Answered: 1. Which inhaler will you advise the… | bartleby

Body Structures & Functions

Body Structures & Functions

12th Edition

ISBN:9781285695495

Author:Scott

Publisher:Scott

Chapter17: Respiratory System

Section: Chapter Questions

Problem 1M

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Question

Mrs. Jones, a 59-year-old white female greeted you at the door with complaints of shortness of breath
after cleaning her dusty closet. You are seeing her for a home visit because she was just discharged
from the hospital for exacerbation of her chronic obstructive pulmonary disease (COPD). She had
similar symptoms approximately a week and a half ago from an exacerbation of her COPD. Mrs. Jones
past medical history is significant for coronary artery disease, myocardial infarction, COPD,
hypertension, peripheral vascular disease, tobacco usage, and obesity. You heard wheezing on
expiration when you auscultated her chest. The patient has two metered dose inhalers (MDI) prescribed
to her- Proventil inhaler 2 puffs every 4-6 hours and Beclomethasone Dioprionate inhaler two puffs,
once daily. Her other medications aside from the MDI's, include hydralazine 50 mg by mouth, 3 times
per day, hydrochlorothiazide 25 mg by mouth daily, aspirin 81 mg by mouth daily, clopidogrel 75 mg by
mouth daily, and isosorbide mononitrate 60 mg by mouth daily.
1.
Which inhaler will you advise the patient to take at this moment? Why?

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Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of chronic obstructive pulmonary disease (COPD). Today, he presents to the emergency department with reports of shortness of breath and difficulty breathing. He in respiratory distress with retracting respirations of 26 breaths/min, BP is 154/76 mm Hg, pulse is 120 beats/min, and temperature is 37°C. His skin color is pale gray, his chest is barrel-shaped, and he uses accessory muscles to breathe; he appears anxious and is sitting in a tripod position. His nail beds are bluish in color; his oxygen saturation by pulse oximetry is 72%. Chest auscultation reveals wheezes and decreased-to-absent breath sounds in bilateral bases. Hyperresonance is noted upon chest wall percussion. Chest x-ray showed atelectasis bilaterally in the bases. Mr. Ritter coughs with minimal amounts of clear sputum. (Learning Objectives 5 and 8) Nursing Diagnosis 1: Goals: (Expected Outcome, long and short term)…
Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of chronic obstructive pulmonary disease (COPD). Today, he presents to the emergency department with reports of shortness of breath and difficulty breathing. He in respiratory distress with retracting respirations of 26 breaths/min, BP is 154/76 mm Hg, pulse is 120 beats/min, and temperature is 37°C. His skin color is pale gray, his chest is barrel-shaped, and he uses accessory muscles to breathe; he appears anxious and is sitting in a tripod position. His nail beds are bluish in color; his oxygen saturation by pulse oximetry is 72%. Chest auscultation reveals wheezes and decreased-to-absent breath sounds in bilateral bases. Hyperresonance is noted upon chest wall percussion. Chest x-ray showed atelectasis bilaterally in the bases. Mr. Ritter coughs with minimal amounts of clear sputum. (Learning Objectives 5 and 8) What is the pathophysiology related to this disease process in the aging…
LF, a 34 year old white male, presented to the emergency room complaining of acute and severe shortnessof breath and intense chest tightness. LF’s speech was choppy and breathing was very rapid and erratic,punctuated by noticeable wheezing. LF’s medical records included the results of pulmonary functiontesting he had undergone six months beforeHis medical records also indicated prior admission for respiratory symptoms and a history of poorly-controlled asthma.LF received high-dose bronchodilator medication through use of a valved holding chamber. This wasfollowed by intravenous glucocorticoids and nebulized bronchodilators every two hours for a twelve-hourperiod, followed by nebulized bronchodilators every four hours for a forty-eight hour period.After discharge from the hospital, LF was provided a take-home flow meter to monitor his lung function.Table 4 shows LF’s PEFR results during a 30-day period.Table 4. Peak flow monitoring from day 1-30 post-discharge. All PEFR values are given…
Your patient presents with wheezing, coughing and increased respiration in Ashford's. This occurred following inhalation of chlorine gas. What pathological process is involved?Asthmatic attack caused by your chance. Atelectasis secondary to chlorine gas explosion.

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