NRSG265: Principles of Nursing Medical - Ms Aaliyah Abimbola Case Study - Nursing Assignment Help

Assignment Task:

TASK:

Ms Aaliyah Abimbola

Background information for the assignment.  

You are the RN on a morning shift on the respiratory ward of a large inner-city hospital. At 10:30 AM you receive a patient from the Emergency Department.  

I My name is Catriona and I am the A&E RN who has been caring for Ms Aaliyah Abimbola. Thank you so much for taking this patient so quickly. We’re so busy we haven’t time to do much for her apart from get her ready to bring up here.

S Ms Abimbola is a 56-year-old woman with a past history of COPD who was admitted to A&E via ambulance at 8am today in acute respiratory distress. She became acutely short of breath this morning while making breakfast and called an ambulance.

B  Only got the chance to ask her a few admission questions before I was told to bring her up here.  She was able to tell me:

She saw her GP two weeks ago due to increasing shortness of breath and fatigue and he gave her ‘some breathing medication’ (inhalers). She has had to use these with increasing frequency since then. Ms Abimbola has been working at the flour mill 50 hours per week recently. This has made it tough to look after her three daughters because she’s a single parent. She has a medical past history of moderate sleep apnoea for which she uses CPAP to sleep overnight, Type 2 Diabetes and hypertension diagnosed 3 years ago. She has never smoked but has a long history of severe exposure to industrial dust.  Her children are at school but the oldest one knows she’s in hospital.

A On arrival in A&E she was acutely short of breath with an expiratory and inspiratory wheeze. Her Sat’s were 93% on room air & her GCS was 15. We haven’t had time to do much for her apart from give her a couple of nebulizers. She has an interim medical diagnosis of acute exacerbation of COPD

R Medical orders:

•  5mg salbutamol nebulizer as necessary, repeat every 20 minutes for 1 hour. O 2  therapy to maintain SpO 2  > 92%. Needs to have an ABG and a sputum sample collected for MC&S.
•  Monitor vital ob’s half hourly and the respiratory medical team will be here soon to review her.  
•  Notify RMO if her condition gets worse.

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