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Week 5 Case Assignment
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WEEK 5 CASE ASSIGNMENT
2
Question One
According to Olson & Davis (2020), the findings expected on Ms. Jones Pneumonia
chest x-ray are; pus in her air sacs or simply white spots in her lungs which will be used for the
identification of the infection.
Question 2
Ms. Jones has CAP type of pneumonia since she acquired it before being admitted in the
hospital. The difference between CAP and HAP is that CAP is a type of pneumonia known for
developing approximately within 48 hours of being admitted in a healthcare facility while HAP
refers to a type of pneumonia known for developing 48 hours after a patient has been admitted in
the hospital (Metlay et al.,2019).
Question 3
a.
CURB-65 should be used in determining the seriousness of Ms. Jones’ pneumonia and
the treatment of the disease. The tool contains five items and was designed for predicting
individuals with CAP related complications. Moreover, the tool is easier to use compared to
PORT score (Huang et al., 2019).
WEEK 5 CASE ASSIGNMENT
3
b.
Curb65 score
Symptom
Points
Confusion
1
Urea> (>7mmol/L)
1
Rate of respiration
1
Systolic Bp≤60mmHg
1
Age≥65 years
1
Total
Score
Risk
Outpatient/Inpatient
0/1
1.50%mortality
Outpatient treatment
2
9.20%mortality
Inpatient treatment
≥3
21.9%mortality
ICU treatment
Therefore, MS. Jones should be taken to the ICU for treatment because her Curb65 score is
greater than 3 (Wang et al.,2020).
Question 4
Ms. Jones should be treated with antibiotics, cough medicine and fever relievers. The
antibiotics will be used to treat bacteria, cough medicine will be applied to bring down Ms. Jones
cough to allow her rest and fever relievers will be used for discomfort and fever (Olson & Davis,
2020).
WEEK 5 CASE ASSIGNMENT
4
Question 5
Spirometry will be the best advice since it is crucial in providing diagnosis for individuals
with respiratory symptoms and breathlessness. It can also be used for screening in work-related
environments (Huang et al., 2019).
Question 6
Intermittent claudication since the pain happens when she is walking and stops when she
is at rest (Huang et al., 2019).
Question 7
The ABI (ankle-brachial index) test should done since it is used in measuring the
comparison of blood pressure I an individual’s ankle and the arm (Chen et al.,2020).
Question 8
Pulmonary cough, breathing tract infections and sepsis (Wang et al.,2020).
Question 9
I would advise the daughter to ensure the mother drinks warm beverages, takes steamy
baths and always use humidifier to ease breathing and open airways for the patient (Metlay et
al.,2019).
Question 10
Amoxicillin-clavulanate is said to be medically effective in treating CAP patients and has
no reported cases of adverse events (Chen et al.,2020).
WEEK 5 CASE ASSIGNMENT
5
References
Chen, Z. M., Fu, J. F., Shu, Q., Chen, Y. H., Hua, C. Z., Li, F. B., ... & Zhang, Y. Y. (2020).
Diagnosis and treatment recommendations for pediatric respiratory infection caused by
the 2019 novel coronavirus. World journal of pediatrics, 16(3), 240-246.
Huang, G., Gong, T., Wang, G., Wang, J., Guo, X., Cai, E., ... & Lin, L. (2020). Timely
diagnosis and treatment shortens the time to resolution of coronavirus disease (COVID19) pneumonia and lowers the highest and last CT scores from sequential chest
CT. American Journal of Roentgenology, 215(2), 367-373.
Metlay, J. P., Waterer, G. W., Long, A. C., Anzueto, A., Brozek, J., Crothers, K., ... & Whitney,
C. G. (2019). Diagnosis and treatment of adults with community-acquired pneumonia.
An official clinical practice guideline of the American Thoracic Society and Infectious
Diseases Society of America. American journal of respiratory and critical care
medicine, 200(7), e45-e67.
Olson, G., & Davis, A. M. (2020). Diagnosis and treatment of adults with community-acquired
pneumonia. Jama, 323(9), 885-886.
Wang, S. S., Zhou, X., Lin, X. G., Liu, Y. Y., Wu, J. L., Sharifu, L. M., ... & Feng, L. (2020).
Experience of clinical management for pregnant women and newborns with novel
coronavirus pneumonia in Tongji Hospital, China. Current medical science, 40(2), 285289.