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Running head: CASE STUDY 3: PULMONARY1Case Study 3: PulmonaryAmanda WelchThe University of Texas at Arlington College of NursingIn partial fulfillment of the requirements ofNURS 5315: Advanced PathophysiologyJohn D. Gonzalez DNP, RN, ACNP-BC, NP-CJune 29, 2019
CASE STUDY 3: PULMONARY21.The clinical scenario is most consistent with which diagnosis? You may simply list youranswer below using a bullet point format. This does not have to be in a completesentence.Chronic obstructive pulmonary disease (COPD)Emphysema2.What data in the clinical scenario supports your diagnosis? Make sure to interpret the labresults you list. You may simply list your answers below using a bullet point format. Thisdoes not have to be in a complete sentence. Interpret the labs that you list as part of youranswer by indicating normal, high or low.No specific lab value is noted but key findings are indictive of COPDDyspnea on exertion: slowly progressively getting worse over the yearNon-productive minor coughSmokes 1-2 packs a day of cigarettes last 25 yrs.; # 1 risk factorThin stature; systemic effects of chronic inflammation and expenditure of caloriesdue to increased work of breathingHigh respiratory rate of 24; normal is 12-20Oxygen sats are low 89%; normal is 90% and above;Using pursed lip breathing; helps with preventing expiratory airway collapseUsing tripod positioning; to increase lung capacity