Module 6 Case study 3.docx - Running head CASE STUDY 3 PULMONARY 1 Case Study 3 Pulmonary Amanda Welch The University of Texas at Arlington College of

Module 6 Case study 3.docx - Running head CASE STUDY 3...

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Running head: CASE STUDY 3: PULMONARY 1 Case 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
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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
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