Case Study Chronic Question & Answer Guide (With Explanation)

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Original Question

Case Study 3: Chronic Obstructive Pulmonary Disease (2100 -0730) I Molly BROWN| D.O.B. 14/10/1945 | Female (she/her) | Penicillin| Full Resuscitation S Admitted to the medical ward following a presentation to Emergency Department with an increased respiratory rate and ongoing shortness of breath. O Respiratory rate 28 bpm, HR 105 bpm regular, irritable, Temp 37.6 OC, BP 132/84, SpO2 88% on Room Air, weight 45 kg, height 155 cm. B Lives in supported accommodation with 6 other adults, all current smokers. P.Hx Chronic Obstructive Pulmonary Disease diagnosed at 60 yrs of age Anxiety, Hypertension, Current smoker Medications: Perindopril, Prednisolone, Salbutamol inhaler, Ipratopium bromide inhaler A Admitted to the general medical ward ECG – 12 Lead. Bloods: FBC; U&E’s; Chest X-Ray Urinalysis Continuous SpO2 monitoring Sputum specimen to the lab Encourage oral intake and monitor R High falls risk. Supervise all ambulation. Referred to physiotherapy, dietician and social work. Family meeting to be arranged: goals of care, including resuscitation status. 1. Molly has a history of COPD and is a current smoker. Discuss the likely findings of Molly’s respiratory assessment 2. Molly insists on asking for a cigarette whilst on the ward. Molly is becoming increasingly irritable at not having had a cigarette and states she would be able to breath if she could have a cigarette. As a student (registered nurse) outline your management strategies and considerations for Molly. 3. Discuss the priority of care, both nursing and collaborative for Molly whilst in hospital

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