Renal Vs Respiratory Disease

R.W. appears with progressive difficulty getting his breath while doing simple tasks, and also having difficulty doing any manual work, complains of a cough, fatigue, and weight loss, and has been treated for three respiratory infections a year for the past 3 years. On physical examination, CNP notice clubbing of his fingers, use accessory muscles for respiration, wheezing in the lungs, and hyperresonance on percussion of the lungs, and also pulmonary function studies show an FEV1 of 58%. These all symptoms and history represented here most strongly indicate the probability of chronic obstructive pulmonary disease (COPD). COPD is a respiratory disease categorized by chronic airway inflammation, a decrease in lung function over time, and gradual damage in quality of life (Booker, 2014).

The study began with 32 patients having stages II to IV COPD. They had to meet the criteria pertaining to the Global Initiative for Chronic Obstructive Pulmonary Disease; total lung capacity >120%, (FEV1/FVC) <70%, FEV1 <80%, RV/TLC >140% and >40% of predicted values in stable conditions. Patients were removed from the study if they had asthma, heart failure, orthopedic impairments of the shoulder girdle, recent surgery, past thoracic fractures, pneumothorax, and claustrophobia.

The purpose of this paper is to discuss an exacerbation of Chronic Obstructive Pulmonary Disease (COPD) and its effect on my patient, Mr. HS, a 78 year old male. In this paper we will look at the various facets in the disease process including its incidence, pathophysiology, presenting complaints, analysis of his clinical presentation, and discuss treatment. We will analyze the effect the disease process has on Mr. HS and will examine his clinical manifestations and laboratory work, as well as provide an outcome analysis. Understanding these various facets will enable one to understand

Acute renal failure is a sudden decrease of kidney function often characterized by the loss of homeostatic equilibrium of the internal medium causing waste accumulation in the blood. Aside from accumulation of waste products like nitrogen and urea, it is also characterized by a sudden decrease of glomerular filtration rate (GFR) which disables the kidney from filtering waste products that is harmful to the body. Evidently, acute renal failure disables the kidney from maintaining fluid and electrolyte balance. As stated by kidneyatlas.org, causes for acute renal failure are classified into three: prerenal, intrarenal, and postrenal.

The World Health Organization (WHO) (2006A) defines COPD as a disease state characterized by airflow limitation that is not wholly reversible. The airflow limitation is usually both progressive and associated with abnormal inflammatory response of the lungs to noxious particles or gases. John's chronic bronchitis is defined, clinically, as the presence of a chronic productive cough for 3 months in each of 2 successive years, provided other causes of chronic cough have been ruled out. (Mannino, 2003). The British lung Foundation (BLF) (2005) announces that chronic bronchitis is the inflammation and eventual scarring of the lining of the bronchial tubes which is the explanation for John's dyspnea. The BLF (2005) believe that when the bronchi become inflamed less air is able to flow to and from the lungs and once the bronchial tubes have been irritated over a long period of time, excessive mucus is produced. This increased sputum results from an increase in the size and number of goblet cells (Jeffery, 2001) resulting in John's excessive mucus production. The lining of the bronchial tubes becomes thickened and an irritating cough develops, (Waugh & Grant 2004) which is an additional symptoms that john is experiencing.

The AECOPD are the leading cause of medical consultation and hospitalization in patients with COPD, also determining degradation of quality of life and aggravation the anatomical and functional damage and respiratorio5-12 placing it is self directly or indirectly as a frequent cause of mortality 13-17, which can reach percentages very high even at the time of discharge distance in severe patients hospitalized and needing ventilation mechine18. The AECOPD correlate with the severity of COPD, being more frequent in patients with major functional impairment and can leave the patient temporarily in significant physical disability conditions even after the from hospital 19,20 discharges. Recently it was also shown a grouping temporary exacerbation,

3. What assessment findings would indicate the patient’s condition is worsening? Explain nursing interventions appropriate for a patient with an acute exacerbation of COPD. Sudden pain, air hunger, increase hypoxemia, agitation central cyanosis, hypotension, tachycardia, and profuse diaphoresis. Maintain airway patency, assist with meausres to facilitate gas exchange, monitor level of consioucness, obtain vital signs ( auscultate breath sounds, asses and monitor respirations and breath sounds, noting rate and sounds [inspiratory and expiratory]).

