[Solved]: pathogenesis for:ND is an 82-year-old female who lives…

pathogenesis for:ND is an 82-year-old female who lives in a skilled nursing facility. She suffers from rheumatoid arthritis, chronic bronchitis, hypertension, and PVD. She is wheelchair-bound and tends to spend most of her days in bed. She smoked for 52 years but quit 14 years ago. She has lost 10 pounds in the last month and has had a productive cough for about 2 weeks with copious amounts of white to yellow mucous. In the previous 3 days, she has refused to get out of bed or eat or drink. This morning, she is confused, has a fever, and coughs continuously. The skilled nursing facility transfers her to the ER. In the ER her sputum is rust-colored. Her lung sounds are coarse rhonchi with crackles in her right middle lobe area. Her vital signs are BP 86/54, HR 98, RR 28 and temperature 102.4. She is being admitted to the hospital to rule-in community-acquired PNA. In the ER the following diagnostic tests are performed, and the results are following: Chest X-ray: parenchymal infiltrates in the RML. Sputum culture and sensitivity: Streptococcus pneumoniae & RBCs present CBC: WBC = 13,000 cells/mcL sisUpon admission to the medical-surgical unit the following orders are placed: Rocephin 1gm IVPB daily. NS 75 ml/hr via peripheral IV. Regular diet, Ensure supplements between meals. Promethazine with codeine 6.25mg/10mg PO every 4 to 6 hours PRN for severe cough. Tylenol 650mg PO every 4 to 6 hours PRN fever > 100.9. Bed/room close to the nurse station. Fitting for compression stocking Feet elevated when sitting Encourage foot flexion and extension 10x per hour.