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    Plete Angelinesimulation Assignment Activity

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    Roel John Atamosa Casilac
    F.T. is a 70-year-old black man who presents to the emergency department with nausea, fatigue, increased shortness of breath over the past 3 days. His symptoms have worsened despite using his albuterol inhaler every 4 hours. He also reports swelling in his hands and feet and difficulty urinating. His medical history includes COPD, hypertension, heart failure and smoking for 30 pack-years, though he quit 5 years ago. A respiratory assessment is requested to further evaluate his condition and functional problems.

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    Plete Angelinesimulation Assignment Activity

    Uploaded by

    Roel John Atamosa Casilac
    59 views2 pages
    F.T. is a 70-year-old black man who presents to the emergency department with nausea, fatigue, increased shortness of breath over the past 3 days. His symptoms have worsened despite using his albuterol inhaler every 4 hours. He also reports swelling in his hands and feet and difficulty urinating. His medical history includes COPD, hypertension, heart failure and smoking for 30 pack-years, though he quit 5 years ago. A respiratory assessment is requested to further evaluate his condition and functional problems.

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    PLETE-ANGELINESIMULATION-ASSIGNMENT-ACTIVITY

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    F.T. is a 70-year-old black man who presents to the emergency department with nausea, fatigue, increased shortness of breath over the past 3 days. His symptoms have worsened despite using his albuterol inhaler every 4 hours. He also reports swelling in his hands and feet and difficulty urinating. His medical history includes COPD, hypertension, heart failure and smoking for 30 pack-years, though he quit 5 years ago. A respiratory assessment is requested to further evaluate his condition and functional problems.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    59 views2 pages

    Plete Angelinesimulation Assignment Activity

    Uploaded by

    Roel John Atamosa Casilac
    F.T. is a 70-year-old black man who presents to the emergency department with nausea, fatigue, increased shortness of breath over the past 3 days. His symptoms have worsened despite using his albuterol inhaler every 4 hours. He also reports swelling in his hands and feet and difficulty urinating. His medical history includes COPD, hypertension, heart failure and smoking for 30 pack-years, though he quit 5 years ago. A respiratory assessment is requested to further evaluate his condition and functional problems.

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    Name: PLETE, ANGELINE Date: September 3, 2021

    Course & Section: BSN 3-A

    F.T. is a 70-yr-old black man who comes to the emergency department (ED) with nausea, fatigue,
    and increased shortness of breath, which started 3 days ago. He says that he started using his
    albuterol inhaler every 4 hours 2 days ago, and while it worked initially, it is no longer helping. He
    can walk only a few feet in his apartment before he becomes short of breath. He sleeps in a
    recliner in the living room. He has noticed some swelling to his hands and feet and has been
    having trouble urinating.

    Other Pertinent Informations:

    SUBJECTIVE
     Nausea
     Fatigue
     Increased shortness of breath
     Swelling
     Trouble Urinating

     HEALTH PERCEPTION-HEALTH MANAGEMENT


     States he manages his COPD well with the use of Advair inhaler and albuterol inhaler. He
    thinks he caught a cold from his granddaughter last week. Increasing difficulty breathing,
    even with albuterol. Has a history of 30 pack-years of smoking, quitting 5 years ago.
     NUTRITIONAL-METABOLIC
     Eating and drinking very little over past 2 to 3 days.
     ELIMINATION
     Voiding small amounts of dark, concentrated urine (mostly at night).
     ACTIVITY-EXERCISE
     At present, cannot walk 100 feet without feeling short of breath. Cannot walk up 1 flight
    of stairs (21 steps) to get in or out of his apartment without stopping to catch his breath.
     SLEEP-REST
     Difficulty sleeping. Last night he slept upright in his recliner.
     COGNITIVE-PERCEPTUAL
     Denies any pain associated with shortness of breath. Feels slightly irritable because of
    lack of sleep.
     SELF-PERCEPTION-SELF-CONCEPT
     Uses O2 @ 3L/min via nasal cannula at home for the past 10 years.
     COPING-STRESS TOLERANCE
     Does not know how he will manage to get groceries or clean his apartment. His daughter
    lives an hour away and has 3 children in school.
     MEDICATION
     Metoprolol (Toprol XL) 50 mg daily PO, furosemide 20 mg PO daily, finasteride (Proscar)
    5 mg/day PO, Advair inhaler (fluticasone and salmeterol) 2 puffs twice daily, and
    albuterol inhaler 2 puffs every 4hr PRN.
     GENETIC RISK ALERT
     COPD, hypertension, heart failure, benign prostatic hyperplasia. No history of allergies.

    Instructions:
    1.) Arrange the following Assessment findings and Relevant information, to include 11
    functional problems filling out the Subjective Health History Respiratory Assessment of
    your Patient

    Determining a patient’s needs related to the respiratory system requires an accurate


    health history and a thorough physical examination. Perform a respiratory assessment as
    part of a comprehensive focused respiratory examination and Health History . Use
    judgment in determining whether all or part of the history and physical examination will
    be completed, based on your immediate assessment of the patient’s degree of respiratory
    distress. If respiratory distress is severe, only obtain pertinent information and defer a
    thorough assessment until the patient’s condition stabilizes.

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