INSTRUCTION: Formulate a Nursing Care Plan based on the given case scenario.
Myra, a 27-year-old pregnant woman was stranded in a public bus during a typhoon. Because of her eagerness to go home despite the danger ahead of her, she decided to get off the bus and wade in flood water just to get a ride home. 7 days after, she started experiencing generalized body malaise and fever, intense itchiness of the conjunctiva, Decrease WBC, orange colored sclera which prompted her admission to a nearby hospital. A diagnosis of Leptospirosis was made. She also suffered from Acute Renal Failure secondary to Leptospirosis. To conserve energy, the doctor order complete bed rest without bathroom privilege.
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- Patient is a 78 y/o male with a history of COPD & HTN. He smokes 1 – 2 packs/day & requires oxygen athome. He presents to the ER with increased SOA (shortness of air), fever, and worsened cough withthick sputum production. The physician in the ER diagnosis him with pneumonia and starts him onprednisone and clarithromycin, an antibiotic AllergiesPenicillin (hives,shortness of air,swollen tongue andthroat)Current MedicationsTiotropium (Spiriva®) inhaler I puff PO once dailyTheophylline (Theo-DUR) 300mg PO BIDLisinopril 10 mg PO dailyAlbuterol MDI (Proventil®) 2 puffs q 2-4 hours as needed for SOAPrednisone 50 mg daily x 7 daysClarithromycin (Biaxin) 500mg PO BID x 7 daysPMH COPDHTN 1.using Clinical Pharmacology (Reports->Drug Interaction Reports) as a reference, discuss the druginteraction between theophylline and clarithromycin.2. What are the common side effects of theophylline?3. What is the mechanism of action of tiotropium (Spiriva®)?4. What are long-term complications /…arrow_forwardThe nurse is reviewing the recommended preventative care for clients with asthma, chronic bronchitis, and emphysema. Which health care measure is most important for the nurse to recommend to these clients? 1. Ensure supplemental oxygen and respiratory medications are available at all times. 2. Use nasal or cough tissues followed by handwashing at all times. 3. Get annual flu and pneumococcal vaccine polyvalent (PPSV23) vaccines. 4. Avoid largely crowded areas during the colder months of the year.arrow_forwardNursing Mrs. Stevens is an 80-year-old woman who has recently moved into a long term care facility. She has congestive heart failure and osteoarthritis. She is in general good health but has mobility issues and requires assistance with her care. She has no known allergies. In the past, she has been hesitant to receive immunizations stating she doesn’t like needles and she never has gotten the flu before. 1.Based on her age and living conditions what vaccinations would be recommended for this resident?arrow_forward
- Write a posting of at least 500 words that includes the following: An introductory paragraph that includes the following: The different PPE that need to be worn for: Standard Precautions Contact Precautions Droplet Precautions Airborne Precautions Read the profiles of the patients provided below and determine which patient is at the greatest risk of infection. Explain why this patient's risk is highest and provide 3 nursing interventions aimed at reducing the patient's infection risk based upon their specific risk factors. Patient A: A 53-year-old woman who takes prednisone daily for lupus. She is admitted to the hospital for routine post-op care following a routine hysterectomy. Her surgery was laparoscopic. Patient B: A 78-year-old man who takes Lipitor for high cholesterol. He was admitted to the hospital 2 days ago with cellulitis and has been on intravenous antibiotics for 24 hours. His condition is improving. Patient C: A 44-year-old man who takes metformin for type II diabetes.…arrow_forwardWhat kind of disorder is this ?arrow_forwardYou recommend immunosuppressant medications for Jacqueline. What precautions should she take when on these medications. help,pleasearrow_forward
- A nurse is caring for a preschooler on the pediatric unit. Exhibit 1 Provider Prescriptions Day 1, 2350: Admit for observation. Obtain vital signs every 4 hr and PRN. Administer oxygen 2 L/min via nasal cannula to maintain oxygen saturation above 95%. Initiate saline lock. Administer ceftriaxone 250 mg IV every 12 hr. Administer acetaminophen oral suspension 240 mg every 4 hr PRN for temperature greater than 38° C (100.4° F). Place on regular diet and encourage oral fluids of preschooler's choice. Monitor intake and output every 8 hr. Exhibit 2 Assessment Day 2, 0030: Preschooler lying on bed, awake and alert. Breath sounds with wheezing auscultated on expiration on the right side. Nonproductive cough with no retractions or nasal flaring observed. Abdomen soft and nondistended, bowel sounds active in all four quadrants. Preschooler reports headache and pain in abdomen. Rates pain in abdomen as a 2 on a 0 to 10 FACES pain scale. Exhibit 3 Vital Signs Day 2, 0030: Temperature 38.1°…arrow_forwardFORM ADPIE FROM THE FF SITUATION; (ASSESSMENT, DIAGNOSIS, PLANNING, INTERVENTION, EVALUATION) based on the ff situation: DRUG: Erythromycin Age: 7 Sex: F Educational status: N/A Occupation: Pupil Weight and BMI: 23 KGS/NORMAL Blood pressure: 80/40 Heart rate: 90 Respiratory rate: 20 Temperature: 36.2 Diagnosis: Conjunctivitis, Left eye Chief complaint: Red eyes, discharges in eyes Prescription: Erythromycin 2% ointment in lower conjunctivaarrow_forwardQuestion: Can you make an Overall and Summary of the given Case Scenario? INFANT WITH TETRALOGY OF FALLOT Case Scenario: Baby Pearl, a 9-month-old girl presents to the emergency department with his mother,who reports episodes of tachypnea, cyanosis, and irritability during feeding. The mother explainsthat these episodes have become more frequent, with baby Pearl becoming more cyanotic aroundthe mouth and fingers especially when crying (tet spells) when she was around 7 months old.These episodes resolve spontaneously but are occurring every few days. The mother breastfeeds every 3 hours, but sometimes takes a long time to feed. She alsoobserved that baby Pearl becomes diaphoretic with feeding, and stops frequently to catch herbreath while feeding. She reported to the nurse that vomiting the milk (sometimes goes out fromthe nose) and becomes more frequent after feeding. The patient currently appears comfortable,with no signs of respiratory distress, fever, or neurological impairment.…arrow_forward
- All of the following are the most common ways that patients with HF present in a primary care setting except_____________? Fluid retention Sleep apnea Dyspnea Decrease exercise tolerancearrow_forwardZithromax 1gm loading dose then 500mg 1 tablet p.o. od Omeprazole 40 mg 1 capsule p.o.od ac Metoclopramide 10mg q 8 hrs PRN for vomiting Paracetamol 500 mg I tab PRN for fever How is it effective? Exact time to be given: Client-teaching: Keys to remember:arrow_forwardClinical Case Study: Bloodarrow_forward
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