SOLVED40

Mr. A, a 55-year-old male patient, was admitted from a long-term care facility on February 6, 2024. As the patient is nonverbal, all information was provided by a nurse from the facility. The nurse reported that Mr. A had been suffering from an upper respiratory infection (URI), characterized as a self-limiting inflammation and swelling of the upper airways, including the nose, throat, pharynx, and larynx, commonly called common cold. Furthermore, it was treated with Avelox, also known by its generic name, moxifloxacin, an antibiotic medication belonging to the fluoroquinolone class of antibiotics. It is commonly used to treat various bacterial infections, including respiratory tract infections (Huether et al., 2020). Despite completing the antibiotic treatment, the patient’s condition did not improve. The staff noticed that Mr. A was experiencing difficulty breathing and had a productive cough. Consequently, he was placed on 4 L/min oxygen via a nasal prong. Over time, his breathing difficulties worsened, becoming more labored, and it was observed that he was using accessory muscles to breathe, coughing, and vomiting. The patient was admitted to the emergency department through Emergency Medical Services (EMS). Upon arrival, the patient was febrile with a temperature of 37.9, a respiratory rate of 24, and an oxygen saturation level (O2 sat) of 83%. Upon examination, the patient’s lungs emitted sounds suggesting congestion. The congested lungs were suctioned, resulting in the extraction of a significant amount of sputum, a symptom often associated with respiratory complications. The sputum’s presence suggested a blockage or infection within the respiratory tract, which is not uncommon in such cases. Following a thorough analysis of the patient’s condition and the results of the suction procedure, the medical team arrived at a definitive diagnosis. The patient suffered from aspiration pneumonia, a lung infection when foreign substances, such as food, saliva, or stomach contents, are inhaled into the lungs. These substances can contain bacteria or other microorganisms that can cause infection (Marik, 2001). Mr. A’s aunt later reported to the nurse that he had experienced three seizures in the emergency room, a significant event since he had not had a witnessed seizure since starting his medication a few years prior. Some risk factors associated with aspiration pneumonia include conditions impairing swallowing or coughing reflexes, such as neurological disorders, stroke, or certain medications. Signs and symptoms of aspiration pneumonia include coughing, difficulty breathing, chest pain, fever, excessive sweating, fatigue, and confusion. The patient has a past medical history of dysphagia, a condition characterized by difficulty or discomfort in swallowing that can be caused by various factors, including neurological conditions, mechanical obstructions, or respiratory difficulties (Huether et al., 2020). In this case, the patient’s dysphagia is associated with a degenerative disease of the nervous system unspecified (citation needed), a condition that progressively damages brain and spinal cord cells. This disease can impact balance, movement, speech, paralysis, and heart function. This condition likely contributed to the development of aspiration pneumonia, which is the patient’s current diagnosis. Past Medical History Mr. A’s past medical history includes an unspecified degenerative disease of the nervous system, dysphagia, aphasia, and seizures. He has undergone a gastrostomy, a surgical procedure that creates an opening into the stomach for a feeding tube (Pineda-Cortés et al., 2022), specifically a PEG ( percutaneous endoscopic gastrostomy) for continuous feeding. Whats the piority nursing diagnosis for Mr A and give me 8 more nursing diagnosis for him
SCIENCE
HEALTH SCIENCE
NURSING

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