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Assessment 11
. How is the pathogenesis of acute (adult) respiratory distress syndrome similar to that of infant respiratory distress syndrome?.
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- Case Study 2Respiratory DrugsBrett is a 12 y/o boy with a history of asthma, diagnosed 2 years ago. He is an outgoing, active boy and participates in a swim club and soccer, but he has a difficult time adjusting to the limitations of his asthma. He has learned to control acute attacks by using albuterol (Proventil) metered-dose inhaler, and because his asthma is often triggered by exercise, he has been using a budesonide (Pulmicort) inhaler and taking montelukast (Singulair). After competing in his swim meet at the local indoor pool, Brett began experiencing respiratory distress. He alerted his coach, who retrieved the albuterol inhaler from Brett’s backpack. After two inhalations, Brett was still in distress and the rescue team was called.On admission to the emergency department, Brett is in obvious distress with pulse oximeter readings of 90% to 91%. He has nasal flaring and bilateral wheezing is heard in is his lung fields, pulse rate is 122 beats/min, and he is orthopneic.…1. Describe assessment findings and lab values consistent with hypovolemia.Case Study 3:An 18-year-old man with no significant past medical history presented to the emergencydepartment with a history of cough and shortness of breath with exertion, along withsubjective fevers, chills, and rigors. He was noted to be hypoxic (low oxygen saturation level)on examination. The chest X-ray showed bilateral infiltrates in a diffuse butterfly patterninvolving both central lung fields. The patient reported a history of IV drug use, with frequentsharing of needles.Diagnosis: PCP PneumoniaCase study presentation should include the following:1. Case2. Patient initials (Ex. 50-year-old man)3. History of the present illness (Symptoms and may include the physical exam of the patient)4. Chief Complaints (Ex. Morning stiffness in his joints for over a year)5. Diagnosis and Causative agent6. Pathophysiology7. Treatment and Management8. ReferencesPossible answer: Chief complaint: Cough and shortness of breath Diagnosis: PCP Pneumonia Causative Agent: Pneumocystis jirovecii…
- Answer quickly? Whatfeatures of cystic fibrosis lung illness are the focus of current treatments?State 4 diagnostic tests for respiratory conditions and 4 signs and symptoms associated with respiratory conditions10. State three common sources of trauma to the lungs, along with three nursing considerations for each.
- CASE STUDY 15.4 A disoriented 58-year-old man with a history of poorly controlled diabetes mellitus and chronic obstructive pulmonary disease presents to the ED. The patient has been smoking cigarettes for many years. He has been taking steroid medications for his pulmonary disease. Physical examination shows that he is slightly febrile, lethargic, and respiratory failure. A diagnosis of meningitis is being considered. A lumbar puncture is done, and cerebrospinal fluid (CSF) is collected for a smear and culture. Laboratory Data A CSF specimen is collected and sent to the laboratory. A cytocentrifuged preparation of the CSF is stained, using calcofluor white for yeast by staining the yeast cell walls. The smear shows encapsulated, thick-walled budding yeasts. A cryptococcal antigen test is completed and is positive. The culture of CSF identifies Cryptococcus neoformans. Multiple Choice Questions Fungi are widespread in the environment but rarely cause central nervous system (CNS)…Briefly explain 8 ways to prevent asthma attackCASE STUDY 42-2 Mary O'Keefe has brought her 3-year-old son Chris to Inner City Health Care with a temperature of 102 degrees * F and an extremely sore and red throat. He is irritable and crying. After examining Chris, Dr. King orders a quick test for group A Streptococcus. Medical assistant Joe Guerrero, CMA (AAMA), has a difficult time acquiring the throat swab for the test because of Chris's condition. The test is run, and the results are negative. CASE STUDY REVIEW 1. How can Joe display his professionalism skills while obtaining the sample? 2. What could be some reasons the test result is negative? 3. What other procedure can be done to diagnose strep throat? 4. How would the test in question 3 be set up?
- 15. Lung compliance study Part /: If a patient generates a negative pleural pressure change of -8 cm during inspiration, and the lungs accept a new volume of 630 mL, what is the compliance of the lungs? Part II: If the same patient, 6 hours later, generates a pleural pressure of -12 cm during inspiration, and the lungs accept a new volume of 850 mL, what is the compliance of the lungs? Part III: In comparing Part II to Part I, the patient's lung compliance is A. increasing. B. decreasing.Describe the clinical observations involved in a comprehensive respiratory assessment. Include a minimum of 5 points.What are 3 interventions with rationale for a patient with impaired gas exchange due to lung cancer.
