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Word Count: 3,119
In the following pages the case study of Mr N will be presented with a diagnosis of pneumonia Pneumonia is an infection of the lower respiratory tract It can be caused by viral bacterial fungal protozoa or parasitic infections Brashers 2006 Pneumonia may be acquired by the community known as community acquired CAP It can be acquired in a nursing home NHAP Pneumonia can also be contracted in the hospital and this type of pneumonia is known as a nosocomial infection Mr N was diagnosed with right upper lobe pneumonia for initial diagnosis Mr N is a young Caucasian Christian upper-middle class man 36 years of age The patient is a non-smoker He is married with 2 children and expecting a third child He presented to the hospital complaining of acute onset of fever chills rigors pleuritic chest pain cough and excessive vomiting This man was writhing in pain heaving and vomiting excessively Our main goal was getting him comfortable to aid in caring for him after receiving him from the ER in the MICU He had been at a doctors appointment prior to admission and sent over by his endocrinologist Ordered lab tests of a CMP CBC Blood Cultures X 2 and a urinalysis were obtained and sent to lab for processing A Chest x-ray was obtained by radiology in the emergency department Mr N was placed on a dilaudid pain pump for excessive complaints of pain and chronic pain history Oxygen at 2L per nasal canula was placed on the patient Breathing treatments were initiated for every 4 hours Mr N was encouraged to use his incentive spirometer 10 times every 2 hours He was encouraged to wear his SCDs for circulation and to turn cough and deep breathe frequently The patient was placed on NPO status due to excessive vomiting His previous TPN order
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