Pulmonary edema

Spiriva HandiHaler There are many types of inhalation equipment and devices on the market. I decided to research and compare the Spiriva Handihaler with the other bronchodilators. To find out why it was chosen for a resident where I work, who has C.O.P.D. I want to develop a broader understanding of the medication. It is important to be aware of the benefits or disadvantages of the medications that I dispense, in order for me to be thorough, and efficient in my job duties. Spiriva…

1. What combination of assessment findings determines nutritional status in these two patients? Nutritional status is the balance between a patient’s current nutritional supply and demand (Sole, Klein, Moseley, 2013, p. 81). In a critical care area, patients have special nutritional needs because the stress of their complex illness increases their metabolic rate and nutritional needs, In addition, they are assumed to be at nutritional risk due to lack of mobilization which can result to muscle…

Idiopathic pulmonary fibrosis (IPF) – the most common form of idiopathic interstitial pneumonia – is a chronic, progressive fibrotic lung disease that affects older adults. IPF is characterized by a continuing decline in lung function, poor survival, and limited therapeutic options. The invasive proliferation of fibrous tissue and scarring of the interstitium lead to a decline in forced vital capacity (FVC) (Richeldi et al. 2014). IPF has a poor prognosis; the median survival for the disease is…

Introduction Chronic obstructive pulmonary disease (COPD) affects 210 million people worldwide, and kills more than 4 million people every (Sinha, Singla, & Chowdhury, 2017, p1). COPD, which includes bronchitis and emphysema, is characterized by shortness of breath, along with cough and sputum production. The disease slowly and progressively, restricts airflow to the lungs, considerably decreasing quality of life. It is the fourth most common cause of death in the world (Dobrowolska, 2014), p1)…

right heart failure, and produces copious sputum resulting in coughing and respiratory infections." 4. Blue bloaters suffer from "pulmonary hypoxic vasoconstriction from the marked hypoxia and respiratory acidosis." 5. This leads to "right ventricular hypertrophy and cor pulmonale. The right heart failure then leads to "systemic venous congestion, peripheral edema, hepatic congestion, and ascites."…

The disease of the lungs, COPD, can be traced back to the 1600’s. It was the year 1679 when Swizz physician, Bonet, defined the disease as “voluminous lungs.” About a century later Italian anatomist, Giovanni Morgagni, termed cases of the lungs as “turgid.” A series of illustrations of the emphysematous lung putting forth the pathology of the disease was published by Baillie in 1789, thus emphysema was known to be a part of COPD early one (Mandal 2013). Over the years, Chronic Bronchitis became…

Remote Patient Monitoring and wireless sensors technology Remote patient monitoring (RPM) is the use of mobile communication and information technologies to connect patients and clinicians in order to maintain continuous surveillance of patients and to improve convenience and efficiency (HIMSS, 2013). RPM is used in the outpatient setting for the management of chronic illness and promotion of aging in place. Events can be monitored in real time and can raise alarms when conditions exist that…

Of particular interest for the respiratory therapist is the addiction to nicotine. It is important for the healthcare worker to know how this addiction can occur, because tobacco use is associated with a variety of pulmonary diseases. One such disease is chronic obstructive pulmonary disease, or COPD. The prevalence of addiction to drugs, such as nicotine, and their relationship to COPD makes it all the more important for the respiratory therapist to understand addiction and to educate patients…

Lung diseases are very prevalent in the United States. According to a study, COPD is diagnosed in almost 24 million individuals in the US and is among the top 4 reasons of death in the country (Rubin, Dhand, Ruppel, Branson, & Hess, 2011). Other prevalent lung illnesses in the United States are asthma, pneumonia, and ARDS, which all correlate with the concept of gas exchange. In each phase in the continuum of healthcare, nurses will be faced with a patient who is diagnosed with a respiratory…

Patient, a 71-year-old, retired truck driver, presented to Prince of Wales Hospital (POWH) due to an exacerbation of COPD (chronic obstructive pulmonary disease) of 2 days presenting as dyspnea on the background of 5-year history of COPD with 1 or 2 exacerbations a year, previous peripheral venous insufficiency with ulcers, previous solitary pulmonary nodule and an ex-smoker with 100 pack-year history. Initial examination presented with respiratory rate of 22 breaths/minute, oxygen saturation of…