HISTORY OF PRESENT ILLNESS:This is a 39-year-old African American...

Question Answered step-by-step HISTORY OF PRESENT ILLNESS:This is a 39-year-old African American… HISTORY OF PRESENT ILLNESS: This is a 39-year-old African American male, who presented to the emergency department with complaints of a 4-5-day history of a productive cough. He denied any shortness of breath or chest pain. He denies any shortness of breath or chest pain. He acknowledges fevers that was as high as 102 at home for which he took Advil. He denies any recent travel or any ill contacts. He states he has been working at home for the last 2 weeks. He reports that he called a telemedicine physician and was prescribed Singular, Tessalon Perles, and Flonase nasal spray. He reports compliance with this regimen but denies any improvement in his symptomatology. He subsequently decided to present to the emergency department. Upon arrival to the emergency department, he had a temperature of 101, a blood pressure of 193/89, pulse of 117, respirations were 22. He was 84% saturated on 4 L via nasal cannula, was subsequently placed on a non-rebreather, which he was still with low O2 sats and was subsequently placed on a Venti mask in which O2 saturations did improve to 92% to 94%. Significant findings included an ABG that was done on a non-rebreather mask, which had a pH of 7.45, a pCO2 of 36, bicarb of 24, PO2 of 136, rapid influenza A and B screens were both negative. The group a strep screen was negative, initial point of care troponin was negative at 0.07, has sodium level of 131, lactic acid of 1.7. White blood cell count of 8.4 with 83.2% neutrophils and 13.2% lymphocytes. Chest x-ray showed severe confluent airspace opacities bilaterally consistent with bilateral pneumonitis. The ER provider administered Zosyn 3.375 g IV, vancomycin 1 g IV, Tylenol 975 mg p.o. and 3 L of normal saline. The intensivist was contacted and recommended that the patient should be admitted and should be monitored and if the O2 saturation should decrease on the Venti mask, then the patient should be transferred to the ICU, but at the present time would be stable to be admitted to PCU. The patient is subsequently being admitted for further treatment of the bilateral pneumonia and to rule out COVID-19, further treatment of sepsis, and treatment of acute hypoxia. PAST MEDICAL HISTORY: The patient denies any chronic conditions, specifically he denies hypertension, type 2 diabetes mellitus, and chronic lung disease.Describe the client’s stage of development according to Piaget, Freud, or Erikson’s theory. Compare the developmental stage to the client. theory and client. Health Science Science Nursing NURSING NUR 1020 Share QuestionEmailCopy link Comments (0)