Case Discussion: PulmonaryYour next patient, Michelle G., age 40, is a regular of the clinic and the last patient of the day. The chart states she is here for recent episodes of shortness of breath. You enter the room and Michelle G is dressed in work clothes, standing up looking at a health poster on the wall. You introduce yourself and ask her what brings her to the clinic today. "I think I may have a cold. I've been having a hard time breathing on and off lately." HPI: "I notice I'm short of breath mostly at work but by the time I get home feel fine. No episodes of shortness of breath on the weekends that I can recall. But a few hours back at work and I start to feel like I cannot catch my breath again. A few months ago this happened and it was so bad I left work and went to urgent care where they gave me a breathing treatment of some kind and sent me home on an antibiotic. I would like you to give me another antibiotic. She denies sputum. No new allergy triggers noted. She denies heartburn. PMHx: Michelle G. reports her overall health as good. Childhood/previous illnesses: eczema as a child Chronic illnesses: Has seasonal allergies, spring is her worst season. Was seen by an allergy specialist ten years ago, Took allergy shots for five years with great results, now only takes Zyrtec when needed. Surgeries: Cholecystectomy Hospitalizations: childbirth x 3. Immunizations: up-to-date on all vaccinations. Allergies: Strawberries-Rash; erythromycin- severe GI upset. Blood transfusions: none Drinks alcohol socially, smoked 1 pack per week for 3 years in her 20's. Denies illicit drug use. Sleeps 6 to 7 hours a night. Exercises four to five days per week. Current medications: Multivitamin, Zyrtec Social History: Married, lives with husband and 3 children. Worked in advertising up until 18 months ago when she got laid off. In order to help with the household finances she took a job as a Baker's assistant at an Artisan Bread Bakery. She arrives at 4 a.m. every morning to begin baking breads/pastries for the day. Family History:?Children are healthy- daughter currently has a sinus infection. Parents are deceased. Mother at age 80 from congestive heart failure. Father died at age 82 from lung cancer, diagnosed when metastasized to brain. PGM: died from unknown causes, PGF: Stroke at age 82. MGM: died at 83, had HTN, atherosclerosis and many heart attacks. PGF: died at 71 from complications of COPD. PE: Height 5'10", Weight 140 pounds Vital signs : BP 130/70, T 98.0, P 75, R 18 Sao2 98% on RA General: 40-year-old Caucasian female appears stated age in no apparent distress. Alert, oriented, and cooperative. Able to speak in full sentences and does not appear breathless. Skin: Skin warm, dry, and intact. Skin color is pale pink, no cyanosis or pallor. HEENT: Head normo-cephalic. Hair thick and distribution even throughout scalp. Eyes: Sclera clear. Conjunctiva: white, PERRLA, EOMs intact. Ears: Tympanic membranes gray and intact with light reflex noted. Pinna and tragus non-tender Nose: Nares patent with thin white exudate noted. Mucosa appears boggy and pale. Deviated septum noted. Sinuses non-tender to palpation. Throat: Oropharynx pink, moist, no lesions or exudate. Tonsils 1+ bilaterally. Teeth in good repair, no cavities noted. Tongue smooth, pink, no lesions, protrudes in midline. Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable masses. Lungs: Lungs clear to auscultation bilaterally. Respirations unlabored. Slight wheezing noted inspiration and on forced expiration. Wheezing does not clear with forced cough. CV: Heart S1 and S2 noted, RRR, no murmurs noted, no displaced PMI. Peripheral pulses equal bilaterally, no peripheral edema Abdomen: Abdomen round, soft, with bowel sounds noted in all four quadrants. No organo-megaly noted. Diagnostic Testing: Review of the patient's EMR reveals an old CXR from last winter when she had Bronchitis.
Case Discussion: Pulmonary is rated 4.8/5 based on 79 customer reviews.
Are you in need of homework help?
Place your order and get 100% original work.
- »The Role Of Advanced Practice Nursing In Safe Prescribing
- »Reflective Journal on how the attached clinical scenario enhanced your understanding of important communication techniques and what would be incorporated into your individual communication style to improve the nurse-patient/family relationship.
- »DERMATOLOGY CASE STUDY
- »It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
- »Find An Article On A Societal Factor That Is Affecting Nursing/Patient Education Curriculum
- »Where in the World Is Evidence-Based Practice?
- »Problem With Payment Structures In Health Care Industry
- »Conflict Resolution
- »Pathophysiology Of Alzheimer Disease
- »make a recommendation to finance an EHR system
- »Research Article Appraisal
- »Cultural Diversity in the Health Care Workforce
- »Assessing And Treating Clients With Dementia
- »The Pathophysiology Of Disorders
- »Lab Assignment
- »Advocating For New Practice Approaches Through Policy
- »Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making
- »Using Evidence-Based Practice To Improve Patient Care
- »Discussion: Health Care Policy
- »A number of medical centers around the United States now offer "finders' fees" to physicians for referring patients to researchers who are conducting trials of new drug therapies, the side effects of which are not yet known
- »Describes how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes
- »What are some steps the medical office administrator can take to record the completed transactions and address any outstanding problems? When are claim inquiries made?
- »Professionalism And Social Media
- »Qualitative Research Critique! Please use article - False Alarms and Overmonitoring : Major Factors in Alarm Fatigue Among Labor Nurses
- »Maternal Response
- »Describe immunity as related to the human body. Take care to cite the elements involved.
- »Discussion: Healthcare Information Technology Trends
- »Compare and discuss the information in the Bullying
- »Schizophrenia In Adults VS Children
- »Breast Cancer among African American Women in the United States
Why Choose Us
- Confidentiality and Privacy
- 100% Original Work
- 24/7 Customer Support
- Unlimited Free Revisions
- Experienced Writers
- Real-time Communication
- Affordable Prices
- Deadline Guaranteed