Concept Lab Case Study
, Assignment 12.2: Shadow Health-Focused Exam: COPD and Anti-asthmatics Concept Lab
Case Study
Patient: Debbie O’Connor
DOB: 10/05/1964
Height: 5’5
Weight: 195lbs
Allergy: NKDA
Previous diagnosis: COPD Group B – chronic
bronchitis Current diagnosis: COPD Class C – chronic
bronchitis
Scenario: Ms. O’Connor is a 55-year old Caucasian female who has come to the doctor’s office
reporting worsening of COPD symptoms and a recent, frightening episode of bronchospasm. She
is a long-term smoker (37 years) and would like assistance with smoking cessation.
Home medications: Formoterol inhaler 12mcg single-use q12 hours
Vitals: Temp 37C (Temporal), Blood pressure 129/79 (Automatic), Heart rate 90 (NSR), O2
sat 92% (room air), Respiratory rate 26.
Assessment: Ms. O’Connor is in today stating she feels her lungs “are falling apart” due to
worsening shortness of breath. She reports that three days ago she had an episode of
bronchospasm causing a coughing fit that made her apprehensive about her pulmonary health.
She has been a smoker since the age of 15 and has had trouble breathing for years being
hospitalized for a COPD exacerbation two years ago. She complains of feeling very
uncomfortable with breathing difficulty being a 6 out of 10. Patient states symptoms have
progressed in the recent 4 months as she has been getting more fatigued with worsening
shortness of breath on minimal exertion, and a productive cough expectorating phlegm. She