Exam (elaborations)
Med/Surg Exam 1 (Pneumonia, TB, Asthma, COPD)
- Module
- Med/Surg Exam 1
- Institution
- Med/Surg Exam 1
Med/Surg Exam 1 (Pneumonia, TB, Asthma, COPD)
[Show more]
Content preview
Med/Surg Exam 1 (Pneumonia, TB,Asthma, COPD)
Patient presents with fever and burning pain in chest with breathing,
auscultation reveals crackles, and patient's cough produced yellow sputum.
What is the patient likely suffering from? - -Pneumonia
-A patient arrives at the hospital and complains of difficulty breathing with a
productive cough that you suspect is pneumonia, what should you do first?
A: Administer 02
B: Administer broad spectrum IV antibiotics
C: Collect sputum sample
D: Take full health history - -A: administer 02
Remember your ABCs! Airways, blood, circulation.
After giving 02, you'd want to take a sputum sample and then admin broad
spectrum antibiotics so that the antibiotics would not affect the sputum
sample.
-Which patient is most at risk for pneumonia?
A: A very active and thin elderly woman who gets all of her vaccines on time.
B: A young man who is in the hospital recovering from a small bowel re-
sectioning
C: A 50 year old stroke victim who has been bedridden during recovery and
is receiving tube feedings
D: A young, diabetic man who works in a factory with a risk of chemical
inhalation - -C: A 50 year old stroke victim who has been bedridden during
recovery and is receiving tube feedings
The patient's history of stroke puts them at risk for aspiration pneumonia as
do the tube feedings. The bed rest is another risk factor.
This patient has 3 risk factors which is more than any of the other patients:
patient A has one risk factor, patient B has one RF, patient D has two risk
factors
-What labs would you look at to determine if a patient has pneumonia? - -
Sputum C&S, chest X-ray, 02 saturation, ABGs
-What complications can occur from pneumonia? - -Pleurisy, pleural
effusion, atelectasis, bacteremia, lung abscess, empyema, pericarditis,
meningitis, sepsis, respiratory failure, pneumothorax
, -Patient complains of increasing burning pain with breathing and worsening
cough, which complications do you suspect? - -Pleurisy, pleural effusion,
empyema
-Medical Care Associated pneumonia - -Symptoms begin within 48 hours of
hospital admission, within 48 hours of hospital discharge, or 48 hours
following ventiliation
-Community Acquired pneumonia - -Patient has not been hospitalized in the
last 14 days and begins developing symptoms
-Opportunistic Pneumonia - -An organism (P. jiroveci or cytolomegalovirus)
that does not normally cause pneumonia in healthy individuals causes an
infection in an immunocompromised individual.
-Aspiration Pneumonia - -Mouth or GI contents enter the lung and leads to
an infection. RFs are stroke victim, tube feedings, dysphagia
-What changes should be made to a pneumonia patient's diet? - -Patient
should be given small, frequent meals that are nutrient dense and high in
calories. Patient should increase fluids.
-Select all the patient teaching you would want to include:
1: Deep breathing/effective coughing techniques
2: Proper handwashing
3: Cough etiquette
4: Ambulate until exhausted
5: smoking cessation - -1, 2, 3, 5
Patient should not exercise to the point of exhaustion.
-How is mycobacterium tuberculosis normally spread? - -Airborne
-Select all the individuals who are at risk for developing TB
1: A young immigrant woman who is the primary caretaker for a relative with
active TB infection
2: A middle aged man who smokes and drinks at least six beers a day
3: A mission worker who lives with five other missionaries in a small
apartment and provides medical care to the impoverished, underdeveloped
community she serves
4: An elderly, financial retiree who lives alone and has never traveled outside
of the United States. - -1: People who have lived in other countries where TB
is common are at risk, caretakers of those with TB are at Risk
2: Individuals who have substance abuse problems are at increased risk of
TB
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Victorious23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £8.34. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
85073 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now