Mrs. A, 58 years old, admitted for asthma complicated with…

Question Answered step-by-step Mrs. A, 58 years old, admitted for asthma complicated with… Mrs. A, 58 years old, admitted for asthma complicated with pneumonia.  She did not respond to her normal regimen of treatment at home and is admitted to a med-surg unit.  She has sleep apnea, no history of smoking or other disease conditions. ASSESMENT FINDINGS:·      VS 102.3 – 122 – 21  BP 150/88·      Ht. 5’4″ 205 lbs.·      Diffuse audible wheezes·      Skin cool clammy, scattered coarse wheezes bilaterally, rales bilaterally in bases·      Dyspnic, tachycardia, productive continual cough with frothy-like yellow sputum·      Dark amber urine ·      Bowels sounds present·      WBC 13.6, HGB 17.5, Platelets 210, Na 131, Cl 108, K 4.2, BS 101, BUN 25, Creat. 2.0·      ABGs  pH 7.33,  pO2 70,  pCO2 49, HCO 25, O2 SAT 90%·      No known allergies MD ORDERS RECEIVED·      IV:   D5 ½ NS WITH 20 mEq KCL @75cc/hr·      Rocephin 2 GM IV Q 24 hrs; begin first dose now·      02 @ 5 L/min n/c, titrate to maintain O2 SAT @ 90%·      ABG’S now·      Sliding Scale Insulin·      VS q shift; notify MD IF T>104F, BP>170/100, or < 90/40, P>150 OR < 50.·      1200 cal reg diet·      Prednisone 60 mg orally q 8hr·      Solumedrol 30 mg q 8 hr IV·      MS 2mg IM q4 hr prn pain·      Ativan 1 mg orally q6hr prn anxiety·      STAT blood cultures x 2·      Tylenol two tabs for temp > 101.4What underlying pathophysiology would you attribute to the above nursing assessment findings?What MD orders should you question?  State rationalePrioritize the above ordersWhat nursing interventions would you implement? State rationaleWhat special patient teaching would accompany your nursing interventions? Include nutritional recommendations and address risk factors due to age and comorbidities. What special nursing considerations are pertinent to medication administration?   Health Science Science Nursing NURSE 437 Share QuestionEmailCopy link Comments (0)