The following clinical presentation is designed to assess your ability to anticipate a serious complication of a relatively common medical condition obstructive sleep apnea. Most people think this condition leads to daytime somnolence and fatigue so basically an inconvenience for the sufferer and for those with whom he/she interacts. in reality sleep apnea whether central or obstructive can be life-threatening. With the alteration in ventilation as you have described, what changes would you anticipate in the pulmonary circulation ?

The following clinical presentation is designed to assess your ability to anticipate a serious complication of a relatively common medical condition obstructive sleep apnea. Most people think this condition leads to daytime somnolence and fatigue so basically an inconvenience for the sufferer and for those with whom he/she interacts. in reality sleep apnea whether central or obstructive can be life-threatening. With the alteration in ventilation as you have described, what changes would you anticipate in the pulmonary circulation ?

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach

5th Edition

ISBN:9781285244662

Author:White

Publisher:White

Chapter24: Noninvasive Positive-pressure Ventilation

Section: Chapter Questions

Problem 10SEPT

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The following clinical presentation is designed to assess your ability to anticipate a serious complication of a relatively common medical condition obstructive sleep apnea. Most people think this condition leads to daytime somnolence and fatigue so basically an inconvenience for the sufferer and for those with whom he/she interacts. in reality sleep apnea whether central or obstructive can be life-threatening. How will repeated episodes of apnea affect lung ventulation i.e air change?
The following clinical presentation is designed to assess your ability to anticipate a serious complication of a relatively common medical condition obstructive sleep apnea. Most people think this condition leads to daytime somnolence and fatigue so basically an inconvenience for the sufferer and for those with whom he/she interacts. in reality sleep apnea whether central or obstructive can be life-threatening. How would the changes you described the change in the pulmonary circulation affect heart funtion? including the " side of the heart will affect the most?
The following clinical presentation is designed to assess your ability to anticipate a serious complication of a relatively common medical condition obstructive sleep apnea. Most people think this condition leads to daytime somnolence and fatigue so basically an inconvenience for the sufferer and for those with whom he/she interacts. in reality sleep apnea whether central or obstructive can be life-threatening. How would the changes you describe in pulmonary circulation then affect blood pressure in the pulmonary circulation?
A event At 11 p.m., a patient is admitted to the Emergency Department (ED) with a respiratory rate of 44 breaths/minute and SaO2 85%. They are anxious with audible wheezes. The patient is immediately given nebulised Salbutamol follow by oxygen via face mask and Hydrocortisone intravenously (I.V). 1. Explain the reason for Intravenous (I.V) Hydrocortisone.
Patient ML, a 63YO male, has been in and out of the hospital due to right lung abscess. Antibiotic regimens have already been exhausted and were futile. Right lung lobectomy is being contemplated. Which lung impression will be totally obliterated after lobectomy has been performed? An electrical linesman has sustained a blunt injury with hematoma formation on the chest wall after electrocution and falling off from suspension on a 12 feet line post. Upon physical examination at the ER, nurse noted diffculty of breathing secondary to inefficient rib elevation upon inspiration. Which of the following muscles are expected to be spared? Patient JZ, 68-year-old woman with uterine carcinoma, undergoes surgical resection. This cancer can spread directly to the labia majora in lymphatics that follow which of the following structures?
The respiratory system is involved in many diseases. Pulmonary Function tests represent a significant tool in our ability to evaluate and diagnose pulmonary conditions. Please discuss all of the components of pulmonary function testing, and discuss the findings one would see with a particular diagnosis of your choosing (asthma, COPD, emphysema, left sided heart failure, cor pulmonale, etc).
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…
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)…
Stan has poorly controlled chronic obstructive pulmonary disease and has suffered from frequent bouts of aspiration pneumonia. During your clinical evaluation at bedside, you notice that Stan is on oxygen and exhibits a rapid breathing rate. He complains of dyspnea, or air hunger, during tidal breathing that worsens upon physical exertion. Stan also complains that his dyspnea worsens during meals. Given Stan's history of frequent aspiration pneumonia, what reason might consider as a primary cause?
At 11 p.m., a patient is admitted to the Emergency Department (ED) with a respiratory rate of 44 breaths/minute and SaO2 85%. They are anxious with audible wheezes. The patient is immediately given nebulised Salbutamol follow by oxygen via face mask and Hydrocortisone intravenously (I.V). 1. Explain the reason for Intravenous (I.V) Hydrocortisone
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 estimate
PROFILE OF PATIENT Mr. Asare is a 75-year-old male admitted with an exacerbation of chronic obstructive pulmonary disease (emphysema) at Korle-Bu Teaching Hospital. He has been keeping the head of the bed up for most of the day and night to facilitate his breathing which has resulted in lower back pain. Acetaminophen (Tylenol) was not effective in reducing his pain, so the health care provider has prescribed oxycodone/acetaminophen (Percocet) one to two tablets PO every four to six hours as needed for pain. Mr. Asare is on 2 liters of oxygen by nasal cannula. He can receive respiratory treatments of albuterol (Proventil, Ventolin) every six hours as needed. Mr. Asare needs someone to walk beside him when he ambulates because he has an unsteady gait and often needs to stop to catch his breath. CASE STUDY The nurse enters the room and finds Mr. Asare hunched over his bedside table watching television. He says this position helps his breathing. His lung sounds are clear but diminished…