*NURSING > CASE STUDY > Estrella Mountain Community CollegeNURSING MISCCase Study Chapter1. (All)

Estrella Mountain Community CollegeNURSING MISCCase Study Chapter1.

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A 60-year-old male patient came to the clinic with a history of difficulty in breathing and chronic productive cough (cough with mucus). He complains of getting tired and breathless with mild exertion ... . The patient has thirty years of cigarette smoking history. 1. Physical examination: Overweight male with cyanosis (skin appears slightly blue). Breathing rate is 30 breath/min (Normal 14 -18 breath/min) 2. Listening to chest – Wheezing (abnormal breathing sounds) heard on both lungs. Normal Bronchial Breathing: https://depts.washington.edu/physdx/audio/b_breath.mp3 Wheezing: https://depts.washington.edu/physdx/audio/wheeze.mp3 3. Imaging: Chest X-Ray shows inflammation in bronchi (air tubes). 4. Pulmonary Function Tests: shows decreased movement of air. 5. Laboratory Findings; Test Patient Normal Blood Oxygen saturation 76% 97% - 99% Blood CO2 level 50 35 -45 mmol/dl After the history, physical examination, lab tests, and imaging, diagnosis of COPD (Chronic Obstructive Pulmonary Disease) is established. As a health care provider, you want to understand how the body would respond upon facing the above changes. COPD is a chronic condition that can be caused by smoking in addition to other causes. Continuous smoking acts as a persistent irritant, which can cause: a. It can damage air sacs making them less elastic. b. It can slowly damage the walls of the airways. c. Chronic inflammation can make the airways thick. d. Due to chronic inflammation, the airways produce more mucus than usual and become clogged. Edit [Show More]

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