Community Acquired Pneumonia Case Study

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Eighty-two years old male patient is presented to the emergency room with onset of dyspnea that is made worse by exertion, relieved by rest and oxygen. Patient stated that he did not try any of his home breathing treatments but did use home oxygen. Patient has a significant past medical history of coronary artery disease with two stents, COPD requiring home oxygen at 4lpm, hypothyroidism, and type 3 diabetes. While in the emergency department the patient was placed on a cardiac monitor and an EKG was performed along with a chest x-ray. The chest x-ray showed bilateral lower right and middle left lobe pneumonia. Lactate level 2.2, white blood cell count 3.1 with 83% neutrophils and no bands. BNP 96.7. Urinalysis shows UTI.
Community-acquired pneumonia (CAP) as defined in N. Garin’s article “Predictors and Implications
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This syndrome of infection complicated by systemic inflammation and organ dysfunction and is present on hospital arrival in approximately one-third of patients with community-acquired pneumonia. The goal of this study is to determine specific characteristics and micro-organisms that are associated with severe sepsis. The study determines that CAP patients with COPD, renal disease and alcohol abuse are more likely to present to the hospital with severe sepsis3.
The patient is an eighty-two-year-old caucasian male IBW is 72.45 kg, the patients admitting diagnosis is community acquired pneumonia, acute exacerbation of COPD, and UTI. His chief complaint is shortness of breath, the patient stated that in the past three days’ he has not felt “right.” Patient did not experience any new symptoms during those three days. The shortness of breath began the morning of admission and made worse by excretion, patient states that he did not try home breathing treatments prior to coming to the emergency

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