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Asked by qbanack

Edwin is a 69-year-old male who comes in to the clinic today stating that over the past few days, he has had a fever and chills, cough, and has been quite fatigued.  He didn’t take his temperature because he did not have a thermometer but he “felt hot”.  He says he is coughing up a little phlegm.  He states that it hurts when he takes a deep breath.  He also states that his appetite has not been very good.  He has been taking Tylenol with minimal relief.  He has also been drinking teas to try to break up the phlegm.

Edwin is a nonsmoker and non-drinker.  He has been very healthy and has no medical problems.  He has never had surgery.

On exam, his vital signs are:  BP 130/80; P 84; R 14; T 103.2; Pulse ox: 94%.

Exam reveals decreased rales and rhonchi, more pronounced in the left lower lung fields, with increased fremitus and dullness to percussion.  Chest x-ray reveals a consolidation in the left lower lobe.  This appears to confirm that he has pneumonia?

 

1- Differential diagnosis and explanation

 

2- Treatment Plan

 

3- Education

 

4- Health Promotion

 

5- Reflection

 

 

 

When treating on an outpatient basis, what class of drug should be used for this previously healthy man with no use of antimicrobial therapy within the previous 3 months?
Although there have been cases of resistance against this class, it is still recommended for pts without risk.  Please write out the rx directions the way with the med and the sig how you would write it for the pt.
The choice of antibiotic therapy depends on three Important factors.  What are they?
Name two teaching points to tell the patient.

 

 

 

 

SCIENCE
HEALTH SCIENCE
NURSING
NRNP 6568

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