Assignment: Nursing COPD Case Study
COPD Case Study
Patient and History:
D.Z. a 65 yr old man is admitted to a medical floor for COPD exacerbation. PMH of HTN, controlled well by enalapril for the past 6 years as well as a recent diagnosis of pneumonia. He appears cachectic and experiences dyspnea at rest. He reports a productive cough of thick yellow green sputum. D.Z. is experiencing irritability and anxiety. He reports smoking 2 packs a day for 38 years. He complains of sleeping poorly and feeling tired most of the time.
Vital signs:
BP 162/84, P 124, RR 36, T 102.8F SaO2 88% Room air.
Admitting diagnosis: Exacerbation of COPD etiology to be determined.
Orders:
Diet as tolerated, Up with assistance, O2 to maintain sats greater than 90%, IV D5W @ 50 ml/hr, Strict I/O, ABG's in AM, CBC with diff, BMP, Theophylline level on admission, CXR every 24 hours.
Medications:
Prednisone 60mg po daily
Doxycycline 100mg po every 12 hours for 10 days
Azithromycin 500 mg IVPB every 24 hours for 2 days then 500mg po for 7 days
Theophylline 300mg po BID
Heparin SQ 5000 Units BID
Albuterol 2.5mg/3ml NS and Atrovent 500mg by nebs every 4-6 hours
Enalapril 10mg po every am
Questions:
• In 200 Words Explain the pathophysiology of COPD give clinical example of symptoms and pathophysiology associated with COPD.
• What type of COPD do you feel this patient is experiencing provide explanation in 200 words minimum?
• Are DZ's VS and SO2 appropriate? If not explain why?
• Identify 3 nursing diagnosis and interventions that can be implemented to improve oxygenation and explain how to determine effectiveness. 200 word minimum.
• Explain the purpose of the following classes of drugs as they relate to COPD provide explanation and direction for each use.
o Antibiotics
o Bronchodilators
o Anticholinergics
o Corticosteroids
Format your assignment according to the give formatting requirements:
• The answer must be using Times New Roman font (size 12), double spaced, typed, with one-inch margins on all sides.
• The response also includes a cover page containing the student's name, the title of the assignment, the course title, and the date. The cover page is not included in the required page length.
• Also include a reference page. The references and Citations should follow APA format. The reference page is not included in the required page length.