COPD Exacerbation Diagnosis and Treatment Essay Nursing Assignment Help

Chief Complaint: Shortness of breath and increased sputum production

Background Information: James is a 60-year-old male with a known history of chronic obstructive pulmonary disease (COPD). He has a 30-pack-year history of smoking but quit 10 years ago. He has been compliant with his medications, which include an inhaled corticosteroid/long-acting beta-agonist (ICS/LABA) combination inhaler and short-acting beta-agonist (SABA) rescue inhaler. John lives alone and manages his activities of daily living independently.

Presenting Symptoms:

1. Shortness of Breath: James reports increasing shortness of breath over the past three days. He states that even simple tasks like getting out of bed or walking to the bathroom leave him breathless.

2. Increased Sputum Production: He notes a significant increase in the amount of yellow-green sputum he’s been coughing up, which is thicker and stickier than usual.

3. Chest Tightness: James describes a sensation of chest tightness and increased use of his SABA inhaler, but it provides only temporary relief.

4. Decreased Exercise Tolerance: He mentions that he used to take short walks daily, but now he struggles to even leave his bedroom.

Vital Signs:

Temperature: 98.6°F (37°C)

  • Heart Rate: 100 bpm
  • Respiratory Rate: 28 breaths/minute
  • Blood Pressure: 140/90 mm Hg
  • Oxygen Saturation: 88% on room air
  • Physical Examination Findings:

1. General Appearance: James appears anxious, sits leaning forward with pursed lips, and uses accessory muscles for breathing.

2. Respiratory Assessment:

o Diffuse wheezing is heard upon auscultation.

o Increased anterior-posterior chest diameter is observed.

3. Cough: John has a productive cough, and his sputum is yellow-green and purulent.

Laboratory Findings:

1. Arterial Blood Gas (ABG):

o pH: 7.32

o PaCO2: 60 mm Hg

o PaO2: 56 mm Hg

o HCO3-: 30 mEq/L

o SaO2: 88%

2. Complete Blood Count (CBC):

o White Blood Cell (WBC) Count: 14

o Platelets 150

3. Basic Metabolic Panel (BMP):

o Sodium (Na): 139

o Potassium (K): 3.1

o Bicarbonate (HCO3): 30 mEq/L

o Creatinine: 2.1

Chest X-ray:

The chest X-ray reveals hyperinflated lungs with flattened diaphragms and increased retrosternal airspace, consistent with COPD.

  • 1. What are the differential diagnoses for this patient?

2. 2. What are the known diagnoses for this patient?

3. What is the plan for this patient?

4. Compare and contrast the workup, diagnosis, and treatment for a patient with asthma vs a patient with COPD.  

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Unit 3 focused on both the nervous and endocrine systems. Nursing Assignment Help

Unit 3 focused on both the nervous and endocrine systems. Both are essential communication systems for the body and play vital roles in homeostatic balance. The endocrine system produces chemical messengers that travel throughout the body via the circulatory system and interact with receptor cells. If the interaction cannot occur,

Walden University, LLC. (Producer). (2019b). Alzheimer’s Nursing Assignment Help

To Prepare  Review the interactive media piece for Alzheimer’s Disease.  (76 Year Old Iranian Male) Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece. Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned. You

To Prepare Review the interactive media piece for Nursing Assignment Help

To Prepare  Review the interactive media piece for Alzheimer’s Disease.  (76 Year Old Iranian Male) Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece. Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned. You

Students are required to maintain weekly reflective Nursing Assignment Help

Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. In your journal, you will reflect on the personal knowledge and skills gained throughout

Please respond to one discussion post. Compare your Nursing Assignment Help

Please respond to one discussion post. Compare your experience with the Active Verbs activity with that of your peer. Was their experience with the activity similar to yours? If they had similar experiences with the questions, discuss why you think you had similar outcomes. If they had different experiences with