Auscultation

A pneumothorax is when air is present in the pleural space which results in a partial or complete collapse of a lung (Crimlisk, 2010). There are three classifications of a pneumothorax which include open, closed, and tension. An open pneumothorax occurs when an opening in the chest wall allows air to enter into the pleural space which occurs from chest traumas like stabbings and gun shots, or surgical thoracotomies (Crimlisk, 2010). A closed pneumothorax is when air accumulates in the pleural…

Heart failure is a common killer of both men and women in the United States every year. It is a very serious issue that plagues this country and other developed countries like it. Heart failure is a syndrome with many risk factors, such as, age, obesity, congenital heart diseases, and many others. A client is considered to be in heart failure, when their heart is unable to profuse tissues in the body with oxygenated and nutrient rich blood for tissue to sufficiently function. A client when…

1. What clinical findings are likely in R.S. as a consequence of his COPD B? There are multiple types of chronic obstructive pulmonary disease (COPD), COPD “characterized by chronic and recurrent obstruction of airflow in the pulmonary airways (Porth & Matfin, 2009). The recurrent obstruction makes it difficult for a person to breath overtime this problem occurs in the lower respiratory tract. COPD compromises the flow of air in the lungs this causes less oxygen that is being circulated…

My journey into the healthcare field was unconventional to say the least. I had no parental influence or family members that worked in the field. Instead, it was a specific moment I remembered vividly that would be my introduction to the healthcare field. At the age of 10, I witnessed the homicide of my uncle. He received a gunshot to the posterior portion of his cranium by another family member. That was the first time I saw brain matter, experienced being helpless, and in shock. The trauma…

Chest Physiotherapy (CPT)- Performed manually for five minutes on right side of the lung, every six hours (Q6H)  It was prescribed to the patient to loosen up mucus or any secretion in the right lung as there were coarse crackles heard during auscultation and observed sub-segmental atelectasis on the X-ray. ii. In-Line Suctioning- In-line suction catheter was used; pre-oxygenated to 79% FiO2 at a suction pressure of -80 mmHg.  It was prescribed to the patient to remove secretion if there is…

Betty Jones is a happily married 54 y/o primary school teacher who presented at our clinic with a 2-day history of intense back pain after moving a heavy pot in the garden and a long-term history of bronchitis. Her back pain is exacerbated by a current episode of bronchitis, which is maintained by smoking 3-5 cigarettes daily. While in the garden two days ago, Betty bent over to move a large ceramic flower pot. Upon lifting, she experienced immediate pain which has remained consistent with an…

During the Body Works experiments the patient performed a number of tasks. The patient performed a task called the Eat Healthy (My Pyramid/Diabetes) where she picked out a number of meals that represented the types of meals that she would eat on any given day. She selected foods like spaghetti and meatballs, a turkey sandwich, hamburger and fries, and a chocolate ice cream bar. After the patient was finished picking through the menu the machine then gave her a total for the amount of calories…

Cholecystitis is an inflammation of gallbladder and associated with the Cholelithiasis (stones in the gallbladder) which is a common disorder of the biliary system of the body. Composed of cholesterol can form gallstone in the gallbladder and gallstones can cause cholecystitis by obstructing the cystic duct resulting in oedema and inflammation of gallbladder (William, & Hopper, 2014). Acute Cholecystitis is the absence of stones this is known as acute or chronic acalculous, it is usually a…

last check on your patients, making sure IV bags are full, and administering pain medication to those in need, when you notice your COPD patient isn’t breathing well. As you wake your patient she seems lethargic and disoriented, you do a quick auscultation of her lungs, check your O2 settings and obtain a set of vital signs, seeing that her O2 sat is in the mid 80’s with audible wheezing and knowing that it is time for an updraft, a respiratory therapist (RT) is called to assist. While waiting…

cool, pale, mildly diaphoretic and he reported feeling anxious and intermittently nauseous. He was found to have a systolic blood pressure of 110mmHg and all other measures were within normal parameters with no adventitious sounds bilaterally on auscultation. These observations may lead one to suspect Bill to be experiencing myocardial infarction (Phalen & Aehlert, 2012). Interpretation of a 12-lead ECG is crucial in differentiating the diagnosis (Reeder & Kennedy, 2017). Upon initial…