COPD Case Study Patient and History

COPD Case Study Patient and History

COPD Case Study Patient and History

COPD Case Study

COPD Case Study Patient and History Discussion

COPD Case Study

Patient and History:

D.Z. a 65 yr old man is admitted to a medical floor for COPD exacerbation. PMH of HTN, controlled well by enalapril for the past 6 years as well as a recent diagnosis of pneumonia. He appears cachectic and experiences dyspnea at rest. He reports a productive cough of thick yellow green sputum. D.Z. is experiencing irritability and anxiety. He reports smoking 2 packs a day for 38 years. He complains of sleeping poorly and feeling tired most of the time.

Vital signs:

BP 162/84, P 124, RR 36, T 102.8F SaO2 88% Room air.

Admitting diagnosis: Exacerbation of COPD etiology to be determined.

Orders:

Diet as tolerated, Up with assistance, O2 to maintain sats greater than 90%, IV D5W @ 50 ml/hr, Strict I/O, ABG’s in AM, CBC with diff, BMP, Theophylline level on admission, CXR every 24 hours.

Medications:

Prednisone 60mg po daily

Doxycycline 100mg po every 12 hours for 10 days

Azithromycin 500 mg IVPB every 24 hours for 2 days then 500mg po for 7 days

Theophylline 300mg po BID

Heparin SQ 5000 Units BID

Albuterol 2.5mg/3ml NS and Atrovent 500mg by nebs every 4-6 hours

Enalapril 10mg po every am

Questions:

1. In 200 Words Explain the pathophysiology of COPD give clinical example of symptoms and pathophysiology associated with COPD.

2. What type of COPD do you feel this patient is experiencing provide explanation in 200 words minimum?

3. Are DZ’s VS and SO2 appropriate? If not explain why?

4. Identify 3 nursing diagnosis and interventions that can be implemented to improve oxygenation and explain how to determine effectiveness. 200 word minimum.

5. Explain the purpose of the following classes of drugs as they relate to COPD provide explanation and direction for each use.

Antibiotics

Bronchodilators

Anticholinergics

Corticosteroids

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: COPD Case Study Patient and History Discussion

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

Get a 10 % discount on an order above $ 100
Use the following coupon code :
NRSCODE