Oxygenation Assignment

Oxygenation Assignment

10 points

Using the patient you were assigned in class, read the scenario & answer the following questions. Type up your response in, including and references. Upload to appropriate drop box. This assignment is worth 10 points total.

Patient A

Patient A is a 57-year-old male who presents to the primary care provider’s office today with complaint of an exacerbation of his COPD. Past medical history includes hypertension, Type 2 diabetes. Even at rest, he appears he is unable to catch his breath and seems irritable and anxious. He complains of sleeping poorly and states that lately he feels tired most of the time. He reports a productive cough of thick yellow-green sputum. You auscultate decreased breath sounds, expiratory wheezes, and course crackles in lower lobes bilaterally. Vital signs are as follows: 162/84, HR 124, respiration rate 36, temperature 102.2 degrees Fahrenheit by temporal scan, oxygen saturation reading 88% on room air. His medications include enalapril, hydrochlorothiazide, metformin, Advair, prednisone.

Provider orders:
-Arterial blood gas NOW
-CBC with differential
-Basic metabolic panel
-Chest x-ray
-sputum culture
-Albuterol 2.5 mg plus ipratropium 250 mcg nebulizer treatment STAT.
-Start Azithromycin 500 mg po QD

Questions:

1. Review the patient’s medications and provide the rationale for the use of the medications listed and the medications ordered. (give therapeutic class and action i.e. reason the patient takes the medication) (2 points)
2. Are the patient’s vital signs acceptable? If not, explain (1 point)
3. What is the primary nursing goal at this time? (1 point)
4. List 2 priority nursing actions you would implement (2 points)
5. What considerations need to be included in the plan of care regarding the initiation of Azithromycin and why do you believe the MD ordered it? (1 point)
6. What other health care professionals would you anticipate being involved in treatments and plan of care? (1 point)
7. Did I type up my responses in APA format with a cover page and references? (2 points)

   Oxygenation Assignment

10 points

Using the patient you were assigned in class, read the scenario & answer the following questions. Type up your response in, including and references. Upload to appropriate drop box. This assignment is worth 10 points total.

Patient B

Patient is a 66-year-old female who has no history of respiratory disease, presents to the primary care clinic with a suspected diagnosis of pneumonia. She was stuporous and cyanotic upon her arrival. Initial vital signs obtained 90/68, pulse 134, respiratory rate 38, temperature 101.6 degrees Fahrenheit by temporal scan, oxygen saturation of 73% on room air. Patient complains of a productive cough with blood tinged sputum. Current medication list includes metoprolol, Protonix, furosemide, hydrochlorothiazide.

Provider orders:
-Arterial blood gas NOW
-CBC with differential
-Basic metabolic panel
-Chest x-ray
-sputum culture
-Albuterol 2.5 mg plus ipratropium 250 mcg nebulizer treatment STAT.
-ceftriaxone sodium (Rocephin) 2 gm IM now.
-Begin prednisone 20 mg po QD for 7 days

Questions:

1. Review the patient’s medications and provide the rationale for the use of the medications listed and the medications ordered. (give therapeutic class and action i.e. reason the patient takes the medication) (2 points)
2. Are the patient’s vital signs acceptable? If not, explain (1 point)
3. What is the primary nursing goal at this time? (1 point)
4. List 2 priority nursing actions you would implement (2 points)
5. What considerations need to be included in the plan of care regarding the initiation of Rocephin and why do you believe the MD ordered it? (1 point)
6. What other health care professionals would you anticipate being involved in treatments and plan of care? (1 point)
7. Did I type up my responses in with a cover page and references? (2 points)