This discussion question is based on a case study. As in all case studies, review the facts of the case and consider the various steps of the nursing process in order to address the critical thinking questions.
Case Study: D.Q. is a 57-year-old male who worked in a water treatment plant for many years. He also smoked heavily for approximately 30 years. He has been diagnosed with COPD. During an extremely hot summer, he arrived at the emergency department in severe exacerbation of the COPD. The patient’s heart rate is 123, blood pressure is 163/90, respiratory rate is 34, oxygen saturation is 86% on 2 L NC, and temperature is 37.5 celsius.
In preparation for discussion, consider the following process points before posting to the threaded discussion:
1. The drugs you should expect the provider to order for the patient
2. The rationale for each drug you anticipate the provider will order
On the discussion boards, respond to the following:
1. What patient teaching would need to be provided for a patient taking each of these drugs: a bronchodilator, a glucocorticoid, and an expectorant?
2. What medications do you anticipate the physician ordering? Why?
What are the potential side effects and/or complications of these drugs? Using the nursing process, describe your expected assessment, nursing diagnosis, plan of care, implementation, and evaluation of the patient. Compare and contrast your plan of care with that of your fellow colleagues. Why did you choose your actions and diagnosis compared to that of your colleagues?
In the case of D.Q. patient teaching would be required for the following medications.
Bronchodilator – D.Q. would need to be educated on monitoring his pulse rate to for a sudden increase. Also, D.Q. would need to know how to check for the remaining amount of the medication in his inhaler. He should also be advised to clear any OTC