Having small frequent meals with help with calorie increase because it will allow her to finish her small portions without feeling fatigue. @inproceedings{Teixeira2018PulmonaryRI, title={Pulmonary rehabilitation in copd: a case study}, author={P. Z. Teixeira and Carine Lumi}, year={2018} } The patient was submitted to a pulmonary function test with the following results after the administration of the bronchodilator: FEV1 0.92 (39.2% O'Donnell DE, Hernandez P and Kaplan A et al. A bit more about Jim: Medical history: COPD, FEV1 six weeks ago was 38% of normal predicted, recent CXR shows flattened diaphragm with increased AP diameter, appendectomy age 34, broken nose and broken right arm as a child. [, Faarc, Heuer Al PhD Mba Rrt Rpft. Documents 6419989 results. The patient is a 76-year-old female with a history of chronic obstructive pulmonary disease (COPD). In general, you should adjust BiPAP settings moderately. Damian Flanagan MB BS MWell, DipRACOG, Cert Mkting, is a GP on the Mornington Peninsula, After analysis, the results reveal Acute Respiratory Acidosis with mild hypoxemia. The body is compensating for lack of oxygen and is overstressed. Choose from 500 different sets of COPD case study flashcards on Quizlet. Case study patient with copd 1. While these values don’t help us diagnose the patient with a respiratory condition, it’s important to have a general understanding of what all of the lab values, signs, and symptoms can mean. Scribd members can share documents across the web, mobile devices, and social platforms such as Facebook and Twitter. Scribd is the world's largest social reading and publishing site. There are two key points to remember when treating a COPD patient. And once the patient is ready to be discharged, you want to ensure that you are sending them home with the tools and therapies that they need to stay healthy and avoid readmission. Chronic Obstructive Pulmonary Disease (COPD) is a name given to a group of degenerative lung conditions, such as emphysema, chronic bronchitis or asthma that cause difficulty in breathing. You can now get access to our Cheat Sheet Database for FREE — no strings attached. Severe exacerbations are related to a significantly worse survival outcome. The patient’s condition clearly appears to be getting worse due to an increased work of breathing. In general, the recommended initial BiPAP settings for an adult patient are as follows: So let’s say you initiate BiPAP with an IPAP of 10 cmH20, an EPAP of 5 cmH2O, a rate of 12, and an FiO2 of 32% since that is what they were previously receiving. BY NAWAL GALET 2. Shatoria Grant These findings are expected for COPD exacerbation but not appropriate. 1. He is sitting in the tripod position and continues to demonstrate pursed-lip breathing. Buscar Buscar 12th ed., Mosby, 2020. O Scribd é o maior site social de leitura e publicação do mundo. A case presentation of COPD ( Chronic Obstructive Pulmonary Disease ) Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Let’s say you start the patient with an FiO2 of 28% via an air-entrainment mask and titrate it up to 32% after no improvement is shown in the patient’s oxygenation status. Learn copd case with free interactive flashcards. COPD, Case Study #1 Author: test Keywords: COPD, Chronic Obstructive Pulmonary Disease, case study, patient care Last modified by: Shannon Ikerd Created Date: 10/13/2011 5:24:00 PM Note: The current price reflects a 30% discount to support education during the COVID-19 crisis. [. pathophysiology. After 30 minutes, the physician requests for another ABG to be drawn. One of the most difficult aspects of being a Respiratory Therapy Student is trying to apply what you learn in the classroom to real-life clinical scenarios. Date of Birth 03/14/45 68 year old , white male Another blood gas was collected and the results show a PaCO2 of 65 mmHg and a PaO2 of 59 mmHg. Pulmonary function testing showed significant restrictive lung disease that was thought to be secondary to the patient’s chronic obstructive pulmonary disease (COPD). 8th ed., Mosby, 2017. Hopefully you found this clinical scenario to be helpful. Douglas S. Paauw, MD. One study of patients reviewed at 14.5 years after stopping smoking showed that smoking cessation intervention showed 18% reduction in all-cause mortality compared with usual care without smoking cessation intervention. While COPD is a mainly chronic disease, a substantial number of patients suffer from exacerbations. This indicates that the patient needs further assistance with both ventilation and oxygenation. Describe a plan for implementing these physician's orders. ...A Case Study on Chronic Obstructive Pulmonary Disease Elmer P. Samoy, RN Case Summary History A case of a 68 y/o White male, who sought consult primarily for evaluation and management of severe dyspnea. COPD is defined as pulomary disease that causes chonic obstruction of airflow from the the lungs. Share your impressions in our latest COPD case study. 10th ed., Mosby, 2019. His wife is present in the room and revealed that Mr. Doe has a history of liver failure, is allergic to penicillin, and has a 15 pack-year smoking history. by Respiratory Therapy Zone | Clinical Sims Exam. Shatoria Grant These findings are expected for COPD exacerbation but not appropriate. COPD mainly affects middle-aged and older people who do/have smoked [1]. ...A Case Study on Chronic Obstructive Pulmonary Disease Elmer P. Samoy, RN Case Summary History A case of a 68 y/o White male, who sought consult primarily for evaluation and management of severe dyspnea. 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