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Acute Pneumonia - Essay Example

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This essay stresses that critical care nursing is the special case of nursing that deals with patients facing light threatening problems and it is the critical care nurse whose responsibility is  to ensure that the critically ill patient and his or her family receives optimal care…
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Acute Pneumonia
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Download file to see previous pages As the paper outlines Mr. Jones Stromenger (J.S) age 70 was admitted to the emergency care unit. He was complaining of acute pain when he coughed or when he took deep breaths. He had experience shortness of breath when he walked more than 20 feet. On admission he was recorded to have high fever accompanied shaking chills, sharp pleuritic chest pain, headache and sweaty and clammy skin. When he coughed he produced rusty sputum with mixture of blood. His skin was showing mild tinge of blueness and he was reported to have nausea and vomiting. The temperature was >38.6 degree c with more than 25 breaths per min, systolic BP <90 mm Hg and pulse rate > 100breaths per min. on laboratory finding, arterial pH was less than 7.35, blood urea nitrogen > 30 mg/ dl and sodium < 130mmol/dl and PaO2 < 600mm Hg. On pulse oximetry the patient showed hypoxia and arterial blood gas exchange showed slower oxygenation so breathing tube was introduces and adequate oxygenation was given. The age was the critical factor and the patient was considered to be in Risk class 1 that favored the admission of the patient into the critical care.
This study highlights that as the first level of emergency care the patient was made to undergo physical examination and chest x-ray. A Blood test and a sputum culture were also ordered. When given a physical examination it was found that the patient had a fever, increased respiratory rate, low blood pressure, fast heart rate and sinus problems. The lungs were auscultation, with stethoscope crackling sounds found, and an increase loudness of whisper speech showed the areas of lungs that were stiff and full of fluids – “consolidation “.  ...Download file to see next pagesRead More
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