Pulmonary embolism

Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. It's caused by smoking cigarettes or long-term exposure to irritating gases or particulate matter. Your lungs are directly affected by COPD, because air travels down your trachea and into your lungs through the bronchi. The bronchi are divided into many smaller tubes or bronchioles that end in clusters of tiny air sacs called alveoli. Your lungs rely on the natural…

The patient George is 76 year old who has the subjective complaints of frequent nosebleeds, ecchymosis, runny nose, and cough. His history reveal atrial fibrillation. He is taking medications that include digoxin, warfarin, cimetidine, and pseudoephedrine. There are four problems identified for the patient. First, based on this complaints of frequent nosebleeds, it is noted that the patient is taking cimetidine and warfarin. There is an interaction with his cimetidine and warfarin. This is a…

Background: Asthma is an international health problem of epidemic proportions that affects around 300 million people worldwide with an estimated 250,000 annual deaths. It is the most common chronic childhood disease, and affects 10% of children in the United States (1). The economic burden of the chronic effects of asthma in the United States is estimated to be over $50 billion per year (2). The hallmark of asthma is hyperresponsiveness of the airway smooth muscle and fluctuating levels of…

Thank you for involving me in the care of Silvana Libratore, a 67-year-old lady who is a lifelong non-smoker and has previously worked in an office environment. Silvana keeps no pets. As you are aware, Silvana was initially admitted to The Northern Hospital between the 23rd and 28th of July following a two-week history of cough and breathlessness. A chest x-ray followed by a CTPA study were unremarkable and inflammatory markers were normal. A provisional diagnosis of viral bronchitis…

COPD is a chronic pulmonary disease that affect millions of americans with many new cases diagnosed every day.(National heart,lung and blood institute). COPD commonly refers to two seperate types of illnesses, chronic bronchitis and emphysema. This paper will focus on the emphysema side of the illness. COPD is develops slowly, often from cigarette abuse in particular. COPD is a major cause of disability and currently there is no cure available, many people have the disease and do not evene know…

i. Chest x-rays can detect changes in the density of the lungs, more specifically the lower lobes (Christensen & Krockow, 2011, p.1641). Bronchoscopy is particularly useful in pneumonia when aspiration of a foreign objet or food is suspected. A culture and sensitivity test is used to determine the causative bacteria and to specify which antibiotic would be the best to be used. Pulse oximetry is used to monitor oxygenation status. ii. GERD is diagnosed mostly from signs sand symptoms. The gold…

Acute Respiratory Distress Syndrome The patient in this case study had an onset of acute respiratory distress syndrome brought on by trauma. Acute respiratory distress syndrome (ARDS) is a disease state characterized by fluid buildup in the alveoli, making it difficult to oxygenate (MedlinePlus.gov). It is a life-threatening lung condition. The new definition and severity of ARDS are defined as PaO2/ FiO2 with a PEEP of 5+ (200-200) = mild, (100-200) = moderate, (<100) = severe…

A health related example would be the patient that is chronically readmitted to the hospital for COPD exacerbation on a frequent basis. The patient acknowledges taking their medication as prescribed and attending all follow-up appointments. However, the patient refuses to stop smoking. As healthcare providers we may find this very frustrating, but it is important to continue to educate the patient on the hazards of smoking and how it continues to affect their disease process. A work related…

Chronic obstructive pulmonary disease(COPD) is a respiratory disease which leads by the abnormal inflammation of the lungs. It response to the inhalation of toxic gases, pollutants, and cigarette smoke. The chronic inflammation creates difficulty to breath. In overall, more than five hundred peoplesare diagonised with COPD. It classified as chronic bronchitis and Emphysema.Our lungs are spongy tissues, Bronchi which inside the lung which connected to the Trachea the wind pipe, the bronchi is…

Rapid Response: When should a rapid response be initiated. CODE BLUE!!!! It’s just before shift change and you’re making 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…