Mr. Rhett Spertory is a patient at a local pulmonology offic…
Mr. Rhett Spertory is a patient at a local pulmonology office. He recently had a lengthy stay in the hospital for a COPD exacerbation in which he was intubated and mechanically ventilated for 2 days, followed by 6 additional inpatient days while he recovered from nosocomial pneumonia. He presents in the office today 2 weeks after discharge for his first follow up. Prior to the admission, Mr. Spertory wore a 2L NC at rest and with activity, but he has required 4L of O2 with activity since hospital discharge. He advises today that he can “do some things at home” but requires more time to complete daily activities or requires help as he becomes increasingly SOB with activity. He sleeps in the recliner in the living room and states he can fall asleep quickly but cannot stay asleep. He often has a headache upon waking, no matter what time of day it is. His appetite is described as “usual” and advises that eats in small increments 4-6 times a day because of his breathing.Based on his current state of health and abilities, which diagnostic recommendations would you make for this patient at this time? Choose 3.
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