9-year-old girl presents to your pharmacy. Her mother tells you that the child has been generally healthy; however, she does seem to become excessively winded when she plays soccer or any other sports. The patient agrees with her mother, telling you that she never feels like she can play as long as the other children because it becomes hard to breathe. You see that her physician has ordered an inhaler for her that will produce bronchodilation via the stimulation of adrenergic receptors on the smooth muscle of the bronchioles. What type of drug bel

9-year-old girl presents to your pharmacy. Her mother tells you that the child has been generally healthy; however, she does seem to become excessively winded when she plays soccer or any other sports. The patient agrees with her mother, telling you that she never feels like she can play as long as the other children because it becomes hard to breathe. You see that her physician has ordered an inhaler for her that will produce bronchodilation via the stimulation of adrenergic receptors on the smooth muscle of the bronchioles. What type of drug bel

Intro To Health Care

4th Edition

ISBN:9781337338295

Author:Mitchell

Publisher:Mitchell

Chapter7: Structure And Function Of The Human Body

Section: Chapter Questions

Problem 1AE

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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?
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)…
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***
Alan has been smoking for the past 20 years and has been experiencing some shortness of breath and a cough. His physician, Dr. Anthony, sees him. The physician orders a lung capacity test and a chest X-ray. Explain COPD and emphysema.
Sylvia Gaylord works as a paralegal on the 12th floor of a tall glass-and-steel monument to modern architectural technology. On a clear days,views are spectacular. From her cubicle, Sylvia 's eye catches the edge of the beautiful blue-and -white skyscraper assembly reaches for her inhaler. Unfortunately this is the third asthma attack she has experienced since she returned from lunch four hours ago-her asthma is really bad today. But if she leaves work early again her boss will write her up for it. Sylvia concentrates on breathing normally. Her roommate, Kelly, is a respiratory therapist at the county hospital. Kelly says Sylvia 's asthma attacks are probably triggered by city's high level of air pollution and high levels of pollen. That can't be true. They both run in the park every morning before work, and Sylvia rarely needs to use her inhaler then.Her problems start when she gets to work. The wheezing and coughing were so bad today that by the time she got up the elevator and…
Sylvia Gaylord works as a paralegal on the 12th floor of a tall glass-and-steel monument to modern architectural technology. On clear days, the views are spectacular. From her cubicle, Sylvia's eye catches the edge of the beautiful blue-and-white skyscraper as she reaches for her inhaler. Unfortunately, this is the third asthma attack she has experienced since she returned from lunch four hours ago—her asthma is really bad today. But if she leaves work early again, her boss will write her up for it. Sylvia concentrates on breathing normally. Her roommate, Kelly, is a respiratory therapist at the county hospital. Kelly says Sylvia's asthma attacks are probably triggered by the city's high level of air pollution and high levels of pollen. That can't be true. They both run in the park every morning before work, and Sylvia rarely needs to use her inhaler then. Her problems start when she gets to work. The wheezing and coughing were so bad today that by the time she got up the elevator and…
Alan has been smoking for the past 20 years and has been experiencing some shortness of breath and a cough. His physician, Dr. Anthony, sees him. The physician orders a lung capacity test and a chest X-ray. Is there any surgical procedure for emphysema?
A patient was admitted to the hospital with chronic obstructive pulmonary disease. His PO2 was 55 and PCO2 was 65. A new resident orders 54% oxygen via the Venturi mask. One hour later , after the oxygen was placed, the nurse finds the patient with no respiration or pulse. She calls for a Code Blue and begins cardiopulmonary resuscitation(CPR) . Explain why the patient stopped breathing .
You are dispatched to a shopping mall for a 8 year old boy that is short of breath. On arrival you find the following:8 year old child sitting next to his mother, he is slumped forward and appears to be in respiratory distress. He looks cyanotic.Respiratory rate is 22bpmHeart rate is 112bpmSpO2 is 88%BGL is 6mmol/LHis mother says that his inhaler is empty and he become very short of breath after running around the mall. He weighs 32kg.As per the Clinical Practice Guidelines (CPG's), discuss your treatment for this child having moderate bronchospasm. Include all management, medications and correct dosages for his weight.
You are taking care of a 28 year old woman with pneumonia in the hospital. She had been on a ventilator on 100% oxygen for just about 30 hours now. List the physical changes that will occur in the lungs with this extended exposure.
Mrs. Jones, a 59-year-old white female greeted you at the door with complaints of shortness of breath after cleaning her dusty closet. You are seeing her for a home visit because she was just discharged from the hospital for exacerbation of her chronic obstructive pulmonary disease (COPD). She had similar symptoms approximately a week and a half ago from an exacerbation of her COPD. Mrs. Jones past medical history is significant for coronary artery disease, myocardial infarction, COPD, hypertension, peripheral vascular disease, tobacco usage, and obesity. You heard wheezing on expiration when you auscultated her chest. The patient has two metered dose inhalers (MDI) prescribed to her- Proventil inhaler 2 puffs every 4-6 hours and Beclomethasone Dioprionate inhaler two puffs, once daily. Her other medications aside from the MDI's, include hydralazine 50 mg by mouth, 3 times per day, hydrochlorothiazide 25 mg by mouth daily, aspirin 81 mg by mouth daily, clopidogrel 75 mg by mouth daily,…