June 2009, Volume 39 Number 6 , p 56cc1 - 56cc5
Dobbin, Kathleen R. RN, ACNP-CS, MS; Howard, Valerie M. RN, MSN
Paul Long, 72, arrives at your ED with a 3-day history of increasing shortness of breath and fever. A chest X-ray reveals a moderate right lower lobe pleural effusion. Mr. Long has a history of chronic obstructive pulmonary disease (COPD) and occasionally needs treatment with prednisone for COPD exacerbations. Shortly after his arrival, he has a computed tomography (CT)–guided chest tube placed to drain the effusion, which was found to be an empyema. Now he's ...