NUR 440
California Baptist University
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ETOH Withdrawal/Pneumonia UNFOLDING Reasoning Case Study_Elena Acosta
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---11april 20212020/2021A
- ETOH Withdrawal/Pneumonia UNFOLDING Reasoning Case Study_Elena Acosta 
Elena Acosta is a 54-yr. old Hispanic woman with hypertension managed with hydrochlorothiazide. She is 63” (160.2 
cm) and weighs 175 pounds (79.3 kg-BMI 31.0). She felt “crummy” and weaker the last 24 hours and called 911 when 
she began to have mid-sternal chest pain that increased with coughing and developed a harsh productive cough with 
green phlegm with difficulty breathing. 
 Initial lab results: WBC 14.5, neutro...
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