CLINICAL SIMULATION SECURE COMPREHENSIVE CLINICAL
SIMULATION SAE NEW SET WITH COMPLETE SOLUTIONS 100%
VERIFIED!!! ALREADY GRADED A+
COPD - (ANSWER)Preventable and treatable disease state characterized by air flow limitation that is not
fully reversible.
Emphysema - (ANSWER)Presence of permanent enlargement of the air spaces distal to the terminal
bronchioles, accompanied by destruction of their walls and without obvious fibroisis
Chronic bronchitis - (ANSWER)Chronic 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 - (ANSWER)- tobacco smoke
-genetic predisposition
- indoor and outdoor pollution
Pt Assessment of Emphysema Pt (Primary assessment) - (ANSWER)AKA 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 - (ANSWER)Thin, underweight
,CLINICAL SIMULATION SECURE COMPREHENSIVE CLINICAL
SIMULATION SAE NEW SET WITH COMPLETE SOLUTIONS 100%
VERIFIED!!! ALREADY GRADED A+
Past medical history for emphysema pts - (ANSWER)Tobacco use
Cough (Emphysema) - (ANSWER)Less common, muciod secretions
Appearance of the chest (Emphysema) - (ANSWER)Barrel chest, increased A-P diameter
Respiratory pattern ( Emphysema) - (ANSWER)Dyspnea, pursed lip breathing, accessory muscle use,
especially during exacerbations
Color (Emphysema) - (ANSWER)Often reddish
Clubbing (Emphysema) - (ANSWER)Late stage
Diagnostic Chet Percussion (Emphysema) - (ANSWER)Hyperresonant/tympanic note
Breath sounds ( Emphysema) - (ANSWER)Diminished, prolonged expiration
Patient Assessment (Primary) Chronic Bronchitis - (ANSWER)AKA Blue bloater Type B COPD
Body build = Stocky, overweight
Past Medical History = Tobacco use
Cough = Productive, copious amounts, purulent secretions
Chest Appearance = Ocassionally barrel chest
Color = Cyanotic
Clubbing = Common
Diagnostic Chest Percussion = normal
Breath Sounds = Rhonchi, crackles , wheezing
,CLINICAL SIMULATION SECURE COMPREHENSIVE CLINICAL
SIMULATION SAE NEW SET WITH COMPLETE SOLUTIONS 100%
VERIFIED!!! ALREADY GRADED A+
Body build (Chronic Bronchitis) - (ANSWER)Stocky, overweight
Past Medical History (Chronic Bronchitis) - (ANSWER)Tobacco use
Cough (Chronic Bronchitis ) - (ANSWER)Productive, copious amounts of purulent secretions
Chest Appearance (Chronic Bronchitis) - (ANSWER)Occasionally barrel chest
Respiratory Pattern (Chronic Bronchitis ) - (ANSWER)Use of accessory muscles less common
Clubbing ( Chronic Bronchitis ) - (ANSWER)Common
Diagnostic Chest Percussion ( Chronic Bronchitis) - (ANSWER)Normal
Breath Sounds (Chronic Bronchitis ) - (ANSWER)Rhonchi, crackles, wheezing
Secondary Assessment Emphysema pt - (ANSWER)Chest X-ray = translucent (dark) lung fields, depressed
or flattened diaphragms, long and narrow heart, increased retrosternal air spaces, possibly hypertrophy
or right ventricle
ABG = Mild to moderate stages: Acute alveolar hyperventilation with hypoxemia Severe Stages: Chronic
ventilatory failure with hypoxemia
Pulmonary Function = Decreased flowrates (FEV1 , FEF 25-75%, FEF 200-1200, FEV1/FVC, and PEFR)
Decreased DLCO
CBC = Increased RBC/Hb/Hct in late stages
Sputum = Normal
, CLINICAL SIMULATION SECURE COMPREHENSIVE CLINICAL
SIMULATION SAE NEW SET WITH COMPLETE SOLUTIONS 100%
VERIFIED!!! ALREADY GRADED A+
Chest X-ray (Emphysema ) - (ANSWER)Translucent (dark) lung fields, depressed or flattened diaphragms,
long and narrow heart, increased retrosternal air space, possibly hypertrophy or right ventricle
ABG (emphysema) - (ANSWER)Mild to moderate stages: Acute alveolar hyperventilation with hypoxemia
Severe stage: Chronic ventilatory failure with hypoxemia
Pulmonary Function (Emphysema ) - (ANSWER)Decreased flowrates, Decreased DLCO
CBC (Emphysema) - (ANSWER)Increased RBC/Hct/Hb in late stages
Sputum (Emphysema) - (ANSWER)Normal
Secondary Assessment Chronic Bronchitis - (ANSWER)AKA Type B Blue Bloater
Chest X-ray = translucent (dark) lung fields, depressed or flattened diaphragms, possibly hypertrophy of
right ventricle
ABG = Mild to moderate stages: Acute alveolar hyperventilation with hypoxemia
Severe stage: Chronic ventilatory failure with hypoxemia
Pulmonary Function = Decreased flowrates, DLCO normal
CBC = increased RBC/Hb/Hct in early and late stages
Sputum = Often shows ; Streptococcus pneumoniae, Haemophilus influenza, Moraxella catarrhalis
Chest X-ray (Chronic Bronchitis) - (ANSWER)Translucent lung fields, depressed or flattened diaphragms,
possibly hypertrophy of the right ventricle
ABG ( Chronic Bronchitis) