question had been diagnosed with Chronic Obstructive Pulmonary Disease (COPD). COPD comprises of a number of illnesses including chronic bronchitis and emphysema; in each of the conditions there is an obstruction to airflow (NICE 2010). COPD is a long term condition that is usually progressive and cannot be reversed‚ however in some cases there can be a degree of reversibility in a patients airways. The predominant cause of COPD is smoking (NICE 2010). The patients’ oxygen was to be administered
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from the lungs. The most common and well-known lung diseases are tuberculosis‚ emphysema‚ lung cancer‚ asthma‚ COPD‚ chronic bronchitis‚ and pneumonia. The majority of lung diseases are the result of smoking‚ infections‚ and genetics. Lung disease primarily impacts two areas: the airways and the air sacs of the lungs. The airways include the windpipe and bronchial tubes. Asthma‚ COPD‚ bronchitis‚ emphysema‚ and cystic fibrosis are all examples of diseases that impact the
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Henry Williams is a 74-year-old African American who was admitted for shortness of breath secondary to chronic obstructive pulmonary disease exacerbation. His past medical history is chronic obstructive pulmonary disease (COPD)‚ cardiovascular disease‚ hyperlipidemia‚ asthma‚ hear loss‚ and hypertension. His neighbor brought him to the emergency room because he was having difficulty breathing and weakness. When he was brought to the emergency room‚ he was very weak and restlessness. Williams breathing
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use. Ausculation revealed decreased breath sounds with inspiratory and expiratory wheezing and pt was coughing up small amounts of white sputum. SaO2 was 93% on room air. An arterial blood gas (ABG) was ordered with the following results: pH 7.5‚ PaCO2 27‚ PaO2 75. An aerosol treatment was ordered and given with 0.5 cc albuterol with 3.0 cc normal saline in a small volume nebulizer for 10 minutes. Peak flows done before and after the treatment were 125/250 and ausculation revealed loud expiratory
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Case Study 23 1. Identify the four most important things to include in your assessment. Determine a previous history (Hx) of pneumonia Obtain complete VS with SaO2 on room air. Perform a full physical assessment‚ especially a cardiovascular and pulmonary system Identify the quality and presence pain upon cough‚ color and quantity of sputum 2. Which of these assessment findings concern you? State your rationale. C.K.’s blood pressure‚ pulse‚ respirations‚ and temperature are elevated; SaO2 84% RA
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of approach being subjective as each individual may observe‚ feel or hear symptoms differently. Due to the word constraint‚ this assignment will concentrate on the breathing assessment aspect of Dominic’s condition and also the pathophysiology of COPD and the use of oxygen (O2) as treatment to alleviate his symptoms. Mr Taylor’s airway is assessed first by asking simple questions and obtaining a patient history and listening to how he responds (i.e. in full sentences or short sentences). The questions
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ASSOCIATE DEGREE NURSING NURSING PROCESS FORM: PART I – ASSESSMENT Student: Date of Care: 3/4/13 Client’s Initial: WB Room # 1011 Occupation: Teacher Age: 59 Sex: F Race: Black Religion: Christian Admission Date: 3/1/13 Primary Language: English Role in family: Widowed from husband Stage in Life Cycle: Generativity vs. Stagnation Surgery date(s) this admission: N/A Chief complaint: Brain Dysfunction/Traumatic‚ closed injury Admission Diagnosis:
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diseases include: 1.1.1 Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Diseases (COPD) is a chronic inflammatory lung disease with no cure. COPD causes the lung to deteriorate which prevents breathing. People with this disease have cough‚ shortness of breath‚ damaged airways‚ chest infections and pain. These symptoms impair patients’ mobility and contribute to be housebound. Patients with COPD tolerate the burden of this disease for many years (6 years)6. 1.1.2 Heart Disease Heart disease
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vrable at the spine institute for pain management. She suffers from chronic advanced COPD and is oxygen dependent at 2L/min continuously. She is followed by Dr. Pandya for pulmonary. She suffers from Atrial Fib for which she takes Coumadin. She is follow by Dr. Chalassani for cardiology. He also monitors her Coumadin level monthly. She suffers from co-morbidities of chronic shortness of breath related to her COPD‚ chronic anxiety as a result of her shortness of breath and GERD which is stable with
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CARDIO Tendon xanthomata: deposition of yellowish cholesterol rich material in the tendons‚ asociared with hyperlipidaemia. Eg on knuckles Xanthelasma: cholesterol deposits around the eyes. Corneal Arcus: deposition of cholesterol/lipid in the cornea. CRP : acute phase of protein produced predominantly by the liver in response to inflammatory cytokines Chest Pain on Xray: evidence of another cause of chest pain such as air in the mediastinum (oesophageal rupture) or aortic dissection
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