542 CASE SCENARIO. PNEUMONIA R/O TB.

Pneumonia can be life threatening especially with children and older adults above 65years old. Pneumonia is the infection that will inflame the air sacs in one of your lung or both lungs.The infected 🫁lung may be filled with air or pus. It is caused by the species of streptococcus pneumoniae.The alveoli and bronchioles will become plugged with lots of fluid exudate.

It can be caused by other kinds of bacteria and viruses. There are various kinds of Pneumonia such as :

Aspiration Pneumonia.

Mycoplasma Pneumonia.

Viral Pneumonia Bronchopneumonia,eosinophilic Pneumonia, lobar Pneumonia.

Interstitial Pneumonia.

Symptoms of Pneumonia are:

severe fever,chill,headache and chest pain.

The treatment of Pneumonia are as follows hydration,bedrest,antibiotics, pain medications and controlling the temperature. The doctor will place patient on antibiotics that is specific for that particular type of Pneumonia.

KINGDOM OF GOD HOSPITAL LOS ANGELES CALIFORNIA 900000.INTERDISCIPLINARY KARDEX. Age/Sex 65years old man.

Account number :Q005634472.

MR # Q00039593424.

Admitted date 06/12/2020 @0450am.

Location: MedTelemetry.

Room : 42119.

Attending doctor: Tomtom Worry.

Patient name: Banana Ripened.

Resuscitation Status : Full code.

Primary diagnosis: Pneumonia r/o TB. Persistent infiltrate in right upper lobe.

Secondary diagnosis:Smoker for 20years/ Etoh,COPD, Kidney Stones,Homeless.

Allergy : NKDA.

Weight : 135lbs.

Height : 5feet 3inches.

Alert and oriented x4.

Afb ×3 negative.

+ Rhonchi.

Fall risks: No.

Do patient have advance Directive: No.

Copy of advance Directive on the chart.

Diet : Cardiac heart health diet.

Isolation Status: MRSA/Airborne.

O edema.

02 @ 2liter NC.Productive cough.

Vancomycin 1gm IV Q12hours. 20guage left forearm.

Pneumococcal vaccine PCV13(Prevnar 13) and Flu vaccine ordered ■given @ 1700pm

Rocephin 1gm IV Q24hours.Given @09am

Phenergan 12.5mg IM Q6hours prn nausea/vomiting.Given @1300.

Norco 5/325mg 2tablets po Q4hours prn moderate pain.

Discharge plans. Discharge tomorrow after the last antibiotics to homeless Shelter.

Case manager/ Social worker consult.

Published by edochie99

A Registered Nurse with over twenty years of hospital experience, an author with Masters Degree in Nursing,also Bachelor Degree in Nursing,graduated in 1996 from USC,University of Southern California.MSN in 2009 University of Phoenix.

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