Week 2: Respiratory Clinical Case<\/p>\n

Patient Setting:<\/p>\n

65 year old Caucasian female that was discharged from the hospital 10 weeks ago after a motor vehicle accident presents to the clinic today. States she is having severe wheezing, shortness of breath and coughing at least once daily. She can barely get her words out without taking breaks to catch her breath and states she has taken albuterol once today.<\/p>\n

HPI<\/p>\n

Frequent asthma attacks for the past 2 months (more than 4 times per week average), serious MVA 10 weeks ago; post traumatic seizure 2 weeks after the accident; anticonvulsant phenytoin started \u2013 no seizure activity since initiation of therapy.<\/p>\n

PMH<\/p>\n

History of periodic asthma attacks since early 20s; mild congestive heart failure diagnosed 3 years ago; placed on sodium restrictive diet and hydrochlorothiazide; last year placed on enalapril due to worsening CHF; symptoms well controlled the last year.<\/p>\n

Past Surgical History<\/p>\n

None<\/p>\n

Family\/Social History<\/p>\n

Family: Father died age 59 of kidney failure secondary to HTN; Mother died age 62 of CHF<\/p>\n

Social: Nonsmoker; no alcohol intake; caffeine use: 4 cups of coffee and 4 diet colas per day.<\/p>\n

Medication History<\/p>\n

Theophylline SR Capsules 300 mg PO BID<\/p>\n

Albuterol inhaler, PRN<\/p>\n

Phenytoin SR capsules 300 mg PO QHS<\/p>\n

HTCZ 50 mg PO BID<\/p>\n

Enalapril 5 mg PO BID<\/p>\n

Allergies<\/p>\n

NKDA<\/p>\n

ROS <\/p>\n

Positive for shortness of breath, coughing, wheezing and exercise intolerance. Denies headache, swelling in the extremities and seizures. <\/p>\n

Physical exam<\/p>\n

BP 171\/94, HR 122, RR 31, T 96.7 F, Wt 145, Ht 5\u2019 3\u201d<\/p>\n

VS after Albuterol breathing treatment – BP 134\/79, HR 80, RR 18<\/p>\n

Gen: Pale, well developed female appearing anxious. HEENT: PERRLA, oral cavity without lesions, TM without signs of inflammation, no nystagmus noted. Cardio: Regular rate and rhythm normal S1 and S2. Chest: Bilateral expiratory wheezes. Abd: soft, non-tender, non-distended no masses. GU: Unremarkable. Rectal: Guaiac negative. EXT: +1 ankle edema, on right, no bruising, normal pulses. NEURO: A&O X3, cranial nerves intact.<\/p>\n

Laboratory and Diagnostic Testing<\/p>\n

Na – 134<\/p>\n

K – 4.9<\/p>\n

Cl – 100<\/p>\n

BUN – 21<\/p>\n

Cr – 1.2<\/p>\n

Glu \u2013 110<\/p>\n

ALT \u2013 24<\/p>\n

AST – 27<\/p>\n

Total Chol \u2013 190<\/p>\n

CBC – WNL<\/p>\n

Theophylline – 6.2<\/p>\n

Phenytoin – 17<\/p>\n

Chest Xray \u2013 Blunting of the right and left costophrenic angles<\/p>\n

Peak Flow \u2013 75\/min; after albuterol \u2013 102\/min<\/p>\n

FEV1 \u2013 1.8 L; FVC 3.0 L, FEV1\/FVC 60%<\/p>\n

<\/p>\n

Create a holistic care plan for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.<\/p>\n

Visit the South University Online Library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, and Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.<\/p>\n

Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.<\/p>\n

Please use the following template and APA formating.<\/p>\n

**Please delete this statement and anything in italics prior to submission to shorten the length of your paper.<\/i><\/strong><\/p>\n

Patient Initials ______<\/strong><\/p>\n

Subjective Data: <\/strong>(Information the patient tells you regarding themselves: Biased Information)<\/i>:<\/strong><\/p>\n

Chief Compliant:<\/strong> (In patient\u2019s exact words<\/i>) <\/p>\n

History of Present Illness: <\/strong>(Analysis of current problems in chronologic order using symptom analysis [onset, location, frequency, quality, quantity, aggravating\/alleviating factors, associated symptoms and treatments tried]<\/i>). <\/p>\n

PMH\/Medical\/Surgical History:<\/strong> (Includes medications and why taking, allergies, other major medical problems, immunizations, injuries, hospitalizations, surgeries, psychiatric history, obstetric and history sexual history<\/i>).<\/p>\n

Significant Family History: <\/strong>(Includes family members and specific inheritable diseases<\/i>).<\/p>\n

Social History<\/strong>: (Includes home living situation, marital history, cultural background, health habits, lifestyle\/recreation, religious practices, educational background, occupational history, financial security and family history of violence<\/i>). <\/p>\n

Review of Symptoms: <\/strong>(Review each body system –<\/i> <\/i><\/strong>This section you should place POSITIVE for\u2026<\/strong> information in the beginning then state Denies\u2026<\/i>). <\/strong>– General<\/strong>:; Integumentary<\/strong>:; Head<\/strong>:; Eyes:<\/strong> ; ENT:<\/strong>; Cardiovascular:<\/strong>; Respiratory<\/strong>: ; Gastrointestinal<\/strong>:; Genitourinary<\/strong>:; Musculoskeletal<\/strong>:; Neurological<\/strong>:; Endocrine:; Hematologic<\/strong>:; Psychologic<\/strong>: .<\/p>\n

Objective Data:<\/strong><\/p>\n

Vital Signs:<\/strong> BP – ; P ; R ; T ; Wt. ; Ht. ; BMI .<\/p>\n

Physical Assessment Findings: <\/strong>(Includes full head to toe review<\/i>) <\/strong><\/p>\n

HEENT: <\/p>\n

Lymph Nodes: <\/p>\n

Carotids:<\/p>\n

Lungs: <\/p>\n

Heart: <\/p>\n

Abdomen: <\/p>\n

Genital\/Pelvic: <\/p>\n

Rectum: <\/p>\n

Extremities\/Pulses: <\/p>\n

Neurologic: <\/p>\n

Laboratory and Diagnostic Test Results: (Include result and interpretation.<\/i>)<\/p>\n

Assessment: <\/strong>(Include at least 3 priority diagnosis with ICD-10 codes. Please place in order of priority.<\/i>)<\/strong><\/p>\n

Plan of Care: <\/strong>(Addressing each dx with diagnostic and therapeutic management as well as education and counseling provided<\/i>).<\/p>\n

<\/p>\n

References<\/p><\/p>\n \n

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