Question Answered step-by-step A 48-year old-man, of Chinese origin, who had travelled to France… A 48-year old-man, of Chinese origin, who had travelled to France from China around mid-January, 2020 was admitted to the Emergency room. He was then transferred to the ICU due to chest tightness, difficulty breathing, hypoxemia, sore throat, fever and severe dry cough. Initial orders include a STAT Chest X-ray, arterial blood gases and oxygen at 4L/min via Venturi mask. A respiratory viral panel and COVID-19 nasopharyngeal swab was ordered. Blood, urine and stool samples for viral loading were also ordered for 3 consecutive days. All samples were refrigerated and shipped to laboratories in the National Reference Center for Respiratory in Lyon, France, where RNA extraction, real-time RT-PCR, and virus isolation and titration procedures were done. The chest X-ray revealed hazy opacity in the lobes and the physician makes an initial diagnosis of pneumonia in both lower lobes. ABG show: PaO2 68mmHg, PaCO2 32mmHg and pH 7.53. After 24hours, he tested positive for COVID-19 and his illness was classified as severe. Treatment with antiviral and corticosteroid therapies were started but did not fully resolve his symptoms. On the second day in the hospital, a chest CT scan showed that the patient had ground glass opacities in his lungs, which are characteristic of pneumonia. His levels of interleukin-6 (IL-6), a pro-inflammatory cytokine, were high. His symptoms are rapidly evolving to multi-organ failure with persistent high viral load in lower and upper respiratory tract with systemic virus dissemination and virus detection in plasma. Please use the format for the pathophysiology. Question 1. DISEASE PROCESS – will indicate mode of entry (if applicable), organs involve or affected; described in diagram and narrative form the pathogenesis of a disease, the biological mechanism (or mechanisms) progress of disease showing its morphological features or that leads to the diseased state. 2. SYMPTOMATOLOGY – can be multiple. Should include the positive and negative pertinent findings.Each sign and symptom should yield to a specific assessment/diagnostics and possibly management. 3. DIAGNOSTICS/ LABORATORY CONFIRMATORY TEST – should be based on the signs and symptoms and the specific stage of disease process, and this will include a. Physical Assessment of the affected system. b. Medical Diagnostics may include IDEAL or potential diagnostic procedures. c. Nursing Diagnosis (NANDA) MANAGEMENT a. Medical – includes procedures ( ex. NGT, intubation, suctioning, BT,etc.) and drugs (including IV, parenteral feeding, ) b. Surgical – if there is c. Nursing – nursing interventions based on the formulated nursing diagnosis PROGNOSIS The predicted outcome of a disease and the chance of recovery if treatment is applied and if no treatment has been initiated to the patient. Health Science Science Nursing NURSING NR708 Share QuestionEmailCopy link Comments (0)