sputum specimen; delivery of oxygen; and client teaching related to pneumonia  Medication List: amlodipine PO, vitamin D PO, guaifenesin PO, Lantus insulin SC. lispro insulin SC, docusate sodium  PO, levofloxacin IVPB, Methylprednisolone IV, Ecotrin PO, celecoxib PO, acetaminophen PO, Normal Saline IV Initial Lab Work: CBC: WBC-11.2, RBC-3.4, Hgb-11.6, Hct-34.0, MCV-91.4, MCH-31.7, MCHC-34.7, RDW-11.9, Platelets-220 CMP: Na+-156, K+-5.0, Cl–110, CO2-23, BG-248, BUN-52, Creatinine-2.8, Ca+-8.0AST-32, ALT-31, ALK Phos-148, Total Bilirubin-0.24, Total Protein-5.4, Albumin-2.9, Lactate-0.9, GFR-50. ABGs:  pH-7.28, PaCO2-55, HCO3- 25, PaO2-83 Urinalysis: Color-amber, Clarity-hazy, Specific gravity-1.032, Ketones-neg, Glucose-neg, pH-7.0, Protein-neg,    1.Explain the pathophysiology of pneumonia.  2.What are the signs and symptoms unique to a geriatric patient experiencing pneumonia?  3.What is the physiology behind the differences in the signs and symptoms experienced by Mr. Sween and those experienced by a young adult with pneumonia? 4.What potential problems is Mr. Sween at risk for during your shift? What assessment data (subjective and objective (vital sign changes, lab values, etc.) would support the potential problem being an actual problem?  How would you manage the problem (nursing interventions)? Medications: List the drug classes of the patient’s medications. (See Medication list below)Medication List: guaifenesin PO, Lantus & Lispro insulins SC, levofloxacin IVPB, celecoxib PO, Methylprednisolone IVWhat is the mechanism of action of each medication?What is the onset, peak, and duration of each medication?Why do you think Mr. Sween was prescribed this medication?What physiological effects will these medications have on Mr. Sween?What side effects will you teach Mr. Sween about before administering these medications? Labs/Procedures: List abnormal findings from patient’s initial labs. Identify and discuss which findings are related to Mr. Sween’s diagnosis of geriatric pneumonia. Review all of the “possible interventions” in the patient overview section.  make notes about these nursing actions/procedures Health Science Science Nursing NSG 100 Share QuestionEmailCopy link Comments (0)

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