I am currently working on a case study.
Derek Smith, a 75-year-old male, has been admitted to the medical ward with pneumonia. He has been feeling generally unwell and coughing for the past two weeks. When you come in to see him, he is sitting up in bed. Mr Smith has an audible inspiratory wheeze. Other clinical data include: Temperature: 38.5 0C, Respiration rate: 24 breaths/min, Oxygen saturation: 95% on Oxygen mask 5L/min, skin colour: pink.
My problems ive chosen to work with are Ineffective Airway Clearance and Risk of a fluid volume deficit related to dyspnoea and fever (most ppl tend to be going with ineffective airway clearance and impaired gas exchange which is making me doubt my problems ive chosen, however if i back them up well enough, I dont see the problem).
The interventions I was going to work with are cough enhancement for airway clearance (as I think this is the priority to improve airway patency. Have taken into account the ABC) but I also know that hydration, high humidity ventilation and chest physiotherapy are also important. So any ideas on whether im on the right track with cough enhancement or not??
And for Risk of Fluid volume deficit ive gone with monitoring fluid input and output. Am I likely to be on the right track here?
Any help would be appreciated as evidence based literature is scarce.