For this discussion you will select one of the following case studies. You will then discuss pertinent differential diagnoses and identify a leading diagnosis. Consider treatment strategies and develop a management plan for the patient. Please state appropriate dosages for any recommended pharmacologic interventions and/or provide specific orders for nonpharmacologic treatments. Discuss age specific strategies for educating patients and families on the respiratory disorder and the management plan.
Case #3
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A 38 year old woman is admitted for repair of a fracture left wrist. Patient states that she has a 3 month history of non-productive cough that has continued to get worse. The cough is nonproductive and worse at night or after exercise. She has gotten progressively more short of breath during her exercise routine and has had to stop exercising after 20 minutes due to coughing fits. She has never smoked and denies any nasal congestion, headache, fever, or weight loss.
PE BP 134/87 HR 82 RR 22 T 98.2
S1S2 with normal rate and rhythm
Lungs are clear with expiratory wheezes heard in the bases
Chest x-ray is normal.
To prepare:
- Select and review 1 of the 8 case studies provided. Analyze the patient information.
- Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
- Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
- Consider strategies for educating patients and families on the treatment and management of the respiratory disorder.
Post on or before Day 3 the case you selected along with a discussion of the pertinent differential diagnoses and a leading diagnosis. Present treatment strategies and a management plan for the patient. Please state appropriate dosages for any recommended pharmacologic interventions and/or provide specific orders for nonpharmacologic treatments. Finally, discuss age specific strategies for educating patients and families on the respiratory disorder and the management plan.
