**Patient Case Study: Mrs. Jones****Overview:**Mrs. Jones, a 59-year-old female, presents with complaints of shortness of breath after cleaning her dusty closet. This visit is occurring post-hospital discharge for an exacerbation of her chronic obstructive pulmonary disease (COPD). She experienced similar symptoms about a week and a half prior, related to another exacerbation.**Medical History:**- **Chronic Conditions:** - Coronary artery disease - Myocardial infarction - COPD - Hypertension - Peripheral vascular disease - Obesity- **Lifestyle Factor:** - Tobacco usage**Current Symptoms:**- Wheezing detected upon chest auscultation.**Medications:**1. **Metered-Dose Inhalers (MDI):** - Proventil inhaler: 2 puffs every 4-6 hours - Beclomethasone Dipropionate inhaler: 2 puffs once daily2. **Other Medications:** - Hydralazine: 50 mg orally, 3 times per day - Hydrochlorothiazide: 25 mg orally, daily - Aspirin: 81 mg orally, daily - Clopidogrel: 75 mg orally, daily - Isosorbide mononitrate: 60 mg orally, daily**Clinical Question:**1. Which inhaler will you advise the patient to take at this moment? Why?

Patient has COPD exacerbation. And has symptoms of respiratory distress with wheezing sound during…

Answered: 1. Which inhaler will you advise the…

Case Studies In Health Information Management

3rd Edition

ISBN:9781337676908

Author:SCHNERING

Publisher:SCHNERING

Chapter2: Information Protection: Access, Archival, Privacy, And Security

Section: Chapter Questions

Problem 2.6.2C

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Patient Information- **Name**: John Smith- **Age**: 68- **Medical History**: Hypertension, type 2 diabetes, smoking- **Current Complaints**: Chest pain, shortness of breath, fatigue- **Social History**: Lives alone, limited social support- **Vital Signs**: BP: 150/95 mmHg, HR: 90 bpm, RR: 22 breaths/min, Temp: 98.6°F, SpO2: 92% on room air- **Lab Results**: HbA1c: 8.5%, LDL: 160 mg/dL, HDL: 35 mg/dL, Troponin: 0.02 ng/mL (normal), Creatinine: 1.2 mg/dL Create a detailed care plan for Mr. Smith, including short-term and long-term goals, interventions, and expected outcomes.
Patient Information- **Name**: John Smith- **Age**: 68- **Medical History**: Hypertension, type 2 diabetes, smoking- **Current Complaints**: Chest pain, shortness of breath, fatigue- **Social History**: Lives alone, limited social support- **Vital Signs**: BP: 150/95 mmHg, HR: 90 bpm, RR: 22 breaths/min, Temp: 98.6°F, SpO2: 92% on room air- **Lab Results**: HbA1c: 8.5%, LDL: 160 mg/dL, HDL: 35 mg/dL, Troponin: 0.02 ng/mL (normal), Creatinine: 1.2 mg/dL *Setting Priorities**: - Based on the identified problems and risks, set priorities for Mr. Smith’s care. Explain your rationale. 11. **Patient-Centered Care**: - Discuss how you would incorporate patient-centered care principles in Mr. Smith’s care plan. 12. **Individualized Interventions**: - Develop three individualized interventions for Mr. Smith. Explain how each intervention addresses his specific needs. 13. **Self-Regulation**: - Describe how you would use self-regulation to ensure that you remain objective and…
In full detail please: a 79-year-old Hispanic woman, was admitted to the Emergency Department (ED) complaining of shortness of breath and palpitations. The patient lives at home with her daughter. Her daughter states that the patient has been sleeping “most of the day” and has become confused at times over the past 3-4 days. In addition, the patient’s daughter states that her mother has a cough that is worse during the night. Her vital signs are BP:128/76 mm/Hg, HR:134 beats per minute, RR:32 breaths per minute, T: 97.40F (36.3C). The nurse noted bilateral crackles at bases upon lung auscultation and weak peripheral pulses. The doctor diagnoses the patient with pulmonary edema related to left-sided heart failure and the patient is transferred to the coronary care unit (CCU). After 5 days in the hospital, Mrs. Sanchez is discharged to home with her daughter with the following orders: O2 2L/nasal cannula prn for shortness of breath Furosemide 20 mg PO once a day Metoprolol 25 mg PO once…
Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time, he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years but quit 3 years ago. The ABG analysis of Mr. H suggests uncompensated respiratory alkalosis with mild hypoxemia, with base excess of -1 in her arterial side, whereas -4 in her venous side. Part 1: Her actual arterial-venous oxygen content difference (Ca-vO2) is 5.31 mL/dL. (Normal range considered here is 3.5 to 5 mL/dL) Part 2: Patient's actual oxygen extraction ratio (O2ER) was 29%. (Say normal range is 20-28%) What is clinically happening to the patient?
Patient B., 60 years old, was hospitalized with the diagnosis "Myocardial infarction". On examination: cold and cyanotic skin. Respiration is frequent, superficial, arterial pressure 90/60 mm Hg, pulse - 110 beats / min (normal 60-90 beats per minute). The patient is transferred to the intensive care unit. Questions: 6. Describe typical changes of gas parameters and pH in blood at this type of TPP? 7. List the signs of adaptive reactions available to the patient.
Donald has a history of DM I. There's an order to administer 10 units.The nurse is using a U-100 syringe. How many units should the nursedraw up in the syringe and administer?
"A patient with a history of COPD presents with increased shortness of breath and a productive cough. What are the immediate nursing actions and considerations for ongoing care?"
Please help
Patient Ch., 29 y/o, was taken to the cardiology department. Objectively: he has cold cyanotic extremities, infrequent and noisy respiration, of Kussmaul’s type, alternating with shallow breathing, weak pulse, and arterial pressure – 60/35 mm column of mercury. There are clear signs of vascular collapse – flattened veins, especially in the neck. ECG shows ciliary arrhythmia. Glycemia - 23mmol/l, PH – 7.1. The content of ketone bodies is 23mg%. What is your diagnosis?A. Cardiovascular form of ketoacidotic coma B. Renal form of ketoacidotic coma C. Uremic coma. D. Myocardial infarctionE. Hyperlactacidemic coma
Patient B., 60 years old, was hospitalized with the diagnosis "Myocardial infarction". On examination: cold and cyanotic skin. Respiration is frequent, superficial, arterial pressure 90/60 mm Hg, pulse - 110 beats / min (normal 60-90 beats per minute). The patient is transferred to the intensive care unit. Questions: 1. What kind of typical pathological process (TPP) develops with myocardial infarction? 2. Define this TPP. 3. Describe the TPP, developed in the patient, according to the speed of its development, prevalence, cause of occurrence.
What is a critical factor in the care of a patient with a do not resuscitate (DNR) order? A) Ensuring all staff are aware of the DNR status B) Withholding all medications and treatments C) Ignoring the patient’s comfort needs D) Encouraging family to reconsider the decision
73-year-old male, post-op day 1, status post-carotid endarterectomy on the surgical unit, demonstrating signs of stroke. Suggest two interdisciplinary team members to assist with caring for the patient and provide a rationale for the importance of including them in the care of this patient.

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