Preview

Krista Vs Curb65 Case

Good Essays
Open Document
Open Document
373 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Krista Vs Curb65 Case
After the PA/LAT chest x-ray, Krista has a left lower lobe pneumonia. This is an issue that needs to be addressed either on an inpatient or an outpatient basis. According to Morris (2011), the CURB65 or the CRB65 can be used to determine the level of care for CAP as there was not difference in the overall scores. The confusion, respiratory rate, BP, and 65 years of age (CRB65) are assess giving each factors a score of one. If the score is above 3, then hospitalize is required for a high risk of death. If a score of 1 or 2 is obtained, then there is an increased risk of death with hospitalization for a score of 2. If there is a score of 0, then the patient can be treated on an outpatient bases. With Krista tobacco usage, the likely organism is staphylococcus aureus which is a gram positive coccal bacterium. The treatment for the first line is Azithromycin 500 mg orally one dose, then 250 mg PO daily for 4 days or Clarithromycin 500 mg orally twice a day and finally Doxycycline 100 mg orally twice a day. In terms of her symptoms, Krista can take a cough suppressant, acetaminophen, and an antihistamine. Coricidin HBP is a combination drugs of the two latter drugs with a dose of 325 mg-2 mg 2 tabs oral every 4 to 6 hours not to exceed 12 tabs in a 24 hour period. This is the drug of choice for hypertension as well. Krista should continue drinking plenty of fluids and rest. Lastly, Krista should be offered a nicotine patch for …show more content…
(2014). Health promotion, risk stratification, and treatment options to decrease hospitalization rates for community-acquired pneumonia in adults. Journal of The American Association Of Nurse Practitioners, 26(10), 537-549. doi:10.1002/2327-6924.12072

Morris, A. (2011). ACP Journal Club. Review: CURB65, CRB65, and Pneumonia Severity Index similarly predict mortality in community-acquired pneumonia. Annals of Internal Medicine, 154(8), 4-13.
Continue Reading
View Writing Issues

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Epidemology Case Study 3
    • 281 Words
    • 2 Pages

    Epidemology Case Study 3

    R.S. has smoked for many years and has developed chronic bronchitis, a chronic obstructive pulmonary disease (COPD). He also has a history of coronary artery disease and peripheral arterial vascular disease. His arterial blood gas (ABG) values are pH = 7.32, PaCO2 = 60 mm Hg, PaO2 = 50 mm Hg, HCO3- = 30 mEq/L. His hematocrit is 52% with normal red cell indices. He is using an inhaled ß2 agonist and theophylline to manage his respiratory disease. At this clinic visit, it is noted on a chest x-ray that R.S. has an area of consolidation in his right lower lobe that is thought to be consistent with pneumonia.…

    • 281 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    Gave Routine Albuterol Case Study
    • 199 Words
    • 1 Page

    Gave Routine Albuterol Case Study

    11/3/16 1800 Instill 1 drop in both eyes at routine for dry eyes. Gave PRN Tylenol 325mg 2 tablets for complaints pain on right thumbnail rated 6/10. Patient states that she is having shortness of breathing when she was walked back from the dining room to her room. O89% by NC. Reported to nurse. Gave routine albuterol and ipratropium 0.5 mg nebulizer. Offered 1 cup of protein shake mixing with nectar powder. Encourage pt to drink it because she didn’t eat much at supper, will get hungry later. Drank 60%. HDoan WATC PN 2.…

    • 199 Words
    • 1 Page
    Satisfactory Essays
    Read More
  • Good Essays

    Abilify Case Study
    • 650 Words
    • 3 Pages

    Abilify Case Study

    She became lethargic within one hour. She was immediately treated with “10mg activated charcoal, 3 h post ingestion”. The patient then went unconscious but did not need any tubes or extra ventilation. On arrival, her pulse was 110, blood pressure was 106/60, RR (melatonin level) was 20, body temperature 98.3, pOx 98 (RA). She had a disconjugated gaze. Her skin appeared dry, pink, and warm. Bowel sounds were decreasing. An ECG with 12-lead showed a sinus curve of 110. She was in stable condition with consistent vital signs and slowly awakened throughout a 24-hr period. On the second day, she slept for excessive periods at a time. She also suffered “truncal ataxia” while in the sitting position, which still existed during walking and standing up the next day. On the fourth day, she showed trouble with fine motor skills, but was discharged. The girl was monitored for seven days as symptoms receded and no abnormal condition resulted…

