Pneumonia a Case Study

A 68 year old male presented to the emergency department at 0800 hours via ambulance after experiencing chest discomfort and intermittent palpitations since 0500 hours. Prior to presentation, the patient stated he

Air escaped from the lung into the pleural space. Eventually, enough air collected in the pleural space to cause the mediastinum to shift twoard the right. The collapsed left lung, increased intrapleural pressure, and rightward shift make it difficult to ventilate A.W.

to the right and left lung. After entering the lungs, the branches subdivide, finally emerging as

Patient “DD” is a 56-year-old woman who was admitted to a nearby hospital for respiratory failure. With the only previous medical history being chronic bronchitis, she was diagnosed upon admission with COPD, anemia, hypoxia, moderate anxiety, and dyspnea.

I’m finally in the lung. I can finally see what it looks like. I see a structure that looks like a three without leaves. I am passing the right primary bronchi. It is a tube like structure that allow for the passage of air between the trachea and lung (Health Type, 2012). As I move along the right primary bronchi branches off into the right secondary bronchi. Each one of the bronchi serves as an airway to a specific lobe of the lung (Wikipedia, 2011). The bronchi have cartilage plates, smooth muscles, and mucus-secreting gland cells in its wall (Wikipedia, 2011). They contain cilia, which removes dust and debris. Wow! The right secondary bronchi are branching off into very small passageways called bronchioles. The bronchioles are responsible for controlling air distribution and airflow resistance in the lungs (Wise Geek, 2012). They also contain cilia that help move air through the system. The bronchioles are now terminating at the alveolar ducts. They are the tiny end ducts that fill the lungs. At the end of

c. 34 years old male who complained of shortness of breath. He was obese and had a history of COPD. He was on two liters nasal cannula. After admitting at the ER, he was tranfered to med-surge floor for further evaluation.

Physicians usually prescribe one antibiotic that treats a wide range of organisms. If the first does not work they will prescribe another antibiotic that fights a different range of organisms. If severe symptoms they will sometimes start with two antibiotics and do a culture that would show what antibiotics the organism would be resistant to. (2011. Pneumonia)

Right pulmonary artery has normal arborization, capillary and levophase. Except in the atelectatic area of the right upper lobe where the distal branches seem to be crowded as expected.

-Stage 2-Invlovment of chest area place places, mediastinum {structure at the middle of the heart}, pericardium or contralateral {opposite side} pleura

The patient is a 61-year old female who has a history of Chronic Obstructive PulmonaryDisease (COPD), hypertension, Coronary Artery Disease (CAD), and anxiety. The patient is familiar with the diagnosis and illnesses that have been contracted over the years and is knowledgeable about the disease processes, medications, and signs and symptoms of each disease. The patient came into the emergency department presenting with dyspnea, chest pain, weakness, and severe wheezing. The patient was diagnosed with an onset of a COPD exacerbation. During the hospital, stay chest x-ray and respiratory panel was done, showing positive for pneumonia. The patient continued to stay at the hospital until oxygenation status improved and the course of IV antibiotics

Currently, the 62-year-old female was admitted to the hospital with dyspnea, fatigue and chronic productive cough with light green sputum. After a few days of exacerbations, the patient developed a headache.

The lower respiratory system contains the lower trachea, bronchi, bronchioles and alveoli in the lungs. The bronchi form as the lower part of the trachea and branch into two in the left and right lung. The upper segments of the bronchi have C shaped cartilage rings which keep the bronchi open for airflow. The bronchi divide into smaller bronchioles inside the lungs. They are made up of smooth muscle (without cartilage). The bronchioles continue to divide into alveoli; small grape shaped air sacs. Each alveoli is surrounded by pulmonary capillaries. The function of the alveoli is to perform the exchange of oxygen and carbon dioxide. There are millions of alveoli in the lungs, they have thin walls so the diffusion of oxygen and carbon dioxide can move across the membrane without resistance to the pulmonary capillaries.

The chest contains two lungs, one lung on the right side of the chest, the other on the left side of the chest. Each lung is made up of sections called lobes. The lungs are soft and protected by the ribcage. The purpose of the lungs is to bring oxygen into the body and to remove carbon dioxide. Oxygen is a gas that provides us with energy, while carbon dioxide is a waste product or “exhaust” of the body.

We each have two lungs, a left lung and a right lung. These are divided up into 'lobes', or big sections of tissue separated by 'fissures' or dividers. The right lung has three lobes but the left lung has only two, because the heart takes up some of the space in the left side of our chest. The lungs can also be divided up into even smaller portions, called 'bronchopulmonary segments'.

Nurses play a vital role in observing and interpreting the current symptoms of patients. It is vital that nurses are able to understand the overall symptoms associated with certain diseases and drugs and can confidently present this information to the physician for review and proper patient treatment. Here, the patient's symptoms are suggesting a distinct and dangerous disease as well as possible side effects from Fentanyl.