Why may increased RBC levels been seen in COPD patients? Why may a patient with emphysema...
Why may increased RBC levels been seen in COPD patients? Why may a patient with emphysema present with a barrel-chested appearance? Why may a patient with bronchitis present with cyanosis?
Homework Answers
“Chronic obstructive pulmonary disease (COPD)” is a group of conditions typically characterized by the persistent airflow obstruction in the lungs. COPD patients generally suffer from emphysema (breathing problems) and chronic bronchitis. The medical term “emphysema” means a respiratory tract abnormality characterized by the overstretching of alveoli. Emphysema is a type of COPD. The COPD patients have characteristic difficulty in breathing out than breathing in. This is because of the structural damage caused to the lung structures.
The victims of emphysema are often called, “pink puffers.” In this, the pink color comes from the overproduction of red blood cells. The victims appear thin (due to muscle wasting), with a barrel-shaped chest.
The RBC levels increase in COPD patients because the hypoxia conditions trigger the erythropoiesis. The barrel-chested appearance is due to the enlarged lungs as the alveoli become overstretched and the lungs remain overinflated that keep the ribcage elevated all the time.
Cyanosis is a condition characterized by the blue coloration of the skin due to low oxygen levels. Bronchitis or the inflammation of bronchi causes narrowing of bronchial passage, so the oxygen levels decrease and lead to cyanosis.
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Why may increased RBC levels been seen in COPD patients? Why may
a patient with emphysema...
Please help with highlighted questions Discuss factors that influence respiratory function in patients COPD; emphysema; respiratory...
Please help with highlighted questions
Discuss factors that influence respiratory function in patients COPD; emphysema; respiratory distress due to stroke, opioids, anesthetics, aneurysm; bronchitis, chronic asthma; hypoxemia What are the appropriate assessment techniques for patients with alterations in respiratory function Check oxygen saturation, laboratory and diagnostic findings for patients with an alteration in respiratory function (they said we don't have to worry about ABGs for this now?) Apply the nursing process for patients with alterations in respiratory function • vital...
subject- nutrition Mrs. Hernandez is a 72-year-old, underweight, African-American patient with a history of hypertension, depression,...
subject- nutrition
Mrs. Hernandez is a 72-year-old, underweight, African-American patient with a history of hypertension, depression, and chronic obstructive pulmonary disease (COPD). She was recently seen by her primary health care provider for signs of illness: fever, loss of appetite, fatigue, chills, and dyspnea. She was diagnosed with bronchitis and started on a bronchodilator and corticosteroid nebulizer treatments as well as an oral antibiotic. However, she continued to feel ill without improvement, and became very confused with increased shortness of...
Nutrition Case Study - Chronic Obstructive Pulmonary Disease Mrs. Hernandez is a 72-year-old, underweight, African-American patient...
Nutrition
Case Study - Chronic Obstructive Pulmonary Disease Mrs. Hernandez is a 72-year-old, underweight, African-American patient with a history of hypertension, depression, and chronic obstructive pulmonary disease (COPD). She was recently seen by her primary health care provider for signs of illness: fever, loss of appetite, fatigue, chills, and dyspnea. She was diagnosed with bronchitis and started on a bronchodilator and corticosteroid nebulizer treatments as well as an oral antibiotic. However, she continued to feel ill without improvement, and became...
Explain why the following may occur in a patient suffering from hemorrhagic trauma Decreased Hct/Hb Increased...
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Case #3 • A 80 years-old female diabetic patient with a fracture in hip has been...
Case #3 • A 80 years-old female diabetic patient with a fracture in hip has been confined to bed for the past 3 months. Results of an ancillary blood glucose test are 250 mg/dl and her physician orders additional blood tests and routine UA. • UA results are: • Microscopic exam: • 1-2 RBC/ hpf • 20-25 WBC/hpf • Many yeast cells and hyphae Pale yellow Bilirubin negative Color Appearance Sp. Gravity Blood Urobilinogen Nitrite leukocyte moderate normal negative hazy...
Case Study-Chronic Obstructive Pulmonary Disease Mrs. Hemandez is a 72-year-old, underweight, African-American pati...
Case Study-Chronic Obstructive Pulmonary Disease Mrs. Hemandez is a 72-year-old, underweight, African-American patient with a history of hypertension, depression, and chronic obstructive pulmonary disease (COPD). She was recently seen by her primary health care provider for signs of illness: fever, loss of appetite, fatigue, chills, and dyspnea. She was diagnosed with bronchitis and started on a bronchodilator and corticosteroid nebulizer treatments as well as an oral antibiotic. However, she continued to feel ill without improvement, and became very confused with...
