Chapter 24 Coordinating Care for Patients With Infectious Respiratory Disorders Stephanie Walter Coleman
LEARNING OUTCOMES Content in this chapter is designed to assist in: 1. Describing the epidemiology of infectious airway disorders 2. Correlating clinical manifestations to pathophysiological processes of:
ESSENTIAL TERMS Airborne Airborne precautions Alveolar Aspiration Bactericidal
Lobar Mantoux test Mucociliary escalator Parenchyma Polymerase chain reaction test (RT-PCR) Primary progressive TB infection (PPTBI) Primary tuberculosis infection (PTBI) Quarantine Rapid influenza diagnostic tests (RIDTs) Transmission Vaccination Virulent
a. Influenza b. COVID-19
Close contact Colonization Community spread Consolidation Directly observed therapy (DOT) Droplet Droplet precautions Drug-resistant TB infection (MDR TB) Epidemic Fomites Incubation period Isolation precautions Latent tuberculosis infection (LTBI)
c. Pneumonia d. Tuberculosis 3. Describing the diagnostic results used to confirm the diagnosis of infectious airway disorders 4. Discussing the interprofessional management of:
a. Influenza b. COVID-19
c. Pneumonia d. Tuberculosis 5. Developing a comprehensive plan of nursing care for patients with infectious airway disorders 6. Designing a teaching plan that includes pharmacological, dietary, and lifestyle considerations for patients with infectious airway disorders
CONCEPTS
l Acid-Base Balance l Caring l Infection
l Medication l Oxygenation
Finding Connections
Pulse oximetry (SpO 2 ) = 92% Temperature (T) = 100.3°F (38°C)
Mr. Markham works as a volunteer in the food service depart- ment of an HIV community support center. His past history con- sists of coronary heart disease with two cardiac stents (placed last year), mild emphysema, long-term type 2 diabetes, and arthritis. His current home medications are aspirin, 81 mg daily; ipratropium (Atrovent), 2 puffs three times daily; celecoxib, 100 mg twice daily; metformin, 500 mg twice daily; and an over-the- counter daily multivitamin…
CASE STUDY: EPISODE 1 Follow this patient throughout the chapter. Mr. Harold Markham is a 70-year-old man who presents to the emergency department with fatigue, weight loss, and night sweats. He complains of a cough that produces rusty-colored or blood-streaked sputum. His vital signs are as follows: Blood pressure (BP) = 145/85 mm Hg
Heart rate (HR) = 95 bpm Respiratory rate (RR) = 22
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