Week 4


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Read the case abstraction below. Answer and altercate the questions that follow.

ND is a 82-year-old changeable who lives in a accomplished nursing facility. She suffers from rheumatoid arthritis, coronary avenue disease, abiding bronchitis, and hypertension. She is wheelchair apprenticed and tends to absorb best of her canicule in bed. She smoked for 52 years but abdicate 14 years ago. She has absent 10 pounds in the aftermost ages and has had a advantageous ahem for about 2 weeks that has copious amounts of white to chicken mucous. Over the aftermost 3 days, she has banned to get out of bed and has been abnegation to eat or drink. This morning she is confused, has a fever, and is coughing continuously. Her sputum now is rust-colored. Her lungs sounds are base rhonchi throughout with crackles and beneath lung sounds in her appropriate average affiliate area. Her basic signs are BP 86/54, HR 98, RR 28, and temperature 102.4. She is actuality accepted to the hospital.

Pneumonia can be classified abounding altered ways. Which allocation of pneumonia best fits ND’s situation? Explain. What is the best apparent account of ND’s pneumonia? Which analytic tests would you apprehend to be done to analyze ND’s pneumonia?

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