Gladys ARDS case 2019.docx - Case Study Acute Respiratory...

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Case Study: Acute Respiratory Failure and Management Each Question is 0.5 Points Gladys Conn, a 74 year-old female, is admitted to the critical care unit in acute respiratory failure. G.C. has a 15-year history of chronic obstructive pulmonary disease (COPD). She smoked 2 packs of cigarettes/day for over 50 years. She quit just 4 years ago after suffering a myocardial infarction (MI) and undergoing a triple coronary artery bypass graft (CABG) surgery. Her past medical history is positive for hypertension, glaucoma, type 2 diabetes, and coronary artery disease. She also suffers from atypical musculoskeletal chest pain occurring after her CABG surgery. Her current medications include: Metoprolol 100 mg big Fluticasone/salmeterol (Advair) one inhalation bid Albuterol/ipratropium 3 mL via nebulizer every 4 hrs prn Glyburide 5 mg daily Codeine 30 mg po prn pain Lorazepam 1 mg po prn for anxiety Betaxolol ophthalmic drops G. C. contracted acute viral pneumonia 3 weeks ago. She had completed a 10-day antibiotic prescription but her dyspnea has become progressively worse. Initially she was able to function by using her nebulizer treatments every 3 hours. However, a 3:00 PM today her husband called 911 when G. C. stated, “I can’t breathe.” Before planning care for G. C. you review the underlying pathophysiology for G. C.’s respiratory failure. Realizing that many patients suffer from a combination of hypoxemic and hypercapnic failure, you review both classifications. Match the correct causes with the corresponding type of failure.
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  • Spring '12
  • Acute respiratory distress syndrome, chest x-ray, G. C.

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