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AaBb CcDc AaBbCcDc AaBbc AaBbccc AaB Heading 1 Heading 2 Аавbccc АавbccD Аавьсс. 1 Normal 1 No Spac… Title Subtitle Subtle Em… Emphasis . 10 points. Styles Patient B Patient is a 66-year-old female who has no history of respiratory disease, presents to the primary care clinic with a suspected diagnosis of pneumonia. She was stuporous and cyanotic upon her arrival. Initial vital signs obtained 90/68, pulse 134, respiratory rate 38, temperature 101.6 degrees Fahrenheit by temporal scan, oxygen saturation of 73% on room air. Patient complains of a productive cough with blood tinged sputum. Current medication list includes metoprolol, Protonix, furosemide, hydrochlorothiazide. Provider orders: Arterial blood gas NOW -CBC with differential -Basic metabolic panel Chest x-ray -sputum culture -Albuterol 2.5 mg plus ipratropium 250 mcg nebulizer treatment STAT. -ceftriaxone sodium (Rocephin) 2 gm IM now. -Begin prednisone 20 mg po QD for 7 days Questions: 1. Review the patient’s medications and provide the rationale for the use of the medications listed and the medications ordered. (give therapeutic class and action i.e. reason the patient takes the medication) I 2. Are the patient’s vital signs acceptable? If not, explain 3. What is the primary nursing goal at this time? 4. List 2 priority nursing actions you would implement 5. What considerations need to be included in the plan of care regarding the initiation of Rocephin and why do you believe the MD ordered it? 6. What other health care professionals would you anticipate being involved in treatments and plan of care?
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