Hospital Acquired Pneumonia Essay
Brief Narrative about Patient: (What brought patient to the hospital?)Using (OLDCART)
Patient was admitted to the hospital via Assisted Living Facility. She has Hospital Acquired Pneumonia and is having acute confusion episodes. She cannot describe any pain, but says “ow” when she is being examined. She is aware of herself, but is not oriented to time or place.
Subjective:
Patient states “Ow” during examination
Objective:
Temp: 97.5, Pulse: 66, BP: 142/71, Resp: 20, O2: 98% Room air
Medical diagnosis of Hospital Acquired Pneumonia
Medical history includes atrial fibrillation, hypertension, hyperglycemia, pulmonary infiltrates, Leukocytosis, anemia, confusion
Patient has had 2 hip replacements and knee replacements
Chest x-ray: Infiltrate in the periphery of the left midlung and throughout left lower lung. Patchy infiltrate is observed in the medial aspect of the right lung base.
CT Scan results: Extensive pulmonary parenchymal infiltrate. Dense consolidating infiltrate in both upper lobes which has increased in extent. Trace amount of pleural effusion present.
Moderate fall risk according to Morse Fall Scale
Moderate risk on Braden Scale
Medications: Albuterol, Lasix, Levaquin, Pepcid AC, Diflucan, …show more content…
This infection causes significant morbidity and it increases the risk of death. There are 4 characteristic stages. Congestion occurs due to an outpouring of fluid into the alveoli. Red hepatization is when there is massive dialation of the capillaries and the alveoli are filled with organisms, neutrophils, RBC’s and fibrin. The gray hepatization stage is when blood flow decreases and leukocytes and fibrin consolidate in the affected part of the lung. The last stage is called resolution and it is when healing occurs without complications. The exudates is lysed and is processed by the macophages (Lewis,
Patient was admitted to the hospital via Assisted Living Facility. She has Hospital Acquired Pneumonia and is having acute confusion episodes. She cannot describe any pain, but says “ow” when she is being examined. She is aware of herself, but is not oriented to time or place.
Subjective:
Patient states “Ow” during examination
Objective:
Temp: 97.5, Pulse: 66, BP: 142/71, Resp: 20, O2: 98% Room air
Medical diagnosis of Hospital Acquired Pneumonia
Medical history includes atrial fibrillation, hypertension, hyperglycemia, pulmonary infiltrates, Leukocytosis, anemia, confusion
Patient has had 2 hip replacements and knee replacements
Chest x-ray: Infiltrate in the periphery of the left midlung and throughout left lower lung. Patchy infiltrate is observed in the medial aspect of the right lung base.
CT Scan results: Extensive pulmonary parenchymal infiltrate. Dense consolidating infiltrate in both upper lobes which has increased in extent. Trace amount of pleural effusion present.
Moderate fall risk according to Morse Fall Scale
Moderate risk on Braden Scale
Medications: Albuterol, Lasix, Levaquin, Pepcid AC, Diflucan, …show more content…
This infection causes significant morbidity and it increases the risk of death. There are 4 characteristic stages. Congestion occurs due to an outpouring of fluid into the alveoli. Red hepatization is when there is massive dialation of the capillaries and the alveoli are filled with organisms, neutrophils, RBC’s and fibrin. The gray hepatization stage is when blood flow decreases and leukocytes and fibrin consolidate in the affected part of the lung. The last stage is called resolution and it is when healing occurs without complications. The exudates is lysed and is processed by the macophages (Lewis,