Question

Patient A is a 57-year-old male who presents to the primary care provider's office today with complaints of an exacerbation of his COPD. Past medical history includes hypertension, Type 2 diabetes. Even at rest, he appears he is unable to catch his breath and seems irritable and anxious. He complains of sleeping poorly and states that lately he feels tired most of the time. He reports a productive cough of thick yellow-green sputum. You auscultate decreased breath sounds, expiratory wheezes, and coarse crackles in lower lobes bilaterally. Vital signs are as follows: 162/84, HR 124, respiration rate 36, temperature 102.2 degrees Fahrenheit by temporal scan, oxygen saturation reading 88% on room air. His medications include enalapril, hydrochlorothiazide, metformin, Advair, prednisone. 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. -Start Azithromycin 500 mg PO QD 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) 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 Azithromycin 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?

Answer 1

5.before starting the azithromycin ensure take in empty stomach

Take the medications every at same time

There is a chance to lower the immunesystem so take extra precautions