HOSPITAL COURSE: The patient’s hospital course was characterized by a progressively downhill course. He was initially hospitalized and found to be mildly hypoxic, which rapidly corrected with supplemental low flow oxygen therapy. However, he gradually became more oxygen dependent on high flow oxygen, eventually requiring intubation with mechanical ventilation in order to maintain his oxygenation. He underwent an open lung biopsy in an attempt to delineate the etiology of his pulmonary situation, and this was reported as idiopathic pulmonary fibrosis and alveolitis. The specimen was sent to the Forest General Pathology Department for further evaluation, and they were able to give no further help concerning the ideology of his pulmonary status. An echocardiogram showed left ventricular wall motion hypokinesia and an ejection fraction of approximately 35%.…
Hospital course: the patient’s hospital course was characterized by a progressively downhill course. He was initially hospitalized and found to be mildly hypoxic, which rapidly corrected to his supplemental low- flow oxygen therapy however, he gradually became more oxygen dependent on high flow oxygen, eventually requiring intubation with mechanical ventilation in order to maintain his oxygenation. He underwent an open lung biopsy in an attempt to delineate etiology of his pulmonary situation, and this was recorded as idiopathic pulmonary fibrosis and alveolitis. This specimen was sent to the Forest General Pathology Department for further evaluation and they were able to give no further help concerning the ideology of his pulmonary status. An echocardiogram showed left ventricular wall motion hypokinesia and an injection fraction of approx. 35%.…
Lungs – Mucus plugging, chronic bacterial infections, pronounced inflammatory response, damaged airways leading to respiratory insufficiency, progressive decline in pulmonary function.…
Abnormal permanent enlargement of lung spaces distal to terminal bronchioles accompanied by destruction of walls without obvious fibrosis. This leads to decline in alveolar surface area available for gas exchange. Loss of alveoli leads to airflow limitation in 2 ways: first, loss of the alvoelar walls results in a decrease in elastic recoil (leads to airflow limitation). Second, loss of the alveolar supporting structure leads to airway narrowing, which further limits airflow.…
Güngör, G., Tatar, D., Saltürk, C., Cimen, P., Karakurt, Z., Kirakli, C., & ... Yilmaz, A. (2013). Why do patients with interstitial lung diseases…
Chronic obstructive pulmonary disease (COPD) refers to a group of lung diseases that block airflow and make breathing difficult. The two main factors that cause COPD are emphysema and chronic bronchitis. “In emphysema, the walls between many of the air sacs are damaged. As a result, the air sacs lose their shape and become floppy. This damage also can destroy the walls of the air sacs, leading to fewer and larger air sacs instead of many tiny ones. If this happens, the amount of gas exchange in the lungs is reduced. In chronic bronchitis, the lining of the airways is constantly irritated and inflamed. This causes the lining to thicken. Lots of thick mucus forms in the airways, making it hard to breathe. (What is chronic obstructive pulmonary disease?)”. Patients with COPD are diagnosed by a physical examination, chest radiograph, pulmonary function test, blood gas analysis CT scan and arterial blood gases (Huether and McCance, Pg. 683 and 684). Treatment of COPD includes the use of inhaled anticholinergic, beta agonist, and corticosteroids. Pulmonary therapy, improved nutrition and breathing techniques can improve symptoms. If those treatments fail, then oxygen therapy must be started to ensure the patient is not hypoxic.…
The most common clinical problems associated with the onset of ALI and ARDS are sepsis, severe trauma, multiple transfusions, aspiration, severe pneumonia, and smoke inhalation.…
World War II In the 1930s, Japan, Germany and Italy wanted to extend their powers and began invading other countries. Even though the U.S. was in the “Isolationist” mode, President Franklin D. Roosevelt still extended his helping hands to Germany’s opponents. For example, he signed the Lend-Lease Act of 1941 which ended oil sales to Japan. America announced war on the Axis powers by declaring war on Japan first and then on Germany.…
Idiopathic pulmonary fibrosis (IPF) is a chronic progressive interstitial lung disease characterized by a restrictive spirometry pattern and radiographic features of fibrosis. It is not associated with pleural effusions or…
Chronic obstructive pulmonary disease (COPD) is a progressive lung disease that gradually affects a personal ability to breath. COPD is an ailment that destroys the tissues of the lungs where oxygen is exchanged which results in coughing, that produces excessive amounts of mucus, and shortness of breath caused by inflammation and stiffening of the airways. In this condition, there is an obstruction in the lungs which causes less air oxygen to reach the necessary tissues which make it more difficult to dispose of carbon dioxide. Through the progression of the disease it becomes more challenging to remain active due to shortness of breath.…
Chronic obstructive pulmonary disease (COPD) is an inflammatory lung disease that results in obstructed airflow from the lungs. When a person takes a breath, air travels down the windpipe into airways. These airways scatter into smaller, much thinner tubes that end in a bunch of tiny air sacs. These air sacs stretch and inflates when a person breathes in and then deflates when the person breathes out. When a patient is diagnosed with COPD, their lung function is greatly lessened with air flowing in and out of the airways.…
Cystic fibrosis is an inherited disease of the secretory glands that causes persistent lung infections and limits the ability to breathe over time. It causes cells to produce thick and sticky mucus, sweat, and digestive juices that block airways, ducts, and passageways. There is no cure, but there are ways to manage symptoms.…
Chronic obstructive pulmonary disease (COPD) refers to a group of lung diseases that block airflow and make breathing difficult. Emphysema and chronic bronchitis are the two most common conditions that make up COPD. Chronic bronchitis is an inflammation of the lining of your bronchial tubes, which carry air to and from your lungs. Emphysema occurs when the air sacs at the end of the smallest air passages in the lungs are gradually destroyed. Damage to your lungs from COPD can't be reversed, but treatment can help control symptoms and minimize further damage.…
Chronic Obstructive Pulmonary Disease, is a Chronic and progressive illness that affects a person’s ability to breath. The affects to breathing occur due to obstructive airways caused by production of mucous from continuous inflammation and by constrictive airways caused by the narrowing of the bronchial tubes from spasms, scar tissue, reactive airways, infections of the lung, and the continuous response to irritating substances within the environment. Pollution, smoking, and other irritating substances cause the negative and damaging cascade of events that follow.…
(Living with COPD website, 2013). Approximately 1400 people die every year from the condition (Oireachtas…