Acute Obstructive Pulmonary Disease ( Amateur Astronomer, Olga Bloomfield

1399 Words Jun 13th, 2016 null Page
Patient Condition: Amateur astronomer, Olga Bloomfield, is 38 years old with a history of hypertension and smoking. She has been a smoker since she was 18 and in the last 6 months, has experienced shortness of breath during exercise. She reports having a cough for a year which has worsened in the last 3 to 4 months and is now producing phlegm. For the last 20 years, she has had a habit of smoking 1 pack of cigarettes per day. Olga is also currently taking medication for her hypertension which includes a physical exam with a post-bronchodilator study. Her results were as followed: FEV1 – 85% predicated, and FEV1/FVC (forced expiratory volume in 1 sec/forced vital capacity) – 65%. These numbers contribute to her diagnosis of mild COPD (Chronic Obstructive Pulmonary Disease). Risks for obtaining COPD include smoking, occupational chemicals, air pollutants, infections, and genetics (Lewis, p. 582). The cause of Olga’s COPD stems from her smoking habit. It has caused inflammation and over time, that inflammation has created scar tissue buildup and has led to changes in the structure of the lungs. Furthermore, the alveoli, which are tiny sacs in the lung where gas exchange happens, are permanently damaged. In the lungs, there are also tiny hairs called cilia hairs that push dirt, dust, and other particles out of the lungs. The COPD is damaging the cilia to the point that they won’t be able to push dirt, dust, or other particles out. This increases risk of infection and chronic…

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