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    Clinical Nursing Care Scenario

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    Leary John Herza Tambagahan
    A 30-year-old male patient presented to the emergency room with difficulty breathing, chest tightness, cough, fever, loss of appetite, and difficulty sleeping for 3 weeks. Laboratory tests showed elevated white blood cell count and a positive sputum test for Mycobacterium tuberculosis. The physician admitted the patient to isolation, started him on rifampicin and isoniazid medications to treat tuberculosis over 6 months, and notified the infectious disease department. At the end of the shift, the nurse checked the patient's intravenous fluids, water intake, urine output, and noted no bowel movement.

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    Clinical Nursing Care Scenario

    Uploaded by

    Leary John Herza Tambagahan
    320 views1 page
    A 30-year-old male patient presented to the emergency room with difficulty breathing, chest tightness, cough, fever, loss of appetite, and difficulty sleeping for 3 weeks. Laboratory tests showed elevated white blood cell count and a positive sputum test for Mycobacterium tuberculosis. The physician admitted the patient to isolation, started him on rifampicin and isoniazid medications to treat tuberculosis over 6 months, and notified the infectious disease department. At the end of the shift, the nurse checked the patient's intravenous fluids, water intake, urine output, and noted no bowel movement.

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    A 30-year-old male patient presented to the emergency room with difficulty breathing, chest tightness, cough, fever, loss of appetite, and difficulty sleeping for 3 weeks. Laboratory tests showed elevated white blood cell count and a positive sputum test for Mycobacterium tuberculosis. The physician admitted the patient to isolation, started him on rifampicin and isoniazid medications to treat tuberculosis over 6 months, and notified the infectious disease department. At the end of the shift, the nurse checked the patient's intravenous fluids, water intake, urine output, and noted no bowel movement.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    320 views1 page

    Clinical Nursing Care Scenario

    Uploaded by

    Leary John Herza Tambagahan
    A 30-year-old male patient presented to the emergency room with difficulty breathing, chest tightness, cough, fever, loss of appetite, and difficulty sleeping for 3 weeks. Laboratory tests showed elevated white blood cell count and a positive sputum test for Mycobacterium tuberculosis. The physician admitted the patient to isolation, started him on rifampicin and isoniazid medications to treat tuberculosis over 6 months, and notified the infectious disease department. At the end of the shift, the nurse checked the patient's intravenous fluids, water intake, urine output, and noted no bowel movement.

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    © All Rights Reserved
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    of 1

    CLINICAL NURSING CARE SCENARIO:

    Patient X 30 years old, male, single and with fair complexion is admitted in the emergency
    room of CBRC Medical Center. He is complaining of difficulty of breathing and tightness in the chest.
    “Nurse parang hinahabol ko ang hininga ko. Nahihirapan akong huminga hindi na ako makatulog ng
    maayos at kinakabahan ako baka malagutan ako ng hininga.” You assessed his vital signs which are the
    following: PR: 68 bpm, RR: 26 cpm, Temp: 38.2 BP: 130/90 mmHg.
    Upon further assessment patient X verbalized that he had been suffering from dry cough
    for almost 3 weeks now, with intermittent low-grade fever at night, loss of appetite and difficulty
    sleeping. The doctor ordered the following laboratory test: Complete Blood Count, Chest Xray and
    sputum exam. After 2 hours the result of the laboratory test return:
    1. CBC

    Component Result Normal Value


    WBC 13,000 4,000-11,000
    RBC 5 4.2-6.1
    Platelet 230,000 150,000-450,000
    Hemoglobin 11 13-18
    Hematocrit 37 35-45

    2. Chest X-ray
    Findings: Both lungs are clear and expanded with no infiltrates.
    Impression: No active diseases.
    3. Sputum
    Result: Mycobacterium Tuberculosis detected.

    Upon receiving the result, you immediately notify the physician of the findings and the
    physician ordered the following:
    A. Admit the patient in the Isolation room
    B. Notify the infectious disease department
    C. Start D5Lr 1 liter x 12 hrs
    D. Start Rifampicin 200 mg/tablet to the patient three times a day for 6 months. The drug is available
    at 500 mg/tablet
    E. Start Isoniazid 300 mg to the patient three times a day for 6 months. The drug is available at 500
    mg/tablet
    F. Diet as tolerated
    G. Give oxygen @ 4 LPM once patient complained of dyspnea.
    H. Notify physician from time to time.

    At the end of your shift, you checked the following


    A. D5Lr at 550 ml level
    B. Patient consumed 5 glasses of water approximatively 240 ml per glass.
    C. Patient urinated 4 times and almost a glass of water per urination as verbalized by the patient.
    D. No bowel movement noted.

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