Physioex Exercise 7 Essay

Case Study: D.Q. is a 57-year-old male who worked in a water treatment plant for many years. He also smoked heavily for approximately 30 years. He has been diagnosed with COPD. During an extremely hot summer, he arrived at the emergency department in severe exacerbation of the COPD. The patient’s heart rate is 123, blood pressure is 163/90, respiratory rate is 34, oxygen saturation is 86% on 2 L NC, and temperature is 37.5 celsius.

FEV 1 (%) will decrease as the airway radius is decreased. FEV 1 (%) is

1. Explain the change in ERV with exercise. the ERV decrease with exercise asssuming that the volume of air was exhaled more than being enhaled at the time. 2. Explain the change in IRV with exercise. IRV decreased as well because the amount of air that was supposed to be inhale was very little inhalation during the time of exercising. 3. Explain the change in IC with exercise. IC increase with exercise beacause the subjects were able to allow their lungs to breath. 4. Explain the change in FRC with exercise. The FRC decrease just a little with exercise. 5. Explain why RV does not change with exercise. the ERV decrease with exercise asssuming that the volume of air was exhaled more than being enhaled at the time. 6. Explain why VC does not change with exercise. the vital capacity remain the same because it accumulated the tidal

B. The muscles that help move air in and out of the lungs are severely compromised.

5. Typically, a pulmonary function test will not be given until about age 7. However, if Sam was given a pulmonary function test it will demonstrate a decreased FEV1 (forced expiratory volume in 1 second) and FVC (forced vital capacity). Based on these hypothetical pulmonary function test results, answer the following questions:

6. Your patient has a respiratory disease that has literally paralyzed the cilia. Explain why this patient would be at an increased risk for a respiratory infection. What type of treatment might you want to give to this person? Please be specific.

The report notes that a separate procedure was done to take cytologic brush washings which is coded as a separate procedure with 31622 and adding a -59 modifier.

Question K: How would you have expected Cari’s deceased Pco2 and alkaline blood pH to have affected her breathing?

D.Z.is a 65-year-old man admitted to medical ward with an exacerbation of chronic obstructive pulmonary disease (COPD; emphysema). Past medical history (PMH) indicates hypertension (HTN), well managed with enalapril (Vasotec) past six years, diagnosis (Dx) of pneumonia yearly for the past three years. D.Z. appears cachectic with difficulty breathing at rest. Patient reports productive cough with thick yellow-green sputum. He seems anxious and irritable during subjective data collection. He states, he has been a 2-pack-a-day smoker for 38 years. He complains of (c/o) insomnia and

B. What is the cough reflex? Describe the process that Cari’s respiratory system is using to clear her lungs by coughing?

2. Upon admission to the hospital, Allen’s breathing was rapid and shallow, can you explain why? Pg. 969

3) A nurse takes care of a patient with cardiac dysrhythmia. Which of the following laboratory values is a priority for the nurse to monitor?

K.) How would you have expected Cari’s decreased Pco2 and alkaline blood pH to have affected her breathing?

Emphysema affects the parenchyma of the lung through destruction of the alveolar walls, leading to permanent enlargement of air spaces distal to the

Spirometry is the most popular lung function test. The patient performs a maximal inhalation and then forcefully exhales as quickly and as long as they are able. The spirometer measures the volume of the air exhaled by patients. These measurements are taken at two intervals. The first measurement is the forced expiratory volume in one second (FEV1), records the volume of air exhaled after one second. The second measurement is taken at the point where the patient has fully exhaled the volume of inhaled air; this measurement is the forced vital capacity (FVC) (Harpreet Ranu et al.,