Steven Gard Case Study 3 7/18/2012 s2444532 R.S. has smoked for many years and has developed chronic bronchitis‚ a chronic obstructive pulmonary disease (COPD). He also has a history of coronary artery disease and peripheral arterial 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 using an inhaled ß2 agonist and theophylline to manage his respiratory disease
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Case Study R.S. has smoked for many years and has developed chronic bronchitis‚ a chronic obstructive pulmonary disease (COPD). He also has a history of coronary artery disease and peripheral arterial 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 using an inhaled ß2 agonist and Theophylline to manage his respiratory disease. At this clinic visit‚ it is noted on a
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pain (angina) and persistent cough. He was alert and oriented and was able to answer all past history medical questions. Joe has been diagnosed through his family physician with Diabetes Mellitus‚ hypertension‚ and Chronic Obstructive Lung Disease (COPD). Joe told the ER Physician Dr. Black that he had stopped taking his insulin because of the drastic drop in his blood sugars. The patient stated that he has no known drug allergies. Joe also stated that his urine output had also decreased over the
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assist the patient with augmented coughing to remove respiratory secretions. D Rationale: The patient’s assessment indicates that assisted coughing is needed to help remove secretions‚ which will improve PaCO2 and will also help to correct fatigue. If the patient is allowed to rest‚ the PaCO2 will increase. Humidification may help loosen secretions‚ but the weak cough effort will prevent the secretions from being cleared. The patient should be positioned with the good lung down to improve gas exchange
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Chapter 29: Nursing Management: Obstructive Pulmonary Diseases Test Bank MULTIPLE CHOICE 1. The nurse teaches a patient with chronic bronchitis about a new prescription for Advair Diskus (combined fluticasone and salmeterol). Which action by the patient would indicate to the nurse that teaching about medication administration has been successful? a. The patient shakes the device before use. b. The patient attaches a spacer to the Diskus. c. The patient rapidly inhales the medication. d. The patient
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Interpretation of the Arterial Blood Gas Self-Learning Packet 2004 This self-learning packet is approved for 2 contact hours for the following professionals: 1. Registered Nurse 2. Licensed Practical Nurse Orlando Regional Healthcare‚ Education & Development Copyright 2004 Arterial Blood Gas Interpretation Table of Contents Purpose ................................................................................................................... 3 Objectives ...........
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Chronic Obstructive Pulmonary Disease (COPD)‚ a common preventable and treatable disease‚ is characterized by persistent airflow limitation that is usually progressive and associated with an enhanced chronic inflammatory response in the airways and the lung to noxious particles or gases (Global Initiative for Chronic Obstructive Lung Disease). COPD may include other airflow obstruction diseases such as‚ emphysema‚ asthma‚ and chronic bronchitis. Asthma is known as chronic reactive airway disease
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saturation c. Arterial blood gas analysis d. Central venous pressure monitoring ANS: C Arterial blood gas (ABG) analysis is most useful in this setting because ventilatory failure causes problems with CO2 retention‚ and ABGs provide information about the PaCO2 and pH. The other tests may also be done to help in assessing oxygenation or determining the cause of the patient’s ventilatory failure. DIF: Cognitive Level: Apply (application) REF: 1661 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological
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CO2. This condition is known as alveolar hypoventilation and results to hypercania (increased PaCO2). Increased PaCO2 leads to a decrease in the ratio of HCO3- to PaCO2 as well as the pH level (Kee‚ Paulanka & Polek‚ 2010). There are two types of respiratory acidosis; acute and
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Pulmonary Disease Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease (COPD) is an irreversible debilitating disease of the airway that is currently the fourth leading cause of death in the United States and is rising. Chronic obstructive pulmonary disease is treatable but currently there is no known cure and it is a major cause of morbidity and mortality. COPD causes reduction in airflow during the ventilation cycle due to the loss of air way elasticity‚ narrowing
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