Q.9. A 65-year-old Caucasian man presents to the clinic for his annual physical examination. Since his last visit,he has noticed progressive worsening of his breathlessness. He can only walk about twenty yards on flat groundwithout having to stop and get his breath back. He has a 30-year history of smoking two packs of cigarettes perday He is noted to be using accessory muscles for respiration. Wheezing on expiration is noted uponauscultation.If compliances of lung (CL), chest wall (CCW) and respiratory system (CRS) of this patient were measured andcompared to corresponding compliances of a healthy person at the same lung volumes, which of the followingcombinations of changes in these parameters will most likely reflect this patient's condition?CowDecreasedA. 1B. 2C. 3D. 4E. 5F. 6123456CLIncreasedIncreasedDecreasedDecreasedNo changeNo changeNo changeIncreasedNo changeIncreasedDecreasedCasNo changeIncreasedNo changeDecreasedIncreasedDecreased

Dyspnea: Shortness of breath (SOB), sometimes referred to medically as dyspnea or dyspnoea. is the…

Answered: Q.9. A 65-year-old Caucasian man…

Comprehensive Medical Terminology

4th Edition

ISBN:9781133478850

Author:Jones

Publisher:Jones

Chapter11: The Respiratory System

Section: Chapter Questions

Problem E1CRE

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Restrictive airway diseases. increase the compliance of the lung decrease the compliance of the lung increase the lung volume decrease the work of breathing
Describe age-related differences that influence thecare of patients with oxygenation problems.
S.M. is a 25-year-old man in the clinic today for worsening shortness of breath. He smoked one pack of cigarettes per day from ages 18-20, but states he has not smoked in 5 years. Physical examination reveals a thin man in moderate respiratory distress. There is marked increase in the anteroposterior diameter, distant lung sounds, and occasional expiratory wheeze. Blood gases on room air are as follows: pH 7.42, PaCO2 40, PaO2 71, HCO3- 26. Select a potential diagnosis for S.S. and describe the pathophysiology of that diagnosis. How does the pathophysiology explain S.S.’s physical exam and lab findings?
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56. A 70-year-old man is brought to the emergency department because of severe shortness of breath for 4 hours. He has had fatigue for 6 months and moderate shortness of breath for 2 weeks. On arrival, he is pale and diaphoretic and is seated straight upright on the stretcher. His respirations are 30/min, and blood pressure is 110/90 mm Hg. Inspiratory moist crackles are heard over the posterior lower half of the lung fields. There is mild pedal edema. An increase in which of the following is the most likely cause of this patient's dyspnea? ↑P₂ OA) Capillary diffusion coefficient B) Capillary hydrostatic pressure OC) Capillary oncotic pressure D) Interstitial hydrostatic pressure E) Interstitial oncotic pressure
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C.M. is a 69-year-old female who presents to the emergency department with shortness of breath. Subjective data: PMH: HTN, hypothyroid Sudden onset shortness of breath Denies chest pain but reports chest tightness and cough Current smoker, 1 pack a day for 50 years Objective data: Vital signs: T 37 C, P 92, R 18, BP 144/64 Lungs: + inspirational wheeze upper and lower lobes, bilaterally O2 sat = 90% Skin cool to touch CV = heart rate regular, positive peripheral pulses Nose = + erythema, clear discharge Throat = erythema Medications: metoprolol 12.5 mg per day, Synthroid 0.50 mcg once per day Questions What other questions should the nurse ask about the shortness of breath? What other assessments are necessary for this patient? What are some of the causes of shortness of breath? Develop a problem list from objective and subjective data. What should be included in the plan of care? What risk factors are associated with this age group? Based on the readings, what is the most…

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