The major goals of treatment are to ease the symptoms, to slowdown disease progression, and to improve the quality life of the patients. Patients with mild to moderate COPD can be adequately managed in the primary care setting by the family physician, whereas patients with more severe COPD and multiple comorbidities need a multidisciplinary approach to treatment. Family physicians should perform spirometry on all patients over 40 years old for early diagnosis, especially if one falls into to the risk group and have history of smoking, chronic cough, shortness of breath, and even frequency of cold (Eeden & Burns, 2008). Smoking cessation remains the single most important factor in slowing the decline in lung function in patients with COPD. Pulmonary rehabilitation (PR) is recommended for the patients with moderate and severe COPD.

Quitting cigarette smoking: The most effective and important treatment for COPD is to quit cigarette smoking. Patients who continue to smoke will have rapid deterioration in lung function in comparison to those who quit. The aging process itself can cause a very slow decline in lung function. Cigarette smoking can result in a

A disease is a disorder or error in an organism's structure or body. Patients with CKD ( chronic kidney disease ) frequently have additional complications, such as cardiovascular disease, type-2 diabetes, and/or hypertension. When people think of issues that can go on in your kidneys

Chronic Obstructive Pulmonary Disease, also known as COPD, is the third leading cause of death in the United States. COPD includes extensive lungs diseases such as emphysema, non-reversible asthma, specific forms of bronchiectasis, and chronic bronchitis. This disease restricts the flow of air in and out of the lungs. Ways in which these limitations may occur include the loss of elasticity in the air sacs and throughout the airways, the destruction of the walls between air sacs, the inflammation or thickening of airway walls, or the overproduction of mucus in airways which can lead to blockage. Throughout this paper I am going to explain the main causes, symptoms, diagnosis, and ways to reduce COPD.

There are no cure for this disease. However, there are different treatment to prevent further deterioration of the lungs function in order to improve the quality of life of the patient by increasing capacity of their physical activity. One of the main severe complication a patient with COPD can develop is exacerbation. Increased breathlessness, increased sputum volume and purulent sputum are the signs and symptoms of exacerbation. Early detection of the signs of exacerbation can help keep the condition of the patient from worsening. The treatments of COPD mainly aims at controlling the symptoms of exacerbation such as taking inhalers. Patients who are over the age of 35 and ex-smokers with chronic cough and bronchitis are recommended to have spirometer (NICE, 2004). This is because it is possible to delay or prevent patients from developing severe case of COPD is identified before they lose their lungs functions. Oxygen therapy is another treatment for COPD as the patients with this condition has high

I will analyse the prevalence of the condition and what the potential causes may be. My interests have been directed to pre hospital care and community lead treatment packages, which are potentially available to the patient, as this is the acute environment, which I will have contact with in my employment as a paramedic. The initial reading was to understand COPD as a chronic condition, what is COPD? and its prevalence in the population. The (World health organisation, 2000), states that one in four deaths in the world are caused by COPD. In 2010 (Vos T Flaxman etal, 2012), says globally there were approximately 329 million, which is 4.8% of the population who are affected by this chronic condition, In the UK (NICE, 2010), have estimated that 3 million people suffer from COPD, with more yet to be diagnosed. This information about the amount of people living with this condition was surprising, as I little knowledge of its existence. During the early 1960’s (Timothy Q. Howes, 2005), says the term COPD had been designated as a single term unifying all the chronic respiratory diseases. Since then the term COPD, has been sub divided in to three umbrella areas, Bronchitis, Emphysema and Chronic asthma, which are separate conditions, which I have been previously aware of as their individual conditions. The 58 year old patient who we visited,

Physicians were asked which medication they would typically prescribe for such patients. In this survey most primary care physicians and respiratory specialist reported that professional guidelines for COPD diagnosis and management informed their practice. This was reflected by the frequent self-reported use of spirometry (80%-100%) to establish a diagnosis of COPD. However, a large proportion of both Primary care physicians and respiratory specialist chose non-concordant treatments for different patient scenarios. Despite the fact that respiratory specialists were significantly more likely to report knowledge of the GOLD global strategy (93% of respiratory specialists versus 58% of PCPs, P,0.001), they did not perform better than Primary

COPD is a disease that makes it difficult for a person to breath. Symptoms include wheezing, fatigue, coughing, and shortness of breath. COPD is caused mostly by smoking. One should quit smoking to reduce their chances of getting it and if they already have it, to reduce the severity of symptoms. The two main forms of COPD are emphysema and chronic bronchitis. A variety of tests may be used in the diagnosis of COPD such as Spirometry and X-rays. Unfortunately, COPD has no known cure but treatment may include bronchodilators, oral steroids, long-term antibiotics, anti-inflammatory drugs, and even oxygen therapy, IV steroids, or use of a Bi-PAP.