A 72 year-old man was admitted to the hospital for pneumonia two…
Question Answered step-by-step A 72 year-old man was admitted to the hospital for pneumonia two… A 72 year-old man was admitted to the hospital for pneumonia two days ago. He has a history of Type II diabetes that requires insulin therapy. Diabetic neuropathy has led to several complications including cardiovascular disease. He had a cardiac stent placed 3 years ago. On admission, he had a productive cough with vesicular and bronchovesicular sounds auscultated in all lobes on inspiration and expiration with wheezes. On admit VS were: BP: 125/80; HR: 98; RR: 22; O2 sats 90% on Room air.Admission orders included: 9/24/2016 Admit to Medical Surgical Floor DX: PneumoniaVS q 4 hr; I&O qshiftO2 per NC up to 3L prn to keep sats > 92%Diet: 1800 ADA Diet IVF: NS @ 100ml/hr continuousMedications:Vancomycin 1gm IVPB over 30minutes q12hLovenox 30mg SQ q 12 hr Protonix 40mg IVP q12hrTylenol Elixir 650 mg PO q6h prn headache/feverSolu-medrol 40mg IV dailyContinue home medicationsNovolog Insulin SQ per Mild sliding scale protocolLabs: CMP, CBC, tomorrow am and dailyCxr tomorrow am and dailyCurrently, he has a non-productive cough with course crackles auscultated in all lobes. Chest x-ray this morning revealed marked pulmonary infiltrates with pulmonary edema. While performing your am assessment the patient states that he feels palpitations and his heart rate is irregular. He also has 2+ edema to the lower extremities bilaterally.1. Write a SBAR for this patient and explain why you recommend the orders to be given. 2. A vancomycin through is drawn and the result is level is 23 mcg/mL. Explain the meaning of this result. What new orders to you expect based on this value? Health Science Science Nursing NURS 4628 Share QuestionEmailCopy link Comments (0)
