thanks in advance ssiok 5 000125 9)292-6500 86 Pulmonary Disorders 2:1 CHAPTER 2
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thanks in advance
ssiok 5 000125 9)292-6500 86 Pulmonary Disorders 2:1 CHAPTER 2: PULMONARY DISORDERS Case Study 1 Narme Date: ins tructions: All questions apply to this case study. Your response should be brief and to the point Adequate space has been provided for answers. When asked to provide several answers, they should be isrte in brder of prionty or signficanice. Do nat assime information that is not provided. Pese print r A.K. is a 38-year-old woman who runs 3 miles every morning. She comes to the Family Nurse Practitioner Clinic with complaints of a burning feeling in her throat and upper airway that begins shortly after she starts running. She states that she gets increasingly more winded and sometimes has to stop running to catch her breath. 1. As the intake nurse working in the clinic, what routine information would you want to obtain from A.K.? 2. What two body systems do you suspect might be involved in A.K.'s problem? 3, what would you do to differentiate between problems in the two body systems? You assess A.K. and note the following: S,S with no murmurs, clicks, or rubs: on inspiration her heart rate speeds up and you think you hear a split S: and on expiration her heart rate slows down and you don't hear the split. 4. Discuss the significance of these findings. Her lungs are clear throughout and percuss resonance. You measure height and weight to calculate her estimated peak expiratory flow rate (PEFR). You then measure A.K.'s actual PEFR using a peak flow meter (PFM). 5. Explain the purpose of the PEFR measurement. 6, You record A.K.'s PEFR measurement and note that it is within 5% of estimated normal PEFR. Discuss the signiticance of her pulmonary evaluation and these findingsExplanation / Answer
1. You should have the information that normally is written in any admission assesment such as questions about lifestyle, known diagnosed conditions, allergies, health family history, blood type, reason for current admission or consult, medical history, current medications. Also other personal data such as age, sex, weight, smoking or drug habits.
2. Cardiovascular and respiratory systems.
3. Initially use the stethoscope to hear the heart beat and the inhaling and exhaling of the lungs. Search for any anomalities in how they sound. Then you could use more sofisticated equipment and tests, such as electrocardiogram.
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