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NURSING 341 - Vincent Brody

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INTRODUCTION Amy, RN, medical surgical unit Your name, positon (RN), unit you are working on SITUATION Vincent Brody, 67-year old male, exacerbation of COPD Patent’s name, age, specific reason f... or visit BACKGROUND Patient is diagnosed with COPD, he was admitted on June 27, 2020. Patient currently is experiencing a productive cough. Patient has a 50- year history of smoking 2 packs a day. During the last year he had two exacerbations. Patient’s current orders include: continuous ECG, SpO2 monitoring, and vital signs every 5 minutes, O2 via nasal cannula to keep O2 greater than 90%, IV: potassium chloride in 5% dextrose and normal saline at 100 mL/hr, arterial blood gas, and Albuterol 2.5 mg in 3 mL normal saline via nebulizer every 20 minutes x 3 doses. After developing left-side pneumothorax patient’s orders were as follows: chest tube insertion, obtain chest x-ray before and after chest tube insertion, morphine 2mg via IV push prior to chest tube insertion, 100% oxygen. Patent’s primary diagnosis, date of admission, current orders for patent ASSESSMENT Patient is experiencing a productive cough. Physical findings include barrel chest and clubbed fingers. Patient vital signs were as follows: respiratory rate- 21 breaths per minute, [Show More]

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