COPD Case Study

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Home>Homework Answsers>Nursing homework helprgentCOPD Case StudyPatient and History:D.Z. a 65 year old man is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD). He has a past medical history of HTN, which has been well controlled by enalapril for the past six years and a diagnosis of pneumonia for the three years. He appears as a cachectic man who is experiencing difficulty breathing at rest. He reports a cough productive of thick yellow green sputum. DZ seems irritable and anxious when he tells you that he has been a 2 pack a day smoker for 38 years. He complains of sleeping poorly and lately feels tired most of the time.His vital signs:BP 162/84 P 124 R 36 T 102. F SaO2 88% room air.Admitting diagnosis: Exacerbation of COPD etiology to be determined.His admission orders:Diet as tol, OOB with assistance, O2 to maintain sats >90% , IV D5W @ 50 ml/hr , Strict I/O, ABGs in am, CBC with diff. BMP, Theophylline level on admission, CXR q 24 hrs,Medication List:• Prednisone 60 mg PO q Day• Doxycycline 100 mg PO q 12 hr x 10 days• Azithromycin 500 mg IVPB q 24 hr x 2 days then 500 mg PO x 7days• Theophylline 300 mg PO BID• Heparin SQ 5000 units BID• Albuterol 2.5 mg/3 ml NS and Atrovent 500 mg by nebs Q 4-6 hrs•  Enalapril 10mg PO q am8. Identify three expected outcomes of D.Z’s treatment.You notice a box of dark chocolate on D.Zs over the bed table.He tells you that he wakes at night and eats 4-5 pieces of dark chocolate.Several of your COPD patients have identified their craving for dark chocolate in the past.10. What would you do to address dietary and nutritional needs with DZ and his wife?11. List six educational topics that you need to explore with DZ.5 years ago16.04.20205Report issueAnswer(2)Kansas Solutions1.1(9)(Not rated)ChatPurchase the answer to view itNOT RATEDAnswerDocument.docx5 years agoplagiarism checkPurchase $5Samann0604.8(263)4.9(26)ChatPurchase the answer to view itNOT RATEDCOPDCaseStudy.docxCOPDCaseStudy1.pdf5 years agoplagiarism checkPurchase $5Bids(72)MUSYOKIONES A+Great-WritersBrainy Brianhassan0906Agher EditorDexterMastersElprofessoriMichelle GeekDr_Hakuna_MatataUrgent Tutormichael smithBrilliant GeekTalentedtutorWIZARD_KIMbennetsandovarunge-kutta acerCatherine OwensUNDISPUTED GEEKRESPECT WRITERAngelina Mayother Questions(10)ethicsWendy Lewis only 1DiscussionYour company has just been awarded a large contract that would be well suited for Caterpillar 740B Articulated Haul Trucks. A local rental yard said that they will rent you the trucks for $13,200 per month plus 7.0% sales tax not including any operating cResearch and theoryMHC 5-2assignment2A Progress Report and A Formal ProposalMarkets and the Economics of the Public Sector week 2 ECO/365Media and sexism

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