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Respiratory Infection Case

Respiratory Infection Case

Patient Information:

  • Name: Sarah Smith
  • Age: 25
  • Gender: Female
  • Occupation: Teacher
  • Medical History: No significant medical history reported.

Presenting Complaint: Sarah Smith presents to the clinic with complaints of cough, fever, and difficulty breathing for the past week. She reports a productive cough with yellowish-green sputum and chest tightness.

Check tips on how to write your Nursing Care Plan.

Physical Examination Findings:

  • Vital Signs: BP 110/70 mmHg, HR 90 bpm, RR 20 breaths/min, Temp 101.2°F
  • General: Alert and oriented, appears ill
  • Respiratory: Decreased breath sounds and crackles heard bilaterally on auscultation
  • Cardiovascular: Regular rhythm, no murmurs or abnormal sounds
  • Abdomen: Soft, non-tender, no organomegaly
  • Neurological: Intact cranial nerves, normal motor and sensory functions

Respiratory Infection Case

Laboratory Investigations:

  • Complete Blood Count (CBC): Elevated white blood cell count (WBC) with left shift
  • Chest X-ray: Infiltrates in bilateral lower lung fields consistent with pneumonia
  • Diagnosis: Sarah Smith is diagnosed with community-acquired pneumonia based on her clinical presentation, physical examination findings, and radiological evidence.

Respiratory Infection Case

Questions for Students:

  1. What are the common signs and symptoms of community-acquired pneumonia?
  2. Describe the typical findings on physical examination and chest X-ray in patients with pneumonia.
  3. What are the most common pathogens causing community-acquired pneumonia, and how would you choose empirical antibiotic therapy in this patient?
  4. Discuss the management of community-acquired pneumonia, including non-pharmacological measures and potential complications to monitor for.

Check tips on how to write your Nursing Care Plan.

You are required to cite a minimum of four sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide. You are required to cite a minimum of four sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide.

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Respiratory Infection Case
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