Jean Constatino DOB: 7/11/63 (59 years old)

Jean Constatino DOB: 7/11/63 (59 years old) Height: 175 cm Weight: 108 kg Allergies: NKDA Jean presents to the free health clinical in downtown Washington city due to a nagging cough, fever, and malaise. His wife, has 5 children, and his aunt, uncle, and four cousins who he lives with all seem to have the same symptoms. Jean is asking for an antibiotic because he needs to get back to work at his construction job. His income provides for most of the family living in his household. He does not maintain health insurance. Jean primary language is Spanish and he only understands very brief English. Upon assessment at the clinic, Jean has a COVID test that is positive. He suddenly becomes more ashen and short of breath, so the clinic called an ambulance and had him sent to the ER. Past medical history: Asthma, CAD, HTN, pre-diabetic. Takes no medications and does not follow up regularly with a primary care provider. Past surgical history: No surgeries Review of Systems: General: Pt is in moderate distress. Neuro: a/o x4, moves all extremities, follows commands. HEENT: Head symmetric, pupils 3mm brisk, PERRLA CV: Heart sounds S1, S2, no murmur. +1 generalized edema. Peripheral pulses palpable. NIBP 178/86, P 114 and thready. Cap refill 5 seconds. Resp: Fine crackles in bilateral bases, productive cough with thick white sputum, moderate dyspnea on exertion, some accessory muscle use. RR 26, SpO2 90% on room air GI: last bowel movement yesterday, abd soft and non tender, non distended. GU: UTA Skin: intact What assessment data is missing from your report? Jean insists he wants an antibiotic so he can get better and get back to work. How will you educate Jean on his current illness? Upon further assessment, Jean’s SpO2 drops to 88%. What top three interventions will you perform to help Jean oxygenate?

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