Mild difficulty breathing for the past two days

Assignment Help Science

Reference no: EM134043828

Question

Margo Castillo is a 45-year-old woman who presents to the emergency department with mild difficulty breathing for the past two days when walking a city block. She has had increasing fatigue for the past week. Prior to this, she had been relatively well except for several outbreaks of genital herpes in the past 6 months. The last outbreak was 2 months ago. She is currently on no medications. Her husband died of a blood infection 4 years ago.

Vital signs for Ms. Castillo are: Temperature: 98 F (36.8°C) Pulse: 104 bpm Blood pressure: 100/50 mm Hg Respirations: 28 Pulse oximetry: 92% on room air She is put on 2 liters of oxygen via a nasal cannula. A peripheral IV is started, blood is drawn for a complete blood count and metabolic profile, and she is started on 0.9 normal saline 100 mL/hr.

Initial diagnostic results for Ms. Castillo are "confirmed HIV+": low white blood cell count, CD4+ count of 125 cells/μL. mild anemia, and normal renal and liver functions. She is experiencing symptoms of PCP. The common symptoms are a dry persistent cough and mild shortness of breath with activity that occur over several weeks. Patients often experience weight loss, fatigue, a low-grade fever, and hypoxia. Her healthcare provider orders PML cryptosporidiosis antibiotic prophylaxis to treat her PCP. Consideration is given to preparing her to start ART.

After her hospital stay she is about to be discharged with the following orders:

1. Take medications as prescribed. Be sure to take the correct dose at the correct time

2. Decrease risky behaviors. Practice safe sex

3. Pay close attention to your nutritional intake as malnutrition contributes to an increased risk of developing infections. This assignment should be presented as if you were talking directly to the patient not your instructor.

4. Report escalating symptoms such as increased fatigue, shortness of breath, dry persistent cough, and weight loss.

Answer the following:

1. Detail the instructions you will share with Mrs. Castillo regarding her discharge plan.

2. Review the plan of care and discharge instructions that are pertinent to the home care of a newly diagnosed HIV client. Address the following:

1. Discuss what HIV is in a manner that can be understood for someone who is not in the medical field.

2. Discuss commonly described medications for HIV and the reason they are being administered.

3. Make nutritional recommendations for a client newly diagnosed with HIV.

4. Discuss follow up plans for the client.

5. Discuss symptoms that would require immediate evaluation by a MD.

Reference no: EM134043828

Questions Cloud

Missionary health clinic in malaria-endemic area : A 40-year-old male has returned to the US after working in a missionary health clinic in a malaria-endemic area.

Side effects and adverse reactions to Chloroquine : Identify three side effects and three adverse reactions to Chloroquine. List three actions for the nurse to do when a client is taking an antihelminth?

Focused assessment for end-stage liver disease : For which clients should the nurse plan to complete a focused assessment for end-stage liver disease (ESLD)?

Client with end-stage liver disease : The nurse is caring for client with end-stage liver disease. For each intervention listed on left, specify if it will promote rest, prevent disease transmission

Mild difficulty breathing for the past two days : Margo Castillo is a 45-year-old woman who presents to the emergency department with mild difficulty breathing for the past two days when walking a city block.

What are the top three differential diagnoses : What are the top three differential diagnoses? What findings would you see on a patient's chest x-ray if they had:

Complaint of dry cough with hoarseness : The patient presented to the clinic with a complaint of dry cough with hoarseness, sore throat, and nasal congestion for a week.

History of chronic obstructive lung disease : A 77-year-old with a history of chronic obstructive lung disease (COPD), just returned from a vacation with her grandchildren.

Identify social intelligence strengths and weaknesses : Identify your Social Intelligence Strengths and Weaknesses. Identify which social intelligence skills you want to improve.

User Account

All Pages