After aggressive bronchial hygiene therapy and lung expansion therapy, the patient's FEV(1) (increased____; decreased___; remained the same____), and the RV (increased____; decreased____; remained the same____)
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After aggressive bronchial hygiene therapy and lung expansion therapy, the patient's FEV(1) (increased____; decreased___; remained the same____), and the RV (increased____; decreased____; remained the same____)
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- 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…The patient's condition was compromised by the presence of a decreased pH (7.25) and an increased (Pa(co2)) (72 mm Hg), which caused the oxyhemoglobin dissociation curve to shift to the ______.Using the following lung volumes, calculate this persons FEV1 / FVC ratio. What this person's pulmonary function be clinically classified: normal, obstructive, or restricted? TLC = 5.2 L FVC = 3.8 TV = 0.5 L ERV = 1.1 L IRV = 2.2 L This person forcefully expired 2.4 L in one second. according to reference material, normal VC for this person is 3.6 L.
- The metal present in the haemoglobin is _______.A male patient has presented with the following results for spirometry and plasma Po2. What is your diagnosis? (Use your lecture notes to derive the normal range for these parameters. Also note that usually plasma O₂ is determined by saturation percentage, not Po2, but humour me here). Parameter Vital Capacity FEV₁ FVC Arterial Po2 Venous Po2 COPD Value 4340 ml 3310 ml 4120 ml O Pulmonary fibrosis Pulmonary oedema 86 mmHg 34 mmHg O Methemoglobinaemia (causes a leftward shift in the oxygen-haemoglobin dissociation curve)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 before (Table 1).Table 1. Pre- vs post-bronchodilator spirometry at baselinePre-Bronchodilator (L) Post-Bronchodilator (L) Predicted Normal (L)FEV1 3.22 4.25 5.55FVC 5.20 5.52 6.51His medical records also indicated prior admission for respiratory symptoms and a history of poorly-controlled asthma. Blood gas tests were performed shortly after LF was admitted (Table 2) and a PEFR(peak expiratory flow rate) test performed. The latter revealed a PEFR of 181 L/min (normal: 525 L/min).LF additionally had serum creatinine measured at admission and at 12h post-admission (Table 3).Table 2. Blood gas values upon admissionAdmission + 2h +4h +6h +8h +10h +12hPaO2…
- A client is diagnosed with polycythemia vera and has a hemoglobin of 19g/dL. Which of thefollowing statement indicate the client understand the teaching provided?a. “I should keep my lower extremities in a dependent position.”b. “I should limit my fluid intake to 1-2 liters per day.“c. “I should wear constrictive clothing and support stockings.”d. “I should use an electrical razor and soft bristled toothbrush.12) A 68-year old male patient has a history of long-term heavy smoking for more than 30 years, a history of chronic bronchitis for 17 years, and dyspnea with progressive aggravation in the past 3 years. Chest x-ray examination showed:The brightness of lung field increased, and the vascular texture around lung field decreased and became fine The patient's lung function test results are most likely to be() A FEV1/FVC40% B FEV1/FVC75%,RV/TLC75%,RV/TLC>40% E RV/TLC>40%,FEV1 accounted for 90% of the estimateA female patient has presented with the following results for spirometry and plasma Po2. What is your diagnosis? Parameter Vital Capacity FEV₁ FVC Arterial Po2 Venous Po2 COPD O Pulmonary fibrosis Pulmonary oedema Value 3160 ml 2420 ml 3020 ml 100 mmHg 53 mmHg O Methemoglobinaemia (causes a leftward shift in the oxygen-haemoglobin dissociation curve)
- We discussed in class that lower limb surgery (like knee replacement or vascular graft implantation) is a major risk factor for pulmonary embolism. Explain why. (minimum 30 words)Write a big note on the respiratory system. It'd be best if the material is not mostly from the internet.Don Paladio had been a pharmacist in New York City. He retired to Florida and spent the better part of everyday swimming in the Gulf. He was healthy and strong. Gradually, however, his years of smoking began to compromise his lung's capacity. Soon, he could not swim at all. He enjoyed the beach from under his umbrella. Eventually, the trips to the beach were not possible. The diagnosis was pulmonary emphysema and COPD. Oxygen was needed, and his activities were diminished to cooking dinner for his wife and himself. Don was embarrassed about the oxygen tank and would no longer go out in public. He died when he was 85. 1.Discuss the impact of both diseases in Don's life 2.What, if anything, could have been done to make his suffering less difficult? 3.Identify characteristics of such long-term chronic illnesses that are particularly difficult. ***INCLUDE CITATIONS IN MLA 9TH EDITION PERDUE OWL***