What Mucor is.
A. Please explain to me what Mucor is and how a patient is likely to become infected with Mucor. Also describe the pathophysiologic progression of the infection into pneumonia and at least two medical/nursing interventions that would be helpful in treating the patient.
B. What medications and medical treatments are likely to be prescribed by the attending physician on this case? Please list at least three medications and three treatments. Provide rationale for each of the medications and treatments suggested.
"Sallie Mae's Health History and Discharge Orders"
Using "Meet Sallie Mae Fisher" and "Sallie Mae's Health History and Discharge Orders," ATTACHED, I need to complete the following components to the following:
A SCRIPTED DIALOGUE
a) Utilizing the information learned from the home visit, health histories, and discharge orders presented, I have to write a scripted dialogue in which I need to provide Sallie Mae with education that describes her problems and interventions identified to improve her condition. Consider Sallie Mae's physiological, psychosocial, educational, and spiritual needs when developing your dialogue.
b) My dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:
Nurse: "Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________."
Attachment Details (Please refer to attachment for original):
Sallie Mae Fisher Health History
Ms. Fisher is an 82-year-old female with a history of chronic congestive heart failure (CHF), atrial fibrillation, and hypertension. During the last 6 months, she has been hospitalized four times for exacerbation of her CHF. She was discharged home last Saturday from the hospital after a 3-day stay to treat increased dyspnea, an 8-pound weight gain, and chest pain.
Ms. Fisher is recently widowed and lives alone. She has a daughter, Thelma Jean, who lives in town but works full time and has family issues of her own. Therefore, family support is limited.
Hospital Discharge Instructions
Ã¢?Â¢ Mountain Top Home Health to evaluate cardio-pulmonary status, medication management, and home safety.
Ã¢?Â¢ Medical Equipment Company to deliver oxygen concentrator and instruct patient in use. O2 at 2 liters per nasal prongs PRN.
Ã¢?Â¢ Prescriptions given at discharge:
o Digoxin 0.25 mg once a day
o Lasix 80 mg twice a day
o Calan 240 mg once a day
Ã¢?Â¢ Order written to continue other home meds.
Sallie Mae's Home Medication List
Ã¢?Â¢ Zocar 50 mg once a day
Ã¢?Â¢ Minipres 1 mg once a day
Ã¢?Â¢ Vasotec 10 mg twice a day
Ã¢?Â¢ Prilosec 20 mg once a day
Ã¢?Â¢ Furosemide 40 mg once a day
Ã¢?Â¢ Effexor 37.5 mg at bedtime
Ã¢?Â¢ Lanoxin 0.125 mg every other day
Ã¢?Â¢ Multivitamin once a day
Ã¢?Â¢ Potassium 40 mEq once a day
Ã¢?Â¢ Ibuprofen 400 mg q 4 hours as needed for pain
Ã¢?Â¢ Darvocet N 100 mg q 4 hours as needed for pain
Ã¢?Â¢ Nitroglycerin ointment, apply 1 inch every day