Unit 1 Case Study

 Unit 1 Case Study Composition


3rd there’s r. S. is actually a long-time smoker who created bronchitic long-term obstructive pulmonary disease (COPD). He also has a history of coronary artery disease and peripheral vascular disease. His arterial blood vessels gas (ABG) values are pH sama dengan 7. 32, PaCO2 sama dengan 60 logistik Hg, PaO2 = 40 mm Hg, HCO3 - = 30 mEq/L. His hematocrit can be 52% with normal crimson cell directories. He is currently taking an inhaled Гџ agonist and theophylline to manage his respiratory condition. At his clinic visit, it is mentioned that L. S. posseses an area of debt consolidation in his right lower lobe thought to be consistent with pneumonia. Conversation Questions

1 . In what placement would L. S. have worst ventilation-perfusion matching? Serious obstructive pulmonary disease (COPD) is one of the most usual lung diseases and makes this very difficult to breathe. There are two key forms of COPD: Chronic bronchitis, which involves a long-term cough with nasal mucus, and Emphysema, which involves devastation of the lungs over time. Most people with COPD have a variety of both conditions. Smoking is the leading cause of COPD. The more a person cigarettes, the more likely that individual will develop COPD. However , some individuals may smoking for years and may never obtain COPD. In very unlikely cases, nonsmokers who shortage a proteins called alpha-1 antitrypsin can develop COPD from a young age. Other risk factors that put a person in danger for COPD are: exposure to certain gas or smells in the workplace, experience of heavy numbers of secondhand smoke cigars and polluting of the environment, and regular use of cooking food fire without right ventilation.

1 . 3rd there’s r. S displays the classic symptoms of bronchitic COPD which are very similar to the symptoms of emphysematous COPD; these symptoms vary with respect to the severity from the disease and are as follows. In patients including R. H. with bronchitic COPD a productive cough, prolonged expiry, cyanosis, hypoventilation, polycythemia, cor pulmonale, exhaustion, multiple recurrences of breathing infections, trouble catching your breath, wheezing, and shortness...

Cited: Donna Gershon, MARYLAND. (2011). Comparison of Inhaled Long-Acting Beta Agonist and Anticholinergic Effectiveness in Older Individuals Wtih COPD. Annals of Internal Remedies, 583-592; W-204-W-215.

Deglin, J. H. (2009). Davis is actually Drug Information. F. A. Davis Organization. Retrieved January 2012

Glowing, Christy REGISTERED NURSE, MSN, ACNP, AOCN. (2008). Polycythemia Observara: A Review. Clinical Journal of Oncology Breastfeeding, 553-556.

Huether, Sue Elizabeth., McCane, Kathryn L. (2012). Understanding Pathophysiology 5th Impotence. St . Louis, MO: Elsevier Mosby.

Nationwide Heart Chest and Bloodstream Institute. (2012, June 08). What Are the Signs and Symptoms of COPD? Gathered from Countrywide Heart Lung and Blood Institute: http://www.nhlbi.nih.gov/health/health-topics/topics/copd/signs.html