Reference no: EM133272421
Assignment:
Case Study
Resident 1: Mrs. Betty Smith
Mrs. Betty Smith is assigned to you at a LTC facility. Mrs. Smith is an 83-year old female who has a history of Chronic Obstructive Pulmonary Disease (COPD). Mrs. Smith is alert and oriented to person, place, time, and situation (A & O x 4), and she is ambulatory with a walker. You are assigned to take her VS which are as follows: Temperature (T) 97.5 ° F, Pulse (P) 110 bpm, Respirations (R) 24 rr, Blood Pressure (BP) 116/64 mmHg, Oxygen Saturation (02) 84%, on 2 liters of oxygen per nasal cannula (2L/NC). She tells you that she feels like she is not getting any oxygen. Answer the following questions based on this scenario.
- What are the normal VS parameters for TPRBP02?
- Which of Mrs. Smiths' vital signs are not within normal limits (WNL)?
- Mrs. Smith's complains of "not getting any oxygen." What are 3 things within your scope of practice that you can do before reporting it and the abnormal VS to the nurse?
- Mrs. Smith has COPD. Explain what this condition is and how it might affect her VS.
- What are some age-related changes of the respiratory system that might also be affecting Mrs. Smith?
Resident 2: Mr. Howard Johnson
Your next resident for VS is Mr. Howard Johnson. He is a 72-year old male who has a history of hypertension (HTN) and Coronary Artery Disease (CAD). Mr. Johnson is (A & O x 4), and mostly scoots around in his wheelchair to get from his room to the dining room. His VS are as follows: (T) 98.4 °F, (P) 114 bpm, (R) 16 rr, (BP) 170/98 mmHg, (02) 92% RA. While taking his vital signs, he is sweaty, slightly pale, and complains of c/o chest pain. Answer the following questions based on this scenario.
- Which of Mr. Johnson's VS are not WNL? What interventions should you do next that is within your scope of practice?
- Considering what you noticed about Mr. Johnson while taking his vitals and what you have learned from your cardiovascular lecture, what condition could Mr. Johnson be experiencing?
- Mr. Johnson has CAD. Explain this condition and differentiate it from normal age-related changes of the cardiovascular system.