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What diseases in his medical history have been directly influenced by his 55 pack years of smoking?
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- LF, a 34 year old white male, presented to the emergency room complaining of acute and severe shortnessof breath and intense chest tightness. LF’s speech was choppy and breathing was very rapid and erratic,punctuated by noticeable wheezing. LF’s medical records included the results of pulmonary functiontesting he had undergone six months beforeHis medical records also indicated prior admission for respiratory symptoms and a history of poorly-controlled asthma.LF received high-dose bronchodilator medication through use of a valved holding chamber. This wasfollowed by intravenous glucocorticoids and nebulized bronchodilators every two hours for a twelve-hourperiod, followed by nebulized bronchodilators every four hours for a forty-eight hour period.After discharge from the hospital, LF was provided a take-home flow meter to monitor his lung function.Table 4 shows LF’s PEFR results during a 30-day period.Table 4. Peak flow monitoring from day 1-30 post-discharge. All PEFR values are given…How we can formulate a nicotine chewing gum or how we can production a nicotine chewing gum? Please answer at your own easy words.What is the primary treatment for a tension pneumothorax? A) High-flow oxygen therapy B) Immediate needle decompression C) Rapid fluid administration D) Emergency thoracotomy
- What respiratory problems can arise from habitual smoking? Explain how these problems may develop due to smokingTony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of shortness of breath, which he has been experiencing for the past two days. He states “I haven’t felt good for about a week, but couldn’t afford to miss work.” He complains of a cough, fever, and feeling exhausted. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. Upon physical examination, you notice that Tony is struggling to breathe, his respiratory rate is 36 breaths per minute and labored, heart rate 115 beats per minute, blood pressure 90/40 mm Hg, and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 2 L via NC and an arterial blood gas. Tony’s ABG results: pH 7.28 PaCO2 – 55 mm Hg PaO2 – 70 mm Hg HCO3 – 30 mEq/L 1)Determine Tony’s acid-base imbalance and Describe possible causes of the imbalanceWhat are the key indicators for considering a diagnosis of Chronic Obstructive Pulmonary Disease