NR507 Pathophysiology Case Study Week 3 With Answers (8 Solved Questions)

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Week 3 Case Study TemplateChief ComplaintA.C., is a 61-year old male with complaints of shortness of breath.History of Present IllnessA.C. was seen in the emergency room 1 week ago for an acute onset of mid-sternalchest pain. The event was preceded with complaints of fatigue and increasing dyspneafor 3 months, for which he did not seek care. He was evaluated by cardiology andunderwent a successful and uneventful angioplasty prior to discharge. Despite theintervention, the shortness of breath has not improved. Since starting cardiacrehabilitation, he feels that his breathlessness is worse. The cardiologist has requestedthat you, his primary care provider, evaluate him for further work-up. Prior to today, hislast visit with your practice was 3 years ago when he was seen for acute bronchitis andsmoking cessation counseling.Pathophysiology & Clinical Findings of the Disease1.Are the spirometry results consistent with obstructive or restrictive pulmonarydisease? What is the most likely pulmonary diagnosis for this patient?The spirometry results are consistent with obstructive pulmonary disease sincethe patients forced expiratory volume in 1 second (FEV1) is decreased as seenin obstructive pulmonary disease, the normal range is >80%. Also the patient’sFEV1/FVC ratio is less than 70% at a pre-bronchodilator prediction of 69% and apost-bronchodilator prediction of 64%. The TLC is 125 and the qualifications forObstructive pulmonary disease has a TLC range that is considered normal at>120% (Van Dijk, W., Tan, W., Li, P., Guo, B., Li, S., Benedetti, A., & Bourbeau,J., 2015). The most likely pulmonary diagnosis for this patient is chronicobstructive pulmonary disease.2.Explain the pathophysiology associated with the chosen pulmonary disease.Individuals who are diagnosed with chronic obstructive pulmonary diseaseexperience the symptom of shortness of breath because they have difficultyexhaling all the air from their lungs. This is caused by the airway narrowing insideof their lungs due to damage to their lungs, therefore exhaled air is more slowlyexpelled. After fully exhaling, the individual will still have an abnormally higheramount of air left lingering in their lungs (Asp, K. C., 2020). COPD is a mixture ofsmall airway diseases like obstructive bronchiolitis and emphysema and maydiffer between patients depending on their history, risk factors and exposure to

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University

Chamberlain College of Nursing

Course

NR 507

Subject

Medicine

NR507 Pathophysiology Case Study Week 3 With Answers (8 Solved Questions)

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