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NURS 5315 / NURS5315 Module 6 Case study PULMONARY (GRADED A+)
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NURS 5315 / NURS5315 Module 6 Case study PULMONARY (GRADED A+) / NURS 5315 / NURS5315 Module 6 Case study PULMONARY (GRADED A+)
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Running head: CASE STUDY 3: PULMONARY 1Case Study 3: Pulmonary
Amanda Welch
The University of Texas at Arlington College of Nursing
In partial fulfillment of the requirements of
NURS 5315: Advanced Pathophysiology
John D. Gonzalez DNP, RN, ACNP-BC, NP-C
June 29, 2019
This study source was downloaded by 100000827506713 from CourseHero.com on 02-08-2022 03:14:27 GMT -06:00
https://www.coursehero.com/file/44803393/Module-6-Case-study-3docx/
, CASE STUDY 3: PULMONARY 2
1. The clinical scenario is most consistent with which diagnosis? You may simply list your
answer below using a bullet point format. This does not have to be in a complete
sentence.
Chronic obstructive pulmonary disease (COPD)
Emphysema
2. What data in the clinical scenario supports your diagnosis? Make sure to interpret the lab
results you list. You may simply list your answers below using a bullet point format. This
does not have to be in a complete sentence. Interpret the labs that you list as part of your
answer by indicating normal, high or low.
No specific lab value is noted but key findings are indictive of COPD
Dyspnea on exertion: slowly progressively getting worse over the year
Non-productive minor cough
Smokes 1-2 packs a day of cigarettes last 25 yrs.; # 1 risk factor
Thin stature; systemic effects of chronic inflammation and expenditure of calories
due to increased work of breathing
High respiratory rate of 24; normal is 12-20
Oxygen sats are low 89%; normal is 90% and above;
Using pursed lip breathing; helps with preventing expiratory airway collapse
Using tripod positioning; to increase lung capacity
Chest is barrel shaped; due to the lungs chronically being over inflated with air
Lung sounds are bilaterally diminished with expiratory wheezes
Fingernail clubbing; pathogenesis is unknown
CXR lungs show hyperinflation; caused by air trapping
3. What risk factor(s) led to this person’s diagnosis? You may simply list your answer below
using a bullet point format. This does not have to be in a complete sentence.
Smokes 1-2 packs a day of cigarettes last 25 yrs.
Age; patient is over the age of 45
4. Describe the key pathophysiologic concepts of the diagnosis in question 1. To answer this
question completely, you must answer all of the sub-questions below using complete
sentences. Each sub-question may be answered in 1-6 sentences.
a. What is the pathological difference between restrictive and obstructive lung disease? Is
the diagnosis in question 1 a restrictive of obstructive process?
Restrictive lung disease is described as a decrease in lung tissue compliance. This
is when it takes more effort or work to expand the lungs during inspiration
(McCance & Huether, 2019). Obstructive lung disease described as an airway
This study source was downloaded by 100000827506713 from CourseHero.com on 02-08-2022 03:14:27 GMT -06:00
https://www.coursehero.com/file/44803393/Module-6-Case-study-3docx/
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