An 84 year old female patient has been admitted to the hospital for exacerbation of COPD. The patient has a history of lung cancer, presently in remission. The patient is a widow who lives alone, is functionally independent in her ADLs. She has a child who lives out of state. History of being a former pack/day smoker and quit over 20 years ago. The nurse doing his rounds finds the following on assessment. Vitals: T102.1(oral), P102 (regular), R24, BP128/63, SPO2 86% on 2L NC Noted barrel chest presentation Productive cough with dark red sputum Noted wheezing on auscultation visible shortness of breath, dyspnea on exertion abdomen soft, round, and non-tender shaking with chills Questions: 1. What signs and symptoms are of concern in this patient's presentation? 2. What could these be telling you is happening to the patient? 3. Of the concerning symptoms, which of these is a priority? Please explain your answer. 4. What can we do to stabilize this patient? Why?

Biomedical Instrumentation Systems
1st Edition
ISBN:9781133478294
Author:Chatterjee
Publisher:Chatterjee
Chapter17: Instrumentation In Intensive Care Units
Section: Chapter Questions
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An 84 year old female patient has been admitted to the hospital for exacerbation of COPD. The patient has a history of lung cancer, presently in remission. The patient is a widow who lives alone, is functionally independent in her ADLs. She has a child who lives out of state. History of being a former pack/day smoker and quit over 20 years ago. The nurse doing his rounds finds the following on assessment.

  • Vitals: T102.1(oral), P102 (regular), R24, BP128/63, SPO86% on 2L NC
  • Noted barrel chest presentation
  • Productive cough with dark red sputum
  • Noted wheezing on auscultation
  • visible shortness of breath, dyspnea on exertion
  • abdomen soft, round, and non-tender
  • shaking with chills

Questions:

1. What signs and symptoms are of concern in this patient's presentation?

2. What could these be telling you is happening to the patient?

3. Of the concerning symptoms, which of these is a priority? Please explain your answer.

4. What can we do to stabilize this patient? Why?

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