NURS194 Study Guide - Final Guide: Chronic Obstructive Pulmonary Disease, Nicotine Patch, Sodium Chloride
21 Jun 2020
School
Department
Course
Professor
Document Summary
Donald freeman - chronic obstructive pulmonary disease oxygen therapy. Prior history: mr. freeman, a 69 year-old male is a retired famer whose wife passed away two years ago. He has a 50 year history of smoking 2 packs a day. He has continued to smoke despite health care provider"s recommendations to quit. During the last year he has had two exacerbations of respiratory illness. Recent medical history: mr. freeman has complained of increasing fatigue, with activity and inability to sleep well at night and weight loss. He also has increased sputum production and cough. Mr. freeman is being admitted directly from physician office for exacerbation of chronic obstructive pulmonary disease (copd). Currently he is hunched forward in bed in apparent distress. Vital signs with spo2 levels every 4 hours. Sputum sample in a. m. for culture and sensitivity. Salbutamol 2. 5 mg via nebulize every 4 hrs prn. Ipratropium 500mcg mdi po 2 puffs every 6-8hr.
