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- Discuss which environmental factors might cause an asthma attack.Case r/t Thorax and Lungs examination Adela, a market vendor, visits the clinic with a chief complaint of body malaise. She tells the physician, "I just don't feel good." Her vital signs are the following: T 39°C; respirations 25 and shallow; HR 100 bpm; BP 126/87. Past history indicates that she has been a pack-a-day smoker for 20 years. During the patient interview, she states that she has a family history is COPD and her father had lung cancer. Adela is being evaluated for COPD B. Develop a teaching plan for herThe patient states, "I have gas after I eat spicy foods." The patient complains of what ? after eating spicy foods
- Pathophysiology Ron Strauss has smoked for many years and has developed chronic bronchitis. He also has a history of pulmonary hypertension and secondary polycythemia vera. His arterial blood gas (ABG) reveals respiratory acidosis with a PaO2, at 50 mm Hg and a PaCO2, at 60 mm Hg; At this clinic visit, it is noted on his chest x-ray, RS has an enlarged heart and diaphragm flattening. Why has RS developed secondary polycythemia vera?Pathophysiology Ron Strauss has smoked for many years and has developed chronic bronchitis. He also has a history of pulmonary hypertension and secondary polycythemia vera. His arterial blood gas (ABG) reveals respiratory acidosis with a PaO2, at 50 mm Hg and a PaCO2, at 60 mm Hg; At this clinic visit, it is noted on his chest x-ray, RS has an enlarged heart and diaphragm flattening. What clinical effects would RS’s respiratory disease have on his cardiovascular function?Pathophysiology Ron Strauss has smoked for many years and has developed chronic bronchitis. He also has a history of pulmonary hypertension and secondary polycythemia vera. His arterial blood gas (ABG) reveals respiratory acidosis with a PaO2, at 50 mm Hg and a PaCO2, at 60 mm Hg; At this clinic visit, it is noted on his chest x-ray, RS has an enlarged heart and diaphragm flattening. What pulmonary clinical signs and symptoms is RS exhibiting from chronic bronchitis?
- Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time, he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years but quit 3 years ago. The ABG analysis of Mr. H suggests uncompensated respiratory alkalosis with mild hypoxemia, with base excess of -1 in her arterial side, whereas -4 in her venous side. Part 1: Her actual arterial-venous oxygen content difference (Ca-vO2) is 5.31 mL/dL. (Normal range considered here is 3.5 to 5 mL/dL) Part 2: Patient's actual oxygen extraction ratio (O2ER) was 29%. (Say normal range is 20-28%) What is clinically happening to the patient?Patient B., 60 years old, was hospitalized with the diagnosis "Myocardial infarction". On examination: cold and cyanotic skin. Respiration is frequent, superficial, arterial pressure 90/60 mm Hg, pulse - 110 beats / min (normal 60-90 beats per minute). The patient is transferred to the intensive care unit. Questions: 6. Describe typical changes of gas parameters and pH in blood at this type of TPP? 7. List the signs of adaptive reactions available to the patient.Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID. Airway. - Patent, superficial burns to right side of face Breathing. - Spontaneous, RR-22mt, SPO2-92% RA, air-entry equal Circulation- Lower limb odema, cap refill 3 seconds, bilateral dorsal pedis pulses weak. BP- 88/50 mmHg, HR- 127/mt, sinus tachycardia, Disability - GCS-15 E4V5M6, PEARL- 3mm, Exposure - Temperature 35.9 deg Celsius. Full thickness burns to right lower limb and right arm, partial thickness burns to left lower limb, bilateral hands.…
- Ben, 59 is an employee who works in a post office. He is 5ft. Tall and weighs 150 pounds. His vital signs are the following : T 36.3°C; HR 94;BP 135/85; pain level 0. At the clinic, he presents himself with a major complaint of "just not feeling well" Dusting ascultation, you hear a heart murmur. How would you identify Ben's heart murmur?Case Study: -An 18-year-old man with no significant past medical history presented to the emergencydepartment with a history of cough and shortness of breath with exertion, along withsubjective fevers, chills, and rigors. He was noted to be hypoxic (low oxygen saturation level)on examination. The chest X-ray showed bilateral infiltrates in a diffuse butterfly patterninvolving both central lung fields. The patient reported a history of IV drug use, with frequentsharing of needles.Diagnosis: PCP PneumoniaCase study presentation should include the following:1. Case2. Patient initials (Ex. 50-year-old man)3. History of the present illness (Symptoms and may include the physical exam of the patient)4. Chief Complaints (Ex. Morning stiffness in his joints for over a year)5. Diagnosis and Causative agent6. Pathophysiology7. Treatment and Management8. Referencesnurse intervention for Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID.