Mr Roger Wilson Case Study - Clinical Scenario - Nursing Assignment Help

Assignment Task:

Clinical Scenario 1 – Roger Wilson 

Mr Roger Wilson is a 32-year-old man with a history of asthma who is currently a gym instructor, had seen his GP complaining of shortness of breath, fever, headaches and a productive cough over the past week. The GP has diagnosed Mr Wilson with a respiratory tract infection and has prescribed roxithromycin (Rulide) 150mg twice daily (BD). After taking the antibiotic for two (2) days, Mr Wilson has returned to his GP feeling much worse. A chest x-ray shows bilateral pneumonia and Mr Wilson was administered to the hospital via the emergency department (ED). 

Roger has a history of mild asthma, which he has had since childhood. His symptoms often get worse with exercise and he takes salbutamol (Ventolin) via a metered-dose inhaler (MDI) for symptom relief. Over the past few months, Roger and his partner, Matthew, have been converting an old warehouse into a gym. During this time, both of them developed ‘flu-like’ symptoms, sore throats and chest infections. Upon arrival to the ED, Roger appears anxious and breathless.  

Admission to the ED 

On admission to the ED, Roger is sweating (diaphoretic) and flushed. He is alert and orientated but very breathless, with slight chest pain, which he rates as a two out of 10 on a numerical pain scale. He has a productive cough with green and malodorous sputum. Roger has never smoked and drinks only socially.  

Admission observations 
Temperature 38.8 degrees C 
Pulse rate of 128 beats per minute 
Respiratory rate of 31 breaths/minute 
Blood pressure 100/60 mmHg 
SpO2 92% on room air 

Medical orders 
Sputum cultures and sensitivities 
Blood cultures 
Oxygen 4L via nasal specs 
IV benzylpenicillin 1.2g, every 6 hours 
Doxycycline 200mg on the first day of treatment, taken as 100mg every 12 hours. This is to be followed by 100mg, taken daily. 
Salbutamol (Ventolin) via nebuliser, 5mg in 1mL normal saline 

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