Yohannan Dawoud Year Assignment Help: How to Answer This Question
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Original Question
Yohannan Dawoud, a 64-year-old male client (DOB: 4/11/1960), presents to the clinic with a productive cough (with yellow mucus), fever, shortness of breath, and fatigue for two days. He was diagnosed with COVID-19 one week ago, and his productive cough and increasing shortness of breath only started two days ago. He reports taking acetaminophen over-the-counter for fever. The NP performs a physical assessment that reveals crackles in the right and left lung bases with no retractions or increased work of breathing. A rapid test in the office indicates that he is negative for influenza and RSV but is still testing positive for COVID-19. A chest X-ray taken in the office demonstrates consolidation in the right and left lower lobes. The NP diagnoses the client with bilateral bacterial pneumonia and considers appropriate antibiotic therapy knowing that pneumococcal resistance to macrolides is less than 25% in the clinic’s geographic area. Allergies Past Medical History Type 2 Diabetes, Cellulitis, Hypertension Amoxicillin, Cephalexin Medication metformin (Glucophage) 500mg PO BID, lisinopril (Prinivil) 30mg PO daily Social History He quit smoking 20 years ago and drinks alcohol twice per year. Physical Exam HEIGHT: 6’2″ BP: 122/81 02 Sat: 95% on RA WEIGHT: 221 lbs HR: 99 TEMP: 100.6 oral BMI: 28.4 RR: 24 Describe your assigned client’s situation. Why are they presenting to the clinic? What medications are they currently taking? Assess the applicable clinical practice guideline (CPG) for your assigned client. What treatment is recommended by the CPG for your client’s situation? Discuss your personal professional assessment of the client’s situation provided in the scenario. What pharmacological treatment is necessary and why? Reflect on additional questions you have about your assigned client that may influence treatment. What else do you need to know? What follow-up assessments, labs, or conversations are required to ensure optimal health outcomes?
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