Review the Week 5 Case Assignment document in the Learning Resources.
Reflect on the patient’s symptoms and aspects of disorders that may be present.
Consider how you might assess, perform diagnostic tests, and recommend medications to treat patients presenting with the symptoms in the case study. Tachycardia & Cough Essay Example

Complete the Assignment:

After reviewing the case and the accompanying case analysis questions, included in the document, answer the 10 questions directly in the Case Assignment document. (You will find this in the required readings under Document for Week 5). – I am also sending this to you in Announcements, so you can download it, answer the questions on the doc, and then upload to BB.

* If possible : put your answers in bold, a different color font, or highlight : this makes it much easier (and faster!) for me to grade it! TYIA!

When providing evidence to support your answers, be sure they evidenced-based, current (no more than 5 years old), and follow current standards of care. Follow APA 7th edition formatting. As always – recommend using your text & required readings as your resources!
*You will write your answers directly on the Document. Please save this to your desktop, answer the questions, then save again ( MAKE SURE TRACK CHANGES IS OFF! : – ) Once it is saved, you can upload to BB.

You also have a Knowledge Check this week!

Assignments are submitted through the Originality Report – I do check these. The best way to not be flagged is to NOT copy and paste! It is not always possible to have an Originality report that is 100% clean, as we use the same phrases over and over, however, please be mindful of not using exact phrases or text from other sources – and do not copy & paste from the internet, your other assignments, or articles. Thank you!

 67-year-old with Tachycardia & Cough

Expected Findings on Chest X-Ray Results,

The presence of white infiltrates in the lungs may be seen on an x-ray, which can be utilized to confirm the infection.  Tachycardia & Cough Essay Example

Type of Pneumonia Ms. Jones has

Mr. Jones is suffering from community-acquired pneumonia. CAP is contracted outside of a clinical environment (Poovieng et al., 2022). As far as we know, Ms. Jones did not contract the illness from the hospital or care facility. As such, her type of pneumonia cannot be hospital-acquired pneumonia.

Assessment Tool Used to Determine the Severity of Pneumonia and Treatment Options

A CURB-65 calculator is an assessment tool that can be used to determine the severity of a person’s community-acquired pneumonia. This tool gives points for confusion and blood urea nitrogen, which is an older patient who is severely sick might be caused by a number of different things.

Application of the Assessment tool Based on Subjective and Objective Findings

CURB-65 stands for confusion, uremia, respiratory rate, BP, age 65 and over (Ilg et al., 2018). It is evident that Ms. Jones understands her symptoms and is not confused; her BUN level is 17 mg/dl; she has an RRR of 22; her systolic pressure is 126; she’s 67 years old. The CURB-65 score for Ms. Jones is 1, which suggests that she should receive outpatient treatment.

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Treatment Based On Diagnosis, Case Scenario, and Evidence-Based Guidelines

Levofloxacin 750 mg PO daily for five days would be my recommendation for Ms. Jones, given her history of penicillin allergy and the intensity of her condition. For intermittent claudication, I would also prescribe 100 mg of cilostazol PO twice a day.

Gold Standard for Measuring Airflow Limitation

Spirometry is necessary for Ms. Jones due to her history of COPD. Spirometry is the standard method for confirming the presence of COPD and determining the best course of therapy (Global Initiative for Chronic Obstructive Lung Disease, 2020).

Best Choice for a Potential Diagnosis

Intermittent claudication is a possible diagnosis in this case. The most prevalent cause of intermittent claudication is a peripheral atherosclerotic artery, which causes leg pain while exerted and alleviates it when resting. Symptom progress has not been provided in the case study. If the symptoms progress quickly, they are probably not caused by atherosclerosis but rather by a nonatherosclerotic claudication etiology like atherothrombosis and arteritis (Patel, S & Surowiec, 2021).

Test to Evaluate Intermittent Pain in Bilateral Legs

The ideal test would be the Ankle-brachial index (ABI). The blood pressure in the arm and ankle are compared during this sort of testing. An arterial blockage or obstruction may be present if there is any discrepancy between the two measurements (Herraiz-Adillo et al., 2020). Tachycardia & Cough Essay Example

Three Differentials for Ms. Jones’ Initial Presentation

COPD exacerbation, Cardiogenic Pulmonary Edema, and Influenza

Patient Education and Follow-Up Instructions

The patient and her daughter should be taught that unvaccinated individuals, particularly those with concomitant conditions like hypertension and COPD, are at an increased risk of developing life-threatening pneumonia (Seo et al., 2020). The patient should be instructed to drink lots of fluids, cough many times a day, and do deep breathing exercises.

There should be a follow-up appointment within the next two to three weeks. If the cough becomes more severe, the patient should contact a healthcare practitioner. Similarly, if the patient’s legs continue to hurt, she should see the doctor.

Would amoxicillin/clavulanate plus a macrolide have been an option to treat Ms. Jones’ Pneumonia?

The patient may be prescribed amoxicillin/clavulanate together with a macrolide regardless of her comorbid conditions. Because of its ability to increase mucociliary clearance and minimize the inflammatory reaction, this combination has been recommended to enhance health outcomes (Ito et al., 2019).

References

Global Initiative for Chronic Obstructive Lung Disease. (2020). GOLD spirometry guide. https://goldcopd.org/gold-spirometry-guide/

Herraiz-Adillo, Á., Cavero-Redondo, I., Álvarez-Bueno, C., Pozuelo-Carrascosa, D. P., & Solera-Martínez, M. (2020). The accuracy of toe brachial index and ankle brachial index in the diagnosis of lower limb peripheral arterial disease: A systematic review and meta-analysis. Atherosclerosis, 315, 81-92. https://doi.org/10.1016/j.atherosclerosis.2020.09.026

Ilg, A., Moskowitz, A., Konanki, V., Patel, P., Chase, M., Grossestreuer, A., & Donnino, M. (2018). 1054: Performance of curb-65 in predicting critical care interventions in patients with pneumonia. Critical Care Medicine, 46(1), 511-511. https://doi.org/10.1097/01.ccm.0000529060.29903.34

Ito, A., Ishida, T., Tachibana, H., Tokumasu, H., Yamazaki, A., & Washio, Y. (2019). Azithromycin combination therapy for community-acquired pneumonia: propensity score analysis. Scientific Report, 9(18406). https://doi.org/10.1038/s41598-019-54922-4

Patel, S. K., & Surowiec, S. M. (2021). Intermittent claudication. In StatPearls [Internet]. StatPearls Publishing.

Poovieng, J., Sakboonyarat, B., & Nasomsong, W. (2022). Bacterial etiology and mortality rate in community-acquired pneumonia, healthcare-associated pneumonia and hospital-acquired pneumonia in Thai university hospital. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-12904-z

Seo, W. J., Kang, J., Kang, H. K., Park, S. H., Koo, H., Park, H. K., Lee, S., Song, J. E., Kwak, Y. G., & Kang, J. (2022). Impact of prior vaccination on clinical outcomes of patients with COVID-19. Emerging Microbes & Infections, 11(1), 1316-1324. https://doi.org/10.1080/22221751.2022.2069516

Tachycardia & Cough Essay Example