Respiratory Assignment This patient is a 75 year old male with a history of emphysema, coronary artery disease and benign prostatic hypertrophy. His BPH was treated with a TURP three years ago. He had a triple CABG two years ago. Patient reports smoking 2 packs per day until 2 years ago. He has been oxygen dependent for the last two months. He was admitted for an episode of vertigo which caused him to fall. His son brought him to the Emergency Department when he developed paresthesia on the left side and his speech became slurred. He also demonstrated dysphagia and incontinence of urine. These symptoms resolved before they arrived at the Emergency Department. He has had no history of headaches but continues to have dizziness. Patient was admitted and experienced a right-sided CVA the following morning. Intravenous thrombolytic therapy was administered immediately, but the patient remains with a left hemiparesis. The patient demonstrates a minimal amount of ataxia on walking, but there are not other neurologic findings. The neurologist ordered and reviewed CT scans of the head and intracranial MRIs. Cerebral hemorrhage was ruled out. Laboratory findings included mild hypercholesterolemia. CXR revealed hyperinflation. There is no evidence of peripheral edema or abdominal distention. Define the following terms: emphysema_______________________________________________________ benign prostatic hypertrophy________________________________________ CABG ___________________________________________________________ vertigo ___________________________________________________________ paresthesia _______________________________________________________ dysphagia ________________________________________________________ incontinence ______________________________________________________ CVA ____________________________________________________________ Intravenous ______________________________________________________ thrombolytic _____________________________________________________ hemiparesis ______________________________________________________ ataxia ___________________________________________________________ intracranial ______________________________________________________ Cerebral hemorrhage ______________________________________________ hypercholesterolemia _______________________________________________ CXR _____________________________________________________________ hyperinflation _____________________________________________________ peripheral ________________________________________________________ edema ___________________________________________________________ distention ________________________________________________________ Describe the condition of the patient including comorbidities and present/current symptoms.
Emphysema - The medical term “emphysema” means a respiratory tract abnormality characterized by the overstretching of alveoli.
Benign prostatic hypertrophy - The abbreviation “BPH” means benign prostatic hypertrophy. It refers to an abnormal noncancerous enlargement of prostate gland, this is commonly seen in case of older adults after 60 years of age.
CABG - The abbreviation of “coronary artery bypass graft” is, “CABG.” The other name for CABG is, “open heart surgery.” CABG is used to divert the blood flow around occluded arteries.
Vertigo - The medical term for dizziness is, vertigo. The victim may feel woozy, light-headed, or their thought process becomes a dreamlike state. A true vertigo involves a hallucination of motion, and disturbance of the victim’s sense of balance.
Parasthesia - Abnormal dermal sensation
Dysphagia - The medical term “dysphagia” means pertaining to difficulty in or painful swallowing.
Incontinence - Lack of voluntary control over urination
CVA - The abbreviation “CVA” refers to “Cerebrovascular Accident.” Cerebral stroke or CVA is an emergency condition characterized by the death of focal brain tissue due to insufficient oxygen supply.
Intravenous - Means, into the veins
Thrombolytic - Drugs that lyse or dissolve the blood clot
Hemiparesis - The term “hemiparesis” means, slight paralysis of one side of the body. The root word “paresis” also mean “paralysis or partial paralysis.”
Ataxia - Ataxia means lack of muscle coordination.
Intracranial - Within the brain
Cerebral hemorrhage - Hemorrhage within the cerebrum of the brain
hypercholesterolemia - Increased blood cholesterol levels
CXR - The abbreviation “CXR” refers to “Chest X Ray.” CXR is used to examine the lungs. Posteroanterior (PA) chest x-ray is the most typical type of x-ray.
Hyperinflation - Lungs with more air entrapped within them than the usual
Respiratory Assignment This patient is a 75 year old male with a history of emphysema, coronary...
Respiratory Assignment This patient is a 75 year old male with a history of emphysema, coronary artery disease and benign prostatic hypertrophy. His BPH was treated with a TURP three years ago. He had a triple CABG two years ago. Patient reports smoking 2 packs per day until 2 years ago. He has been oxygen dependent for the last two months. He was admitted for an episode of vertigo which caused him to fall. His son brought him to the...
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