Nursing COPD case study
Home>Homework Answsers>Nursing homework helprgentnursingCOPD Case StudyPatient and History:D.Z. a 65 yr old man is admitted to a medical floor for COPD exacerbation. PMH of HTN, controlled well by enalapril for the past 6 years as well as a recent diagnosis of pneumonia. He appears cachectic and experiences dyspnea at rest. He reports a productive cough of thick yellow green sputum. D.Z. is experiencing irritability and anxiety. He reports smoking 2 packs a day for 38 years. He complains of sleeping poorly and feeling tired most of the time.Vital signs:BP 162/84, P 124, RR 36, T 102.8F SaO2 88% Room air.Admitting diagnosis: Exacerbation of COPD etiology to be determined.Orders:Diet as tolerated, Up with assistance, O2 to maintain sats greater than 90%, IV D5W @ 50 ml/hr, Strict I/O, ABG’s in AM, CBC with diff, BMP, Theophylline level on admission, CXR every 24 hours.Medications:Prednisone 60mg po dailyDoxycycline 100mg po every 12 hours for 10 daysAzithromycin 500 mg IVPB every 24 hours for 2 days then 500mg po for 7 daysTheophylline 300mg po BIDHeparin SQ 5000 Units BIDAlbuterol 2.5mg/3ml NS and Atrovent 500mg by nebs every 4-6 hoursEnalapril 10mg po every amQuestions:1. In 200 Words Explain the pathophysiology of COPD give clinical example of symptoms and pathophysiology associated with COPD.2. What type of COPD do you feel this patient is experiencing provide explanation in 200 words minimum?3. Are DZ’s VS and SO2 appropriate? If not explain why?4. Identify 3 nursing diagnosis and interventions that can be implemented to improve oxygenation and explain how to determine effectiveness. 200 word minimum.5. Explain the purpose of the following classes of drugs as they relate to COPD provide explanation and direction for each use.AntibioticsBronchodilatorsAnticholinergicsCorticosteroids5 years ago05.07.202020Report issueAnswer(2)Dr. Michelle_KM4.8(3k+)4.8(106)ChatPurchase the answer to view itNOT RATEDNursingCOPDCaseStudy.docx5 years agoplagiarism checkPurchase $20Michelle_Michy4.7(359)4.7(13)ChatPurchase the answer to view itNOT RATEDBESTANSWERNursingCOPDCaseStudy.docx4 years agoplagiarism checkPurchase $12Bids(118)Young NyanyaProf Double RSABA_NAQVIMUSYOKIONES A+Madam_AssignmentTutor Cyrus KenTeacher MaddisonHELPER WRITERAmanda SmithDr. Michelle_KMProf James KelvinBethuel BestMEERAB NAEEMDr. BenevePremiumRosie SeptemberCotton CandyEmily ClareBrainy BrianAmerican Tutorother Questions(10)a 300 – 400 word posting discuss how the ideas from the Enlightenment led to the romantic era, which led to modernism and finally postmodernism.For this assignment, students will complete the weekly area of the chart, filling in the aspects of each religion as it is presented in the readings and resourcesHRM558 Research in Human Resource Management Week 5 DQHRM558 Research in Human Resource Management Week 3 ASSIGNMENT Motivating and Compensating Employees SimulationPhilosophy classOperationsResearch8 substantive postsmod 6 critical thinking ethnic relationsCollege Beginning Spanish homework helpMath T
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