EVOLVE Case Study COPD with Pneumonia

Darrell Johnson

1. Auscultate breath sounds

2. Pulse rate of 115

3. Respiratory acidosis

4. Ineffective airway clearance

5. Obtain sputum culture

6. 100 ml

7. Monitor pulse and blood pressure

8. Wait at least 1 minute between each puff of same medication

9. Use Ventolin inhaler for acute asthma attacks

10. Elevate head of the bed to a high fowler's position

11. Assess adequacy of circulation prior to applying the sensor

12. You seem pretty upset this morning

13. Remain silent

14. Instruct the UAP involved regarding the inappropriate removal of nasal cannula

15. Right direction/ communication

16. Place resuscitation equipment in room

17. Autonomy

18. Sputum culture is negative

19. Avoid crowds and people with infection
      Store prescribed inhalers away from extreme heat and cold.