Pulmonary Function: D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing,

Pulmonary Function:
D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 65-70% of his regular baseline with nighttime symptoms for 3 nights on the last week and often have been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer enough treatment for this asthmatic episode.

Case Study Questions

  1. According to the case study information, how would you classify the severity of D.R. asthma attack?
  2. Name the most common triggers for asthma in any given patients and specify in your answer which ones you consider applied to D.R. on the case study.
  3. Based on your knowledge and your research, please explain the factors that might be the etiology of D.R. being an asthmatic patient.

Fluid, Electrolyte and Acid-Base Homeostasis:
Ms. Brown is a 70-year-old woman with type 2 diabetes mellitus who has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission, her laboratory values show the following:

  • Serum glucose 412 mg/dL
  • Serum sodium (Na+) 156 mEq/L
  • Serum potassium (K+) 5.6 mEq/L
  • Serum chloride (Cl–) 115 mEq/L
  • Arterial blood gases (ABGs): pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg; HCO3– 20 mEq/L

Case Study Questions

  1. Based on Ms. Brown admission’s laboratory values, could you determine what type of water and electrolyte imbalance does she has?
  2. Describe the signs and symptoms to the different types of water imbalance and described clinical manifestation she might exhibit with the potassium level she has.
  3. In the specific case presented which would be the most appropriate treatment for Ms. Brown and why?
  4. What the ABGs from Ms. Brown indicate regarding her acid-base imbalance?
  5. Based on your readings and your research define and describe Anion Gaps and its clinical significance.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

Activity 1 National Health Coverage Plans, Reimbursements, and Quality Instructions Baccalaureate education includes learning opportunities of healthcare

Activity 1 National Health Coverage Plans, Reimbursements, and Quality Instructions Baccalaureate education includes learning opportunities of healthcare policy, finance, and regulatory environments (AACN, 2008).   Introduction & Healthcare Coverage and Vulnerable Populations  Describe the importance of healthcare coverage (insurance).  End with a clearly worded purpose statement for this project. Discuss two ways

Activity 1Professional Ethics Instructions Baccalaureate education includes the development of professional values and value-based behavior (AACN, 2008).

Activity 1Professional Ethics Instructions Baccalaureate education includes the development of professional values and value-based behavior (AACN, 2008). Ethics define professional ethics and their importance in the healthcare environment. The American Nurses Association has approved 13 standardized languages that support nursing care.  The benefits of standardized language include: better communication among

Paper Component Description

Paper Component Description Content Paper used proper published article referencing a legal, ethical or political issue on the corporation that has been alleged or found responsible for the issue.  Provided background research on the issue to provide context. Support or Opposition State either your support or opposition to the article’s

  review the following document  Better, Smarter, Healthier: In Historic Announcement, HHS Sets Clear Goals Complete a detailed case study analysis of

  review the following document  Better, Smarter, Healthier: In Historic Announcement, HHS Sets Clear Goals Complete a detailed case study analysis of the given case, using the process described in Analyzing Strategic Health Care Cases in your course textbook Strategic Management of Health Care Organizations. Your completed case study analysis report

Part I: Using the information and design plan from Module 6, create a visually appealing and informative educational pamphlet Include

Part I: Using the information and design plan from Module 6, create a visually appealing and informative educational pamphlet Include information on: · healthcare beliefs, · health practices, · communication styles, · family dynamics; and · any specific health disparities.  · Include practical tips, strategies, or scenarios that illustrate culturally competent care within