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74 yo F (Secondary Dx/ Hx (COPD, pneumonia (hx of repeated dx), asthma,…
74 yo F
Secondary Dx/ Hx
carpal tunnel
depression
hypothyroidism
GERD
hyperlipidemia
macular degeneration
HTN
osteoarthritis
COPD
pneumonia (hx of repeated dx)
asthma
anxiety
Smoke exposure as a child
Medical Tx
albuterol, atorvastatin, budosenide, buspirone, cefepime, citalopram, fenofibrate, fluconazole, fluticasone, quaifenesin, levothyroxine, methylprednisolone, oxybutynin, pantoprazole, vancomycin
Nsg interventions
Diet change/alterations, breathing/positioning techniques for COPD, encourage regular vaccinations like flu or pneumococcal, encourage medication maintenance.
Acute respiratory failure with hypoxia
S/S
coughing, SOB, blue tint to lips, fatigue, anxiety, confusion, wheezing
Dx treatments
ABG values pointing at respiratory alkalosis w/o compensation
Risk factors
COPD, hx of pneumonia, asthma, smoke exposure
Medical Tx
High volume oxygenation b/c pt able to to awoken
Pathophysiology
Progressed disease or injury causing inadequate gas exchange within the lungs, causing respiratory alkalosis
Nsg intervention
Monitor oxygen and oxygen perfusion through body with capillary refill assessment, and assist pt with breathing techniques like pursing lips and leaning forward
Family Hx
Mother - COPD, CHF, HTN
Daughter - breast cancer
Father - Heart attack