C.K.’s sister has brought her 71-year-old brother to the primary care clinic; he came down with a fever 2 days ago. She says he has shaking chills and a productive cough and he cannot lie down to sleep because “he can’t stop coughing.” After C.K. is examined, he is diagnosed with community-acquired pneumonia (CAP) and admitted to your floor at 1130. The intern is busy and asks you to complete your routine admission assessment and call her with your findings.
Chart View Physician’s Orders:
2100-Calorie diabetic diet
IV of D5 ½ NS at 125mL/hr
Ceftriaxone (Rocephin) 1g IV every 12 hours
Metaproterenol sulfate (Alupent) 0.4% nebulizer treatment q3h
Titrate O2 to maintain Spo2 over 90%
Obtain sputum for C&S
STAT Blood cultures & sensitivity
CBC with differential and basic metabolic panel
Chest x-ray (CXR) now and in the morning
Continue home medications
You obtain orders from the physician. Outline a plan of what you need to do in the next 2 to 3 hours?