Clinical Simulation exam with 100% correct answers

COPD correct answersPreventable and treatable disease state characterized by air flow limitation that is not fully reversible. Emphysema correct answersPresence of permanent enlargement of the air spaces distal to the terminal bronchioles, accompanied by destruction of their walls and without obvious fibroisis Chronic bronchitis correct answersChronic productive cough for three months in each of two successive years in a pt for whom other causes of the productive cough have been excluded Etiology of COPD correct answers- tobacco smoke -genetic predisposition - indoor and outdoor pollution Pt Assessment of Emphysema Pt (Primary assessment) correct answersAKA pink puffer or Type A COPD Body build = thin, underweight Past medical history = Tobacco use Cough = Less common, muciod secretions Appearance of chest = Barrel chest, increased A-P diameter (Hoover's Sign) Respiratory Pattern = Dyspnea, pursed-lip breathing, accessory muscle use, especially during exacerbations Color= Often reddish Clubbing = Late stage Diagnostic Chest Percussion = Hyperresonant/ Tympanic note Breath Sounds = Diminished, prolonged expiration Body build of Type A COPD (pink puffer) Emphysema correct answersThin, underweight