Pulmonology

safe transportation resource for getting to the emergency room safely. 4. Pulmonary rehabilitation – support includes: promoting smoking cessation, healthy nutrition associated with comorbidities reducing risk factors, physical activity individualized exercise plans, proper medication use, adherence to prescribed medications, disease self-management, psychological support. (Uptodate) 5. Influenza vaccination-recommended for COPD patients (Preventing COPD exacerbation associated with respiratory tract infections). (Uptodate) 6. Nutrition counseling and weight management- weight loss will reduce the work of breathing. Patients with lung disease have a greater risk of obesity due to physical activity limitations. (Uptodate) 7. Referral to Pulmonology -Chest X ray confirmed COPD 8. Referral for Polysomnogram-potential sleep apnea 9. Sputum Culture-Normal Flora 10. Discontinue Lisinopril 10mg QID (ACE); Start ARB (example Valsartan) along with changing from QID to BID for medication adherence. Patient is recommended to follow up in one month, after evaluation from pulmonologist-confirmation of COPD and Polysomnogram. IF the patient has symptoms worsen further testing includes: CBC, BMP (possible heart related), D-dimer (possible heart related), repeat chest x-ray (abnormalities or diseases of airways), bronchoscopy (identify passage airway potential narrowing/abnormalities). Patient verbalizes in agreement with the plan. If symptoms change or worsen patient aware to…

The Akron Children’s Hospital is one such place, which provides services for patients with all types of respiratory illnesses, such as allergies, asthma, cystic fibrosis, bronchopulmonary dysplasia, and chronic respiratory failure. The Akron General branch of the Cleveland Clinic, voted one of the best national hospitals in pulmonology in 2015-16, is another valuable resource. The Akron branch of the Select Specialty Hospital will also treat respiratory ailments. Finally, another Akron…

the most common reasons would be in the incidence of respiratory distress syndrome (RDS). Respiratory distress syndrome is a disease that typically affects premature newborns caused from an insufficient amount of surfactant in the lungs. For infants with severe RDS, may require endotracheal intubation and administration of surfactant via endotracheal tube. For infants who are still having trouble ventilating, they may stay intubated, however most are extubated immediately and placed on…

Introduction The genetic autosomal recessive disorder known as Cystic Fibrosis (CF) effects on average 1 of 28 Caucasians. The average age for patients to be diagnosed with this genetic disorder is around 2 weeks and 2 years old, there are some cases where they are find out sooner and others when they are adults. CF affect the patient’s chloride channels which causes the mucus in their lungs to thicken and pool. It can also affect the pancreas by blocking it up and not allowing it to produce…

Task 1: In Task 1, I will be explaining the range of services provided by my service provider which will involve the main and additional services they provide. It will include the three sectors in health and social care and how each sector is relevant to my service user. The two multi-agency workers who work with my chosen service provider to provide care services needed and I will explain how they communicate to ensure client needs are met. Also, explaining the difference between universal and…

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…

The resonatory system includes the nasal cavity and soft palate and portions of the anatomically defined respiratory and digestive systems. (Seikel, King, & Drumright, 2010). One disorder that may affect a person’s ability to use the resonatory system to produce sufficient speech is velopharyngeal insufficiency, or VPI. This is a disorder which results in the improper closure of the velopharyngeal sphincter (soft palate muscle in the mouth) during speech, allowing air to escape through the nose…

Introduction In the world today there are many problems that people face with their respiratory systems. There are conditions where a person is having trouble with pulmonary ventilation. Pulmonary ventilation consists of two stages which are inspiration when air is moving into the lungs and expiration when air is moving out of the lungs. If the air pressures between the inside and outside of the body do not equal then this is what causes the problems with pulmonary ventilation. Sometimes these…

With high readmission rates, hospitals are searching for ways to decrease the rates. Hospital interdisciplinary teams work with patients and families before and after discharge to provide the necessary resources and education to prevent patients’ return to the hospital. Complications such as infections are often reasons for return. The team works to address not only the physical needs of the patient but also emotional needs of both the patient and family. Patient presents to the emergency…