    • 650 Words
    • 3 Pages
    Good Essays
    Read More
  • Better Essays

    Multisystem Failure Homeostasis And Pain Management Case Study
    • 1422 Words
    • 6 Pages

    Multisystem Failure Homeostasis And Pain Management Case Study

    The first priority is to perform a focused assessment to include the patient’s respiratory function, pain, mental status, and any medication the patient has taken. The patient’s airway and ability to breathe and maintain a patent airway becomes the first priority. By asking the patient the four questions of orientation the nurse can assess the patient’s mental status. The patient’s pain can also be assessed quickly by using a numerical value or the Wong-Baker Scale prior to the patient becoming unresponsive, as well as asking the patient for a brief history of her medical condition and any co-morbidities. For the patient’s airway and breathing, the patient should be placed on 15 liters of oxygen with a non-rebreather mask to allow for increased oxygenation and a pulse…

    • 1422 Words
    • 6 Pages
    Better Essays
    Read More
  • Better Essays

    UPT1 Physical Assessment Documentation Form 0414 1

    • 1659 Words
    • 13 Pages

    UPT1 Physical Assessment Documentation Form 0414 1

    Height Not assessed, patient states 5’11” BMI 27.2, overweight Radial pulse: rate rhythm 70 rate regular Respirations: rate depth 16 breaths per minute regular, no SOB, or tachypnea noted Blood pressure (indicate if sitting or lying) Sitting 117/72 Temperature (if indicated) Not assessed Pain assessment Not assessed (although no tenderness throughout) Physical Assessment Skin Hands and nails Appropriate color, equal size/shape, cap refill less than 3 seconds Color and pigmentation Appropriate color for patient race Temperature…

    • 1659 Words
    • 13 Pages
    Better Essays
    Read More
  • Good Essays

    Ventilator Associated Pneumonia Case Study
    • 766 Words
    • 4 Pages

    Ventilator Associated Pneumonia Case Study

    The role of the infection control team is to decrease the incidence of preventing ventilator-associated pneumonia (VAP), which includes policy, surveillance data, risk assessment, and infection prevention interventions. The CEO must explain the active involvement of all health care professionals in preventing ventilator-associated pneumonia (VAP) as well as the past data and outcomes of cases of ventilator-associated pneumonia (VAP), furthermore ensuring that all patients will be under the care of all evidence-based recommendations.…

    • 766 Words
    • 4 Pages
    Good Essays
    Read More
  • Better Essays

    Respiratory Case Study Essay
    • 1642 Words
    • 7 Pages

    Respiratory Case Study Essay

    Nosocomial pneumonia is acquired during a hospital stay. It happens when a patient is admitted into the hospital with a medical diagnosis that they are hoping to be treated for and contract the infection of pneumonia through the spread of germs. “Nosocomial pneumonia (NP) clinically presents more than seven days after hospitalization with new fever, pulmonary infiltrates, and leukocytosis. Nosocomial pneumonia is a common nosocomial bacterial infection and is most prevalent in medical and surgical intensive care units. The most common pathogens associated with NP are: P aeruginosa, Klebsiella pneumoniae, Escherichia coli, and S marcescens (Medscape, 2015). Whereas community acquired pneumonia is contracted in the community. “Community-acquired pneumonia (CAP) is one of the most common infectious diseases and is an important cause of mortality and morbidity worldwide. CAP is usually acquired via inhalation or aspiration of pulmonary pathogenic organisms into a lung segment or lobe” (Medscape, 2015). The most common organisms involved in causing CAP are: Streptococcus pneumoniae, Haemophilus influenza, and Moraxella catarrhalis.…

    • 1642 Words
    • 7 Pages
    Better Essays
    Read More
  • Powerful Essays

    COPD Case Study: Emphysema
    • 1719 Words
    • 7 Pages

    COPD Case Study: Emphysema

    D.Z., a 65-year-old man, is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD; emphysema). He has a past medical history of hypertension, which has been well controlled by Enalapril (Vasotec) for the past 6 years. He has had pneumonia yearly for the past 3 years, and has been a 2-pack-a-day smoker for 38 years. He appears as a cachectic man who is experiencing difficulty breathing at rest. He reports cough productive of thick yellow-green sputum. D.Z. seems irritable and anxious; he complains of sleeping poorly and states that lately feels tired most of the time. His vital signs (VS) are 162/84, 124, 36, 102 F, SaO2 88%. His admitting diagnosis is an acute exacerbation of chronic emphysema.…

    • 1719 Words
    • 7 Pages
    Powerful Essays
    Read More
  • Good Essays

    patient summation
    • 522 Words
    • 3 Pages

    patient summation

    83 year-old female with an admitting diagnosis of aspiration pneumonia, and sepsis. BP 120/62, HR 115, RR 22, temp 101.1, 96% sp02 on 2L nasal cannula. Patient is Awake and oriented to self but unable to identify year and location, PERRLA, speech is faint and unclear. Patient unable to ambulate and requires full assistance changing positions, minimal range of motion in arms and legs. Patient has a regular rate and rhythm with a clear distinction between S1 and S2, no extra heart sounds noted. No signs of edema, radial and pedal pulses + 2 equal bilaterally with a cap refill of less than 2 seconds on all extremities. Respirations shallow with diminished lung sounds bilaterally, rhonchi noted on right upper lobe, both posteriorly and anteriorly. Bowel sounds present in all four quadrants, patient has peg tube in place. Patient has a Foley catheter draining cloudy, yellow urine. Patient is NPO with 1L of NS infusing. Skin is warm, dry, with a stage 4 sacral ulcer with tunneling and draining sanguineous fluid, Oral mucosa is dry. Bed set in lowest position with 2 rails up and call bell in right hand.…

    • 522 Words
    • 3 Pages
    Good Essays
    Read More
  • Powerful Essays

    Pneumonia Core Measure
    • 3467 Words
    • 14 Pages

    Pneumonia Core Measure

    Today hospitals as businesses, as well as health care institutions, face many obstacles while caring, treating, and rehabilitating patients during their hospital stay. The community as a whole tends to follow a pattern of trends that include specific health conditions including Acute Myocardial Infarction (AMI), Congestive Heart Failure (CHF), and Community Acquired Pneumonia (CAP). These three conditions are part of a collection of diagnoses that have been deemed the title of Core Measures. Core Measures and National Patient Safety Goals were created with the intention of delivering evidence based practice to the bedside to ensure continuity of care.…

    • 3467 Words
    • 14 Pages
    Powerful Essays
    Read More
  • Powerful Essays

    Evidence Based Practice Paper
    • 1930 Words
    • 8 Pages

    Evidence Based Practice Paper

    (2012). Research to support evidence-based practice in copd community nursing. British Journal of Community Nursing, 17(10), 486-492. Retrieved from http://www.bjcn.co.uk/…

    • 1930 Words
    • 8 Pages
    Powerful Essays
    Read More
  • Good Essays

    Cystic Fibrosis
    • 1018 Words
    • 5 Pages

    Cystic Fibrosis

    Every nursing diagnosis lists interventions that help achieve the goal. In the case of "Risk of infection related to chronic pulmonary disease," interventions to reduce the risk are spelled out. Examples of interventions might include oral antibiotics, adequate fluids and administering…

    • 1018 Words
    • 5 Pages
    Good Essays
    Read More
  • Better Essays

    Older Adult Assessment
    • 4088 Words
    • 17 Pages

    Older Adult Assessment

    General Health: Patient states he feels generally healthy, only concern is his current, peristent cough that has been bothering him for the past couple of months. Pt relates the cough to his use of smoking tobacco, smokes approximately half a pack (10-12 cigarettes every day) M.C. states that he has been smoking for the past 35 years.…

    • 4088 Words
    • 17 Pages
    Better Essays
    Read More
  • Satisfactory Essays

    Personal Narrative: My Personal Experience With Emission
    • 338 Words
    • 2 Pages

    Personal Narrative: My Personal Experience With Emission

    Concerning the sino-nasal problems, she is due to see David Marty next week but given the re-emergence of symptoms, I have suggested she introduce low-dose Rhinocort 32mcg on top of the saline spray. She will also trial a non-sedating antihistamine.…

    • 338 Words
    • 2 Pages
    Satisfactory Essays
    Read More

Related Topics