NR 603 Week 2 Part Two: Case Study Follow Up Visit Discussion

Running head: DISCUSSION 1

Treatment for Influenza Type A

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DISCUSSION 2

Week 2: Part Two: Case Study Follow Up Visit Discussion

REQUIREMENTS:

Michelle continues to work in the bakery and her asthma has been well controlled on a

low-dose inhaled corticosteroid inhaler, Singular 10mg daily, and Albuterol prn which

she uses 1-2 times per week. Michelle presents to the clinic with an acute illness that

developed 2 days ago and has a respiratory rate of 24, mild SOB with exertion, O2

saturation of 94%, and complaint of inspiratory and expiratory wheezing. She is able to

speak and states her temperature over the last 2 days has been 101 to 102 F. Cough is

productive of white sputum. Influenza A is going around the bakery. Exam findings

show a woman who appears her stated age and is alert and oriented and though calm, is

having mild work of breathing. AR 110 BPM, BP is 150/85, RR: 24, Temp 101.4. She

has a nonproductive, dry cough, is mildly short of breath, fair chest expansion, +

inspiratory/expiratory wheezes, no rales, no rhonchi. Auscultation reveals no thrills,

gallops or extra heart sounds. Apical rate is elevated at 110. Physical exam is otherwise

unremarkable. The MA has swabbed her for Influenza A- test is positive.

Discussion Questions Part Two:

Determine appropriate treatment plan for Michelle. Discuss medications, doses,

Durable Medical Equipment, and any testing, and apply these directly to her case.

Provide your rationale with evidence.

Decide whether she is safe to return home, include any prescriptions, or if a referral to a

higher level of care is required. Discuss the criteria used to make your decision, how a

referral is made and defend your position.

Discuss relevant education and follow up plan.

12 days ago

REQUIREMENTS

Treatment For Influenza Type A

Discussion question 1

Type A influenza is nothing but a normal flu, only distinguished by the degree of

infection as well as the gravity of the symptoms. Therefore, the most appropriate treatment

method at the elementary level of the infection is the prescription of the intake of plentiful

fluids as well as sufficient bed rest. Conversely, the state of Michelle dictates that the doctor

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