solved

solved. Question
Answered step-by-step
Asked by MasterWillpower927

Scenario

Mr. Tait is a 76 year old retired -farmer who has been admitted to your unit from the doctor’s office following an acute episode of respiratory difficulty. This is his third admission in a nine month period, each related to his long-standing history of emphysema. He is accompanied by his 73 year old wife who is frail and suffers from severe arthritis. On admission to the unit Mr. Tait is experiencing difficulty in breathing and appears anxious.  He appears thin and states that he sleeps poorly. The doctor’s orders include O2 at 3L/min. per nasal prongs.

 

 

Question

State the major goals of treatment.

 

 

 

 

 

 

 

The doctor’s orders include the following:

                        A.B.G., Hgb, Hct, RBC, WBC, and diff. STAT

                        Routine chest X-ray now and Pulmonary Function Test (P.F.T.) when stable

                        Sputum for culture

                        Echocardiogram

                        D.A.T. - ­ fluids 2,000 – 3,000 ml/24 hrs.

                        Bed rest with B.R. privileges

                        Salbutamol 2 puffs QID by inhaler or by nebulizer 5 mg QID and prn q2hr

                        Ipratropium 2 puffs QID by inhaler or by nebulizer 250 mcg – QID and prn 4hr

                        Tiotropium inhaler 18 mcg OD

                        Methylprednisolone 250 mgm IV q8hr

                        Moxifloxacin 400 mg po OD

                        O2 by nasal prongs at 2-4 L/min to maintain Sa O2 90-92%

7.         What relevant information will each of the diagnostic tests contribute to the already established diagnosis?  

8.         What is the effect of impaired gas exchange on acid-base balance?

9.         Mr. Tait is ordered to receive a tiotropium inhaler. Why would this specific medication be relevant to managing his COPD?

10.       What drug classification is moxifloxacin? Why is this medication prescribed for Mr. Tait? What is a common complication of this medication? 

SCIENCE
HEALTH SCIENCE
NURSING
NURSING 494

solved