8/10/2019 Case Study Pulmonary Empyema

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CASE STUDY : PULMONARY EMPYEMA

Gender: Male

Age: 55

Setting HospitalEtni!it": #la!$ A%eri!an

Pree&isting Conditions: Peri!arditis

Coe&isting Conditions: Renal 'ail(re

Li)est"le: Retired

So!ioe!ono%i! Stat(s: Lo*

Spirit(al+ Religio(s: #aptist

Par%a!ologi!: Ce)(ro&i%e Sodi(% ,-ina!e).

Genta%i!in S(l)ate ,Gara%"!in.

Morpine S(l)ate ,D(ra%orp.

Ra/epra0ole Sodi(% ,A!ipe&.

Legal: Are tere )ederal or state s(pple%ental reso(r!es to

!o1er ospital e&penses )or sel) e%plo"ed retired persons2Eti!al: 3ns(4!ient So!ial Se!(rit" in!o%e so(ld /e adeterrent )or (alit" ealt !are6

Alternati1e Terap": Pra"er

Prioriti0ation: Anti/ioti! terap"

Delegation: RN7 Client Ed(!ation

Te Respirator" and 3%%(ne S"ste%s

Le1el o) Di4!(lt": Eas"

O1er1ie*: Tis !ase in1ol1es te (se o) !olla/orati1e%anage%ent and istor" assess%ent to deter%ine re!ent

8/10/2019 Case Study Pulmonary Empyema

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CASE STUDY : PULMONARY EMPYEMA

)e/rile illness7 !est pain7 d"spnea7 or (n(s(al !o(g6 Ten(rse %(st /e s$illed in %anaging patient8s needs o)tora!i! pro!ed(res and !o%ponent in respirator"assess%ent and !aring )or patients *it !est t(/es to(nder*ater seal drainage6

Client Pro9le

Mr6 7 a 55 "ear old %ale and retired sel);e%plo"ed !arpenter7is read%itted to te ospital a)ter /eing dis!arged t*o*ee$s ago6 He is 58 and *eigs ?@= po(nds6 Atread%ission e !o%plains o) ple(riti! !est pain andgenerali0ed *ea$ness6 His 1ital signs on ad%ission are:

#P:

8/10/2019 Case Study Pulmonary Empyema

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CASE STUDY : PULMONARY EMPYEMA

/lood !ell !o(nt and dierential7 and gl(!ose and proteinle1els6 Te res(lts are:

Appearan!e: Clo(d"

Red /lood !ell Co(nt ,R#C.: