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This is a question and answer paper. Please include references of where answers were obtained. Thanks

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This is a question and answer paper. Please include references of where answers were obtained. Thanks
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Answered Same Day Jun 15, 2020

Solution

Anju Lata answered on Jun 20 2020
153 Votes
1
BACTERIAL PNEUMONIA
1. This is Community Acquired Infection because it is contracted outside the clinic (Farlex,2018). Mrs.I has been living in her house since the last one week of acquiring the infection. Her medical history also showing Chronic Bronchitis since 13 years.
2. Lethargy is a state of severe drowsiness in which the person shows decreased wakefulness, low alertness and inattention (Wolters,2018).
3. Atenolol- HTN,HCTZ- HTN, Nortriptyline- Depression, Albuterol- Chronic Bronchitis, Docusate Calcium- Constipation.
4. Pneumonia Severity of Illness Score (MD Calc,2018).
Age- 84 Years
Sex-Female (-10)
Hospital resident- No (0)
Neoplastic Disease- No (0)
Liver disease History-No(0)
CHF History-No (0)
Cere
ovascular disease history-No(0)
Renal Disease History- No (0)
Altered Mental status –Yes ( +20)
RR >29-Yes( +20)
Systolic BP < 90 mmHg ( +20)
Temperature <95 and >103 –No (0)
Pulse > 124- No (0)
pH<7.35 –Yes (+30)
BUN>29-No(0)
Sodium <130-No(0)
Glucose>249- No(0)
Partial Pressure of Oxygen <60 mmHg-Yes(+10)
Pleural Effusion on X-Ray: No (0)
Pneumonia Severity of Illness Score= 174 Points, Risk Class V, 27-29.2% Mortality
5. The Patient has a high risk score of Class V, she should be hospitalized as an Inpatient.
6. She has the Mortality probability of 27-29.2%
7. Coughing & Depression
8. Five risk Factors which predisposed this patient to bacterial Pneumonia are: History of Chronic Bronchitis for 13 years, Old age of 84 Year, Tobacco dependence since 64 Years, Hypertension for 6 years, Urinary Overflow Incontinence for 10 years.
9. Clinical...
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