Question

A 37 y/o black female, presents to the ER with tachypnea, and acute shortness of breath with audible wheezing. She compl...

A 37 y/o black female, presents to the ER with tachypnea, and acute shortness of breath with audible wheezing. She complained of chest tightness and a constant cough.  A physical exam revealed the following: HR 110, RR 40 with signs of accessory muscle use. Auscultation revealed decreased breath sounds with inspiratory and expiratory wheezing and pt was coughing up small amounts of white sputum. SaO2 was 93% on room air. An arterial blood gas (ABG) was ordered with the following results: pH 7.5, PaCO2 27, PaO2 75

Based on the above symptoms what other assessments, tests or procedures would the MD order or perform to help diagnosis the problem?

What results would you expect to find and why?

Based on your results what is the cause and pathology?

What are the patient’s risk factors?

0 0
Add a comment Improve this question Transcribed image text
Answer #1

O tests for diag nasis the problem u Spirometry test - which a breathing test which include how fast we can exhale the air frshortness of breath, coughing El Risk factors Smoking, Air pollution, Obesity, respiratory infection, inherited from family,

Add a comment
Know the answer?
Add Answer to:
A 37 y/o black female, presents to the ER with tachypnea, and acute shortness of breath with audible wheezing. She compl...
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for? Ask your own homework help question. Our experts will answer your question WITHIN MINUTES for Free.
Similar Homework Help Questions
  • A 17 year old student complained of wheezing and shortness of breath, especially at night. He...

    A 17 year old student complained of wheezing and shortness of breath, especially at night. He was known to be allergic to feathers and house dust. Physical examination revealed inspiratory and expiratory rales and hyperresonance with percussion of the chest but no cyanosis. Radiologic examination suggested over-inflation of the lungs, but no localized disease. The following laboratory and pulmonary function test values were obtained: Vital Capacity                                     2,800 ml (decreased) Functional Residual Capacity                        4,420 ml (increased) Total Lung Capacity                           7,050 ml...

  • A 17 year old student complained of wheezing and shortness of breath, especially at night. He...

    A 17 year old student complained of wheezing and shortness of breath, especially at night. He was known to be allergic to feathers and house dust. Physical examination revealed inspiratory and expiratory rales and hyperresonance with percussion of the chest but no cyanosis. Radiologic examination suggested over-inflation of the lungs, but no localized disease. The following laboratory and pulmonary function test values were obtained: Vital Capacity                                     2,800 ml (decreased) Functional Residual Capacity                        4,420 ml (increased) Total Lung Capacity                           7,050 ml...

  • The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness...

    The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily. There are no known ill contacts at home. Her...

  • The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness...

    The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily. There are no known ill contacts at home. Her...

  • 7. A 10-year old female enters the ER with shortness of breath. She has cyanosis of...

    7. A 10-year old female enters the ER with shortness of breath. She has cyanosis of the lips (her lips are blue). According to her father, she has been coughing for about a week. Her temperature is 102.5 °F and her respirations are rapid and shallow. A chest x-ray indicates pneumonia in both lungs. Her arterial blood gasses (ABG) stats are pH: 7.45 PCO2 28 mm Hg HCO3: 21 mEq/L What ABI is she experiencing? Is it uncompensated, partially compensated,...

  • A 25-year-old female was hospitalized because of increasing shortness of breath and development of a cough...

    A 25-year-old female was hospitalized because of increasing shortness of breath and development of a cough with blood-tinged sputum. Except for asthmatic attacks precipitated by various environmental allergies, she had always been in good health. One week before hospitalization, this patient had developed what she called "a cold" characterized by a mild sore throat and nonproductive cough, malaise, and a generalized dull headache. Three days prior to hospitalization the patient experienced a 15 minute severe shaking chill. After this episode...

  • subject: medical Surgical. The patient is a 60-year-old Caucasian female presenting to the emergency department with...

    subject: medical Surgical. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily. There are no known ill contacts...

  • i need help with soap assignment The SOAP note (an acronym for subjective, objective, assessment, and...

    i need help with soap assignment The SOAP note (an acronym for subjective, objective, assessment, and plan). Cardiopulmonary Pathology SOAP Assignment #1 Case Study: Bronchiectasis ADMITTING HISTORY A56-year-old African-American woman was acquainted with the medical staff because of frequent episodes of upper respiratory infections. The woman worked 40 or more hours per week as a file clerk at a local health department and was known as a hard worker. Despite what she described as her "chronic cold," she rarely missed...

  • 1. Case Study #1a: Respiratory System Mrs. Breathless is a 43-year-old female, just getting off the...

    1. Case Study #1a: Respiratory System Mrs. Breathless is a 43-year-old female, just getting off the late shift. She reports to the ER in the early morning with shortness of breath. She has cyanosis of the lips. She has had a productive cough for 2 weeks. Her temperature is 102.2, blood pressure 110/76, heart rate 108, respiration 32, rapid and shallow. Breath sounds are diminished in both bases, with coarse rhonchi in the upper lobes. Chest X-ray indicates bilateral pneumonia....

  • A 68 years old male patient was admitted to the medical ward with acute community-acquired pneumonia....

    A 68 years old male patient was admitted to the medical ward with acute community-acquired pneumonia. His medical history shows that he was diagnosed with paraseptal emphysema 3 years ago. The patient was a smoker for 53 years and consumes 1 pack of cigarettes per day. He stopped smoking three years ago. The patient has a history of hypertension, and diabetes controlled with oral diabetic agents. The patient is confused about place and time. The family stated that this is...

ADVERTISEMENT
Free Homework Help App
Download From Google Play
Scan Your Homework
to Get Instant Free Answers
Need Online Homework Help?
Ask a Question
Get Answers For Free
Most questions answered within 3 hours.
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT