Define chronic bronchitis and emphysema separately

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Reference no: EM133602618

Assignment:

Read the following case study and answer the questions

Case Study

History: A 54 year-old Male went to the emergency department with c/o of shortness of breath. Diagnostic testing revealed stage 3 COPD with an FEV1 of 40%.

Occupational and social history: Over the road truck driver, three pack a day smoker x 40 years, 40 lbs. overweight.

Prior level of function: Independent in all activities with limited walking distances of 20 ft. before a standing rest due to shortness of breath and six steps before shortness of breath.

PT examination: Supplemental O2 nasal cannula at 3 LPM. Resting vital signs: BP 152/85 mmHg, HR 96 bpm, RR 20 bpm, O2 saturation 92%. Independent with bed mob, transfers with min x1 secondary to LOB, ambulation x10' with min A x1 secondary to LOB x 3, O2 saturation 86% with 45 second recovery to 90%. Two minutes post-activity vital signs: BP 165/88 mmHg, HR 112 bpm, RR 21 bpm, O2 saturation 92%.

Plan of Care: functional transfers and gait training, therapeutic exercise, and breathing exercises.

Questions:

1- What is the definition of COPD (define chronic bronchitis and emphysema separately)?

2- What are the clinical manifestations (sign/symptoms) of chronic bronchitis? What are the clinical manifestations of emphysema?

3- This criterion is linked to a Learning Outcome3. What are the patient's risk factors for COPD (chronic bronchitis, emphysema)?

4- Explain FEV1. Define the stages of COPD.

5- What are considered normal vital signs for a patient without pathology?

6- Compare and contrast the resting vital signs with post vital signs. Explain.

7- Why would this patient present with vital signs in the range noted above? Explain.

8- The PTA is working on gait training with the patient while the patient is on portable O2 at 3 lpm. The patient becomes short of breath, O2 saturation level is 86%. How should the PTA react to this situation (best action for PTA to take)? Can the PTA increase the O2 lpm to 4 or 5? Explain.

9- Explain what muscles the patient would be use during A) normal B) deep and forced inhalation.

10- Based on the patient's diagnosis and presentation, what type of inhalation is this patient most likely to display and why?

Reference no: EM133602618

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