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Original Question
Case Study 2: Case Study 2: Pneumonia (Shift 0700-1530) I Neville SCARGILL| D.O.B. 12/09/1948| Male (he/him) |NKA| Full Resuscitation S Presented to the Emergency Department after visiting his LMO 2 days ago with increasing shortness of breath, reduced appetite and feeling hot. O Observations at 1000rs, alert & orientated; febrile 38.4 OC, HR 98 regular, RR 28; BP 120/60 SA02 91% Room Air. B Worked as a coal miner in Yorkshire, United Kingdom. Retired due to ill health at 60 years and moved to Melbourne to live with his daughter and her family. Consumes 5-6 stubbies of beer per day at he local RSL. Smoker since aged 17 years. 30 cigarettes per day recently reducing to 5 per day. Phx : Diagnosed at 50 with pneumoconiosis at aged 50 yrs, Coronary Artery Bypass Grafts x3 at 55 yrs Hypertension; Hypercholesteremia; Type 2 Diabetes Current Medications: Metoprolol ; Atorvastatin , Metformin, Glicizide A Admitted to Medical unit ECG – 12 Lead. Bloods: FBC; U&E’s; Blood cultures Fluid Balance Chart (FBC) Chest X-Ray. Urinalysis Sputum specimen R High falls risk. Referred to physiotherapy. 1. Neville is assessed and diagnosed with Pneumonia. Discuss the key respiratory assessment findings for Neville’s presentation. 2. Discuss and list the likely findings of the tests Neville has undergone. 3. As a student (registered nurse) discuss the priorities of care including nursing interventions and collaborative interventions.
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