Lipid Case Studies Three patients are seen in clinic: -Patient one is a 40 year old...
Lipid Case Studies Three patients are seen in clinic: -Patient one is a 40 year old man with hypertension, who also smokes, but has not been previously diagnosed with CHD. His father developed CHD at age 53 years. He is fasting, and the results of his lipids include a total cholesterol concentration of 210 mg/dL, triglycerides of 150 mg/dL, and an HDL cholesterol level of 45 mg/dL. He has a fasting glucose level of 98 mg/dL. -Patient two is a...
Chronic Obstructive Disease (COPD) D.Z., a 65-year-old man, is admitted to a medical floor for exacerbation...
Chronic Obstructive Disease (COPD) D.Z., a 65-year-old man, is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD; emphysema). He has a past medical history (PMH) of hypertension (HTN), which has been well controlled by enalapril (Vasotec) for the past 6 years, and a diagnosis (Dx) of pneumonia yearly for the past 3 years. He appears as a cachectic man who is experiencing difficulty breathing at rest. He reports cough productive of thick yellow-green sputum....
Lipid Case Studies Three patients are seen in clinic: -Patient one is a 40 year old man with hype...
Lipid Case Studies Three patients are seen in clinic: -Patient one is a 40 year old man with hypertension, who also smokes, but has not been previously diagnosed with CHD. His father developed CHD at age 53 years. He is fasting, and the results of his lipids include a total cholesterol concentration of 210 mg/dL, triglycerides of 150 mg/dL, and an HDL cholesterol level of 45 mg/dL. He has a fasting glucose level of 98 mg/dL. -Patient two is a...
Chronic Obstructive Disease (COPD) D.Z., a 65-year-old man, is admitted to a medical floor for exacerbation of his chro...
Chronic Obstructive Disease (COPD) D.Z., a 65-year-old man, is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD; emphysema). He has a past medical history (PMH) of hypertension (HTN), which has been well controlled by enalapril (Vasotec) for the past 6 years, and a diagnosis (Dx) of pneumonia yearly for the past 3 years. He appears as a cachectic man who is experiencing difficulty breathing at rest. He reports cough productive of thick yellow-green sputum....
Please help with highlighted questions
Discuss factors that influence respiratory function in patients COPD; emphysema; respiratory distress due to stroke, opioids, anesthetics, aneurysm; bronchitis, chronic asthma; hypoxemia What are the appropriate assessment techniques for patients with alterations in respiratory function Check oxygen saturation, laboratory and diagnostic findings for patients with an alteration in respiratory function (they said we don't have to worry about ABGs for this now?) Apply the nursing process for patients with alterations in respiratory function • vital...
subject- nutrition
Mrs. Hernandez is a 72-year-old, underweight, African-American patient with a history of hypertension, depression, and chronic obstructive pulmonary disease (COPD). She was recently seen by her primary health care provider for signs of illness: fever, loss of appetite, fatigue, chills, and dyspnea. She was diagnosed with bronchitis and started on a bronchodilator and corticosteroid nebulizer treatments as well as an oral antibiotic. However, she continued to feel ill without improvement, and became very confused with increased shortness of...
Nutrition
Case Study - Chronic Obstructive Pulmonary Disease Mrs. Hernandez is a 72-year-old, underweight, African-American patient with a history of hypertension, depression, and chronic obstructive pulmonary disease (COPD). She was recently seen by her primary health care provider for signs of illness: fever, loss of appetite, fatigue, chills, and dyspnea. She was diagnosed with bronchitis and started on a bronchodilator and corticosteroid nebulizer treatments as well as an oral antibiotic. However, she continued to feel ill without improvement, and became...
Case #3 • A 80 years-old female diabetic patient with a fracture in hip has been confined to bed for the past 3 months. Results of an ancillary blood glucose test are 250 mg/dl and her physician orders additional blood tests and routine UA. • UA results are: • Microscopic exam: • 1-2 RBC/ hpf • 20-25 WBC/hpf • Many yeast cells and hyphae Pale yellow Bilirubin negative Color Appearance Sp. Gravity Blood Urobilinogen Nitrite leukocyte moderate normal negative hazy...
Case Study-Chronic Obstructive Pulmonary Disease Mrs. Hemandez is a 72-year-old, underweight, African-American patient with a history of hypertension, depression, and chronic obstructive pulmonary disease (COPD). She was recently seen by her primary health care provider for signs of illness: fever, loss of appetite, fatigue, chills, and dyspnea. She was diagnosed with bronchitis and started on a bronchodilator and corticosteroid nebulizer treatments as well as an oral antibiotic. However, she continued to feel ill without improvement, and became very confused with...
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