NURSING ASSIGNMENT.

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the Student:
Name of the University:
Author Note:

1NURSING ASSIGNMENT
Presenting Condition:
The presenting disease condition is COPD and the prescribed medication is
Ipratropium Bromide. The pharmaceutical form of the medication is known as Atrovert
Nebulising Solution. The prescribed dosage of the medication in case of patient included 250
micrograms in 1ml Nebuliser solution, thrice a day. The medication is also known as
Atrovent which is the common brand name of the medication.
Patient Case Study:
Name of the Patient: X
Presenting Condition: X is presented to the Outpatient Unit by his wife Y and complains of
increased shortness of breath. Y mentions that X has been coughing vigorously for the past 2
days and the coughing abnormally increased during the night. X looks frail and exhausted
and complains that he had not been able to sleep peacefully for the past 2 days.
Previous medical history: X has a medical history of Hypertension and no reported allergies
Nursing assessment and findings:
Vital Signs: BP: 130/44, Pulse rate: 68, RR: 32, Temperature: 101.5̊ F
Assessment findings:
General Assessment:
Detection of audible wheezing
Alert and Oriented
Difficulty in speaking
Chest: Noted increase of the antero-posterior diameter, diffused wheezing noted on
auscultation

2NURSING ASSIGNMENT
Heart: No murmurs noted, normal
Clinical findings:
Pulse Oximetry: 86%
Chest X-ray: Shows hyperinflamation
Clinical Observation:
Blood Glucose Level: 10.0; 3.7-5.2
SaO2: 70; 95-98%
PCO2: 8; 4,6-6 kPa
PO2: 4.7; 11-15 kPa
Symptoms and Diagnosis:
Altered vital signs
Poor physical activity levels
Poor social support
Presence of Medical comorbidities that include hypertension and diabetes mellitus
FEV1/FVC ratio was observed to be less than 0,70 and FEV 1 was lower than 50% of what
was predicted which suggested the condition to be severe baseline COPD
Current medication and rationale:
Lisinopril 10mg, once a day in order to control high blood pressure
Ipratropium Bromide, 250 micrograms in 1ml Nebulising solution, thrice a day for
controlling wheezing and shortness of breath