In this experiment, several physiological parameters were observed in three patients before, during, and after moderate exercise. One of these parameters was the pulmonary airflow, which was recorded utilizing an Airflow Transducer. This device measures airflow using slight pressure differences created by the resistance of a screen inside the device. Pulmonary airflow is the rate of movement into and out of the lungs, and is directly proportional to the pressure difference of the intrapulmonary pressure and the atmospheric pressure, and inversely proportional to the resistance of the lungs (elasticity/diameter of air pathways).1 The BIOPAC program then can convert the airflow to volume of air moved. Pulmonary ventilation is the movement of air in and out of the lungs. A more specific measurement of pulmonary airflow is the minute respiratory volume, which measures how much air is moved into and out of the lungs in one minute (tidal volume*breaths per minute).2 Since both deal with a volume moved per time, they are synonymous, although the parameter is referred to as airflow in this report.15E…
PAST HISTORY: Patient has had previous right pneumothorax but never any on the left side. He has undergone some type of attempted pleural ablation therapy. Sputum cultures from this admission have grown Pseudomonas and Streptococcus, and he has been treated with ciprofloxacin. PHYSICAL HISTORY: HR 100,…
PROCEDURE: With the usual Betadine scrub to the area marked by ultrasound, the area was anesthetized with approximately 15 cc of 1% lidocaine, and then a small-caliber #21-gauge needle was inserted into the space. Fluid was removed for appropriate bacteriological, hematological, and chemical analyses.Once this was accomplished, then a larger tube using a Cope pleural biopsy needle was inserted into the space, and four quadrants were biopsied and sent for appropriate pathological specimens. Once that was accomplished, then using a small-caliber temporary chest tube from the Cope, as well as the pneumothorax set, the space was entered, and 1.5 liters of bloody fluid was removed. A small bandage was attached afterward. There was no pain involved, and the chest x-ray will be taken afterward to assure ourselves that we had a reasonable effect without any ill consequences.…
6-13: Emphysema and asthma are called obstructive lung diseases as they limit expiratory flow and volume. How would a spirogram look for someone with a restrictive lung disease, such as pulmonary fibrosis?…
When compared with previous exam of December 13 there is a further slight interval increase of the right pneumothorax. Pneumothorax is now approximately 5% to 10%. There is no significant interval change in the right subcutaneous emphysema. Heart and lungs otherwise are unremarkable, unchanged from previous exam.…
Pt requires tracheostomy suctioning d/t increased respiratory rate of 26, crackles bilaterally in upper lobes, use of accessory muscles and decreased pulse ox of 90%. Pt placed in semi fowlers position, raised to working height, side rail down. Pt draped with towel. Wall suction at 120 mmHg, Prepackaged suction catheter opened, sterile gloves donned, tubing and catheter connected and tested with sterile saline for proper suction. Pt hyperoxygenated per policy, catheter lubricated with saline and inserted to tracheostomy without suction, advanced down without resistance, suctioned while removing catheter. Thick yellow secretions removed on first attempt, provided patient time to hyperoxygenate, reinserted catheter scant amount of yellow secretions removed on second attempt. Pt respiratory status assessed, lungs clear bilaterally pulse ox increased to 94%, respirations 20/min. Moist toothette to clean oral cavity, side rails raised, bed lowered to lowest position, pt states “it’s easier to breathe now”.…
It decreases surface tension in the alveoli making it easier for the alveoli to increase surface area for gas exchange.…
R.S. is a long-time smoker who developed bronchitic chronic obstructive pulmonary disease (COPD). He also has a history of coronary artery disease and peripheral vascular disease. His arterial blood gas (ABG) values are pH = 7.32, PaCO2 = 60 mm Hg, PaO2 = 50 mm Hg, HCO3 - = 30 mEq/L. His hematocrit is 52% with normal red cell indices. He is taking an inhaled ß agonist and theophylline to manage his respiratory condition. At his clinic visit, it is noted that R.S. has an area of consolidation in his right lower lobe thought to be consistent with pneumonia.…
Pneumothorax is presence of air in the pleural cavity. It prevents your lung from expanding properly when you try to breathe in, causing shortness of breath and chest pain. It is also called as Collapse lung. A primary pneumothorax occurs without an apparent cause and in the absence of significant lung disease, while a secondary pneumothorax occurs in the presence of existing lung pathology. Tension pneumothorax develops occasionally and is a medical emergency. Unless reversed by effective treatment, these sequelae can progress and cause death. Catamenial pneumothorax is a rare condition where women experience pneumothorax at the onset of menstrual period.…
Pleural effusion occurs when too much fluid collects in the pleural space. It is commonly known as “water on the lungs”…
A pneumothorax can be either open or closed. An open pneumothorax can be the result of a ruptured emphysematous vesicle on the surface of a lung, an open chest wound that allows air inside, or a severe case of coughing; some happen without any apparent reason. This type of pneumothorax often produces a sucking or gurgling sound. A closed pneumothorax indicates that the presence of air is in the pleural space. This type of injury may be caused by broken ribs or may occur with no broken bones. A tension pneumothorax occurs when air that has entered the thoracic cavity cannot get out. This condition can also cause death quickly if it is not recognized soon enough to…
Ineffective Airway Clearance r/t Pleuritic pain as evidenced by Ms. Saxon reporting that her chest is sore after coughing/ sounds heard during auscultation.…
In diagnostic radiology we technicians are responsible to take the PA chest x-ray of the patient in order for the radiologist to properly diagnosis the image. The image should clearly show the lung field, so that means neither the top or bottom should be cut off. If positive for mesothelioma, it’s usually because of certain key findings in the image. For instance images showcasing pneumothorax, pleural effusion, and pleural thickening is a sign mesothelioma. The best way to see mesothelioma findings on a radiograph is plaque-like, concentric, unilateral, or nodular pleural thickening. The most common is pleural effusions and they may obscure the existence of the underlying pleural thickening (Gerald de Lacey. 2008, May 14). When a pneumothorax is small, this air-fluid level can be the only key to the diagnosis of a pneumothorax, also often skinfolds on a patient can be misdiagnosed as pneumothorax. Also, recognition of a pneumothorax depends on the volume of air in the pleural space and the position of the body. On a supine radiograph a pneumothorax can be subtle and approximately 30% of pneumothoraxes are undetected (Truong, M. T., 2004). The now tumor that is forming usually extends into the fissures, then they become irregular and thickened in contour. The tumor can rigidly restrict the lung, causing compression of diaphragm elevation, lung parenchyma, intercostal space narrowing, and mediastinal shift…
I will obtain a chest x rays, as this is a visual aid, which assists providers to identify thoracic abnormalities and provide early evidence of disease presence and progression, including the presence of fluid, opacities, calcifications and pleural thickening. Another, related diagnostic exam I would perform is a sputum culture, to isolate and identify the infectious microbes to direct the course of the antibiotic treatment. Besides, a Complete Blood Count (CBC) can be obtained, as it provides evidence of an acute infection process. Finally, a Pulmonary function test can be performed; this is a valuable tool in determining the type, extent and the severity of lung…
Radiographic studies (CXR), serum white blood cell (WBC) count, and arterial blood gases (ABGs) should be included in the diagnostic workup. Radiographic studies are useful in revealing a flattening of the diaphragm and over-distention of the lung fields. The use of high-resolution CT scans is preferred over radiographs. However, this method is more costly. Lastly, laboratory values such as arterial blood gas (ABG) measurements can also be used as they may reveal varying degrees of hypoxemia with or without hypercapnia. (McCance & Huether, 2014).…