dl RESPIRATORY SYSTEM CASE STUDY A 68 year old male was admited to the ER with d
ID: 3515114 • Letter: D
Question
dl RESPIRATORY SYSTEM CASE STUDY A 68 year old male was admited to the ER with dyspea, yonosis, and coßigh. The patient has a history of 300packjyear and has been unable to quit smoking. The patient was hospitalized earlier this year with pneumonia. Physical Exam: Barrel chest oyanotie skin, ankle edema.Dyspnea is apparent. Hyperresonance upon percussion of the thorax. Accessory muscle breathing. Findings 8P-180/105mmtg blood gases (ABG): PH 7.30 pco, 51mmHg po,-43mmHg HCO,-35mEq/h pulse: 125/min resp: 30/min temp: 98.6F TV: 500mL hematocrit-6096 FEV, 4596 2-28 dead air space 300mL Turn in the answers to these questions on a separate sheet of paper. The assignment should be typed and all answers should be in complete sentences. Make sure that your answers illustrate that you understand the physiology behind his condition. Explain specifically why the patient has a barrel chest and why there is hyperresonance upon percussion. AochuenaCA 2. What word describes the respiratory rate? If it is abnormal, explain why Calculate the patients MVR and AVR. What i the significance of the AVR What word describes his blood pressyre? If it is abnormal, explain why. 4. 5. What word d 6. Give a detailed explanation on why this patient has ankle edema. 7. Is the hematocrit normal? If it is abnormal, explain why. 8. Why did the hospital run an FEV1 test? Is it normal? If it is abnormal, explain why. 9. Which artery was likely used to obtain the arterial blood gases? Qaovar 10. Which acid-base imbalance is apparent from the results? 11. What word describes the amount of carbon dioxide in the blood? If it is abnormal, explain why. 12. Is the level of bicarbonate in the blood normal? If it is abnormal, explain why. 13. What word describes the level of oxygen in the blood? If it is abnormal, explain why. 14. What is a likely diagnosis for this patient and why did this condition develop?Explanation / Answer
1.The patient has a barrel chest due to COPD(Chronic Obstructive Pulmonary Disease) which is due to smoking and there is hyper-resonance upon percussion as the lungs is already inflated with Co 2 which keeps the rib cage expanded.
2.The word resp.30/min describes the respiratory rate. It's abnormal because the normal respiratory rate should be 2/min.
4.The abbreviation BP describes his blood pressure which is high and should be 120/80Hg.
5.The word pulse:125/min describes his pulse which is high and should not go beyond 100. As normal pulse rate varies from 60-100.
6.The patient has ankle edema due to congestion in the lungs which has resulted in the accumulation of fluid in the ankle area.
7. The normal hematocrit percentage of a person should be 52% but the patient is 60% which is on the higher side.
8.The hospital ran an FEV test in order to detect his respiratory problem. If it is less then 70% then the patient has some respiratory problem.
10. The ph is high and this shows that there is an acid-base imbalance.
11.pCo2 describes the amount of carbon dioxide in the blood which is abnormal as the patient has a history of smoking. The normal pCo2 should be between -2 to +2
13. The word PO2 describes the level of oxygen in the blood which is abnormal and should be at least 15960.
14. The patient is suffering from COPD which has developed due to smoking.
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