CASE SCENARIO 2: Mr Kento Oguri
Mr Kento Oguri, is a 66-year old Japanese man who has presented to hospital with increased shortness of breath, fever and
a productive cough. He has been admitted to your ward for treatment of a chest infection. Kento has undergone a series of
respiratory examinations/tests and has been diagnosed with chronic obstructive pulmonary disease (COPD). Kento has a
history of gastro-oesophageal reflux disease (GORD). Kento has been prescribed intravenous (IV) antibiotics, IV therapy
and bronchodilators.
It is 10:00 am and you are the Registered Nurse undertaking Kento’s primary and secondary assessment. He explains to
you that he had several episodes of shortness of breath and a cough on exertion over the last year, but he thought he was
“just getting old”. He states that he is not able to work hard anymore. Prior to Kento’s hospital admission, his shortness of
breath was a lot worse. He has also lost several kilograms, and now weighs 65 kg with a height of 162cms.
Kento tells you that he works as a labourer in the construction industry and lives with his wife, who works at the local
supermarket. He is a smoker who has smoked 20 cigarettes/day since he was 14 years old. Kento says he does not drink
and has no known allergies.
Current vital signs:
Temperature 36.7°C, Blood Pressure 135/88 mmHg, Pulse 100 beats/min, and Respiratory Rate 22 breaths/min
Prescribed Medications:
● Salbutamol (Ventolin)100 micrograms MDI, 2 puffs when required up to 4 times daily
● Tiotropium (Spiriva) 18 mcg inhaled by mouth OD
Current Medications
● Esomeprazole magnesium (Nexium) 40 mg PO OD