Respond on two different days who selected a different scenario than you, in one or more of the following ways: Share insights on how the factor you selected impacts the disorder your colleague identified.Maria is a 36-year-old who presents for evaluation of a cough. She is normally a healthy young lady with no significant medical history. She takes no medications and does not smoke. She reports that she was in her usual state of good health until approximately 3 weeks ago when she developed a “really bad cold.” The cold is characterized by a profound, deep, mucus-producing cough. She denies any rhinorrhea or rhinitis—the primary problem is the cough. She develops these coughing fits that are prolonged, very deep, and productive of a lot of green sputum. She hasn’t had any fever but does have a scratchy throat. Maria has tried over-the-counter cough medicines but has not had much relief. The cough keeps her awake at night and sometimes gets so bad that she gags and dry heaves. Acute Cough Coughs are the body's way of clearing airways via forceful expiration. Inflammation, inhaled particles, accumulated mucus, or foreign bodies stimulate a cough reflex by irritant receptor stimulation in the airway. An acute cough is classified as lasting 2-3 weeks, and chronic cough is greater than three weeks in a non-smoker. Frequent cough causes are allergic rhinitis, upper respiratory infections, pneumonia, aspiration, pulmonary embolus, and congestive heart failure. Due to the above-listed scenario, this cough would be diagnosed as acute cough due to timeframe, cough characteristics, and patient history (Huether & McCance, 2019). Green Sputum Sputum contains immune cells and white blood cells from the lower respiratory tract that protect the airway from infections. Sputum can be clear or colored. Color sputum may be yellow, white, green, red or blood-tinged, or pink. Neutrophils are white blood cells that can take on a green color. This color sputum can be indicative of bacterial infections of the lower respiratory tract. Pneumonia and cystic fibrosis can produce this color sputum. To indeed rule out something benign, a sputum culture would need to be obtained and tested (Verywell Health, 2019). At three weeks in, it would likely be premature to order cultures with limited symptoms. Treatment Due to the timeframe of cough and only accompanying symptom being green sputum, as a practitioner, I would prescribe an expectorant and schedule a follow up if symptoms persist or worsen. Teaching should include that adverse effects of expectorants might be GI upset, headache, drowsiness, and dizziness. Advise patient that expectorants are designed to be short-term (Arcangelo, Peterson, Wilbur, & Reinhold, 2017). Additional home treat to loosen secretions would be a humidifier, staying adequately hydrated and warm salt water gargles if sore throat should appear (Barkley, 2018). Patient Factors- Behavior and Age Maria is an otherwise, healthy 36-year-old female. Due to her age and symptom status, Maria would be treated conservatively. Maria is a non-smoker and takes no prescribed medications. Further investigation would be required if she was a smoker, currently on prescriptions medications, had current disease processes that may factor into the treatment plan. References Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins. Barkley, T. (2018). Adult-gerontology primary care nurse practitioner. West Hollywood, CA: Barkley & Associates. Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby. Verywell Health. (2019). What causes the amount of sputum to increase? Retrieved from https://www.verywellhealth.com/what-is-sputum-2249192
Respond on two different days who selected a different scenario than you, in one or more of the following ways: Share insights on how the factor you selected impacts the disorder your colleague identified. is rated 4.8/5 based on 280 customer reviews.
Are you in need of homework help?
Place your order and get 100% original work.
- »Identify a specific instance from your own professional experience in which the values of the organization and the values of the individual nurses did or did not align. Describe the impact this had on nurse engagement and patient outcomes
- »PERSUASIVE WRITING
- »As an advanced registered nurse, what will your role be in advocating for equitable population health services and policies?
- »This study identifies the healthcare education needs of incarcerated women in a state corrections facility
- »Value-Based Reimbursement: The Banner Health Network Experience
- »Theory of Integral Nursing & Practice
- »Literature Review: State Of Current Industry Knowledge (Health Informatics)
- »Assignment: Asthma Complications of asthma can be sudden
- »IOM Future Of Nursing Report And Nursing
- »Clinical Practice
- »Recommending An Evidence-Based Practice Change
- »The Nurse as Advocate Whether nurses are advocating for their patients, health care, and/or policies that improve people’s lives, the advocacy processes have commonalities that transcend the subject of their advocacy.
- »Pharmacotherapy For Gastrointestinal And Hepatobiliary Disorders
- »discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession
- »Rough draft qualitative research critique and ethical consideration
- »Regulatory Compliance
- »Community Teaching Work Plan Proposal
- »Trend Analysis And Forecasting
- »Progress In Nursing In The Early To Mid-20th Century
- »Discussion: Political, Social, and Sociocultural Influences on Women’s Health
- »Describe how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes
- »Battling Bad Science How do you know something?
- »Give an example of the difference between being assertive and being aggressive. What is the importance of this in communication? In leadership?
- »Identifying and Interpreting Descriptive Statistics
- »EVIDENCE BASED PRACTICE AND APPLIED NURSING RESEARCH
- »Inflammatory Bowel Disease and Urinary Obstruction
- »Family interventions are important as well, as they do have a positive benefit on symptom relapse and admission/readmission to the hospital. Family interventions should include teaching about the disease, medications, and anticipatory guidance
- »Analyze provided subjective and objective information to diagnose and develop a management plan for the case study patient
- »Use Of Resources To Promote Translation Of Evidence Into Practice
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