Pneumonia-COPD Case Study - Joan Walker, 84 years old (answered)Pneumonia-COPD Case Study - Joan Walker, 84 years old (answered)Pneumonia-COPD Case Study - Joan Walker, 84 years old (answered)Pneumonia-COPD Case Study - Joan Walker, 84 years old (answered)Pneumonia-COPD Case Study - Joan Walker, 84...
, Pneumonia-COPD Case Study - Joan Walker, 84 years old
(answered)
WhatdatafromthehistoriesareRELEVANTandhaveclinicalsignificancetothenurse?
RELEVANTDatafromPresentProblem: ClinicalSignificance:
Productivecoughwithgreenphlegm Thismaybethestartofpneumonia.Herhighfeverandchillsmay be a
X4days sign of infection. Her difficulty breathing could cause her to panic,
Chillandfeverovernightof102. Not getting enough air is a scary situation to be in. Using the
Difficultyofbreathingovernight inhalerwithnoimprovementshouldbeofconcerntothenurse
Use of inhaler
q1-2 hoursno improvement
RELEVANTDatafromSocialHistory: ClinicalSignificance:
Widowed Heronlysupportsystemisnolongerthere
Livesinassistedliving Retired Residinginassistedlivingishelpful(Shecaninteract,makenew friends,
Feelingofhopelessness and be interactive)
Retiredwhichmeansnotasproductiveassheoncewas
Shemaynotbegettingoutsideasmuchorexercisingasmuch She
thinks she will not survive this hospital stay
Hightemperature Thishightempcouldbeasignofinfection
Pulse is high Pulse is also high which again, could be due to infection, fever, or anxiety
There is labored RespirationsandrespirationsareveryhighandO2isverylow.(thisisamain concern
respiration because she is not getting enough oxygen into her system)
Blood pressure is high Canbecomehypoxicandessentially,sufferfromrespiratoryacidosis.
O2 is low even though
Bloodpressureisalsoelevated.Thisisaconcernbecauseshehasahistoryof elevated BP
sheison6Lofoxygen per
NC and heart failure.
Breathsaredeepand Sheiscomplainingofapainlevelof3/10andachinessovertheRsideofchest.
shallow
Painoverrightsideof
chest
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