Pulmonology

a) Haemothorax: Usually happen due to trauma. Nonetheless it can be of a blood clotting defect, thoracic/heart surgery, death of lung tissue, lung cancer, tear in a blood vessel when placing a CVC central venous catheter or TB tuberculosis. Pathophysiology is the body has a blunt trauma then because of the internal injures the body starts to loose blood/plasma and it causes shock and the body begins to shut down and the breathing reduces, weakens and diminishes and HR/pulse drops. Clinical…

It would be impossible to make a direct comparison of the four studies critiqued due to the differing methods and study designs; however, it provides a good foundation to determine if the use of apneic oxygenation should be considered in standard practice. In research conducted by Miguel-Montanes and colleagues (2015) and Sakles and colleagues (2016), use of apneic oxygenation was found to decrease the incidence of oxygen desaturation during intubation when compared to a non-rebreather mask for…

Pulmonary Hypertension I grew up beside my neighbor Nicole, who was diagnosed with pulmonary hypertension when she was about 4 years old. PH is a very rare condition. Doctors said that she would not make it past 11/12 years old. She is now 17 years old. Before recent advancements in technology she would be required to always wear a backpack that would hold her medicine and keep it cold with small little freezer packs. Now she still has to wear the medicine pump 24/7 but it does not have to be…

The second criterion that defines a disease is that a disease usually worsens if left untreated. Although not all diseases can be cured, most of symptoms and effects caused by a disease can be lessened with medications, therapy, surgery, and other treatments. For instance, a person born with asthma, a condition where the airway is being infected and swollen by certain factors such as dust or pollen, can live a healthy and productive life if he or she receives suitable treatments. Although it…

Introduction Today I was placed to do my clinical in the intensive care unit, for my first time being there I had an amazing experience and I am looking forward to spending the rest of my semester on this ward. I was assigned to J.K a 63-year-old woman who was diagnosed with respiratory failure of airway obstruction SV syndrome, R/O mediastinal mass. My plan for this patient is to perform a head to toe assessment, monitor ventilator, administer medications as ordered by the doctor, suction…

1. What clinical findings support a diagnosis of ARDS? There are a number of findings supporting a diagnosis of ARDS. Through physical examination, labs, and diagnostics including the patient's inability to breathe on her own, alteration in perfusion, and end-organ dysfunction (Urden, Stacy, & Lough, 2014, p. 522). There are multiple findings supporting a diagnosing of progressing ARDS to include the patient’s condition has worsened. The patient is sinus tachy with a heart rate of 120 BPM and…

The patient is currently here for initial assessment of suspected OSA. Split night protocol was explained upon arrival. The patient was very sleepy upon arrival. Lights off at 2114. Right quiet 91% 2120 Light snores 2145 Right quiet 95% 2215 Right quiet 95% 2246 Right light snores 95% 2304 Tech in to start CPAP due to frequent obstructive events with related desaturations 2334 Upon trying to begin CPAP the patient expressed being excessively anxious in regards to wearing the CPAP mask. She…

Cystic fibrosis (CF), is a disease that is inherited, or passed down through genes from parents to offspring. This disease affects the secretory glands, including the glands that produce mucus and sweat. People with CF have inherited two faulty CF genes, one from each parent. Parents, likely don 't have the disease. CF affects many body organs but mostly the lungs, pancreas, liver, intestines, sinuses, and sex organs (What Is Cystic Fibrosis?, 2013). CF is gentically transmitted as an autosomal…

TERMINOLOGY CLINICAL CLARIFICATION • Acute respiratory distress syndrome {ARDS) is a condition of dysfunctional gas exchange {i.e., pulmonary interstitial and alveolar edema progressing to advanced fibrosis) that is characterized by acute onset, bilateral pulmonary infiltrates, severe hypoxia, the absence of evidence of left atrial hypertension, and a significant risk of mortality.25 DIAGNOSIS CLINICAL PRESENTATION • History o The patient may be in present with complaints of acute dyspnea and…

The human body is unarguably impressive. From microscopic cells working in unison, to large life-providing organs that function involuntary, the anatomy is awe-inspiring. Every aspect has a purpose, and consequently the design of the tissue or organ system is the result of form following function. As a result, when an anatomical aspect deviates from its intended shape or composition, the effect can prove detrimental. This occurrence is especially caustic in regards to the respiratory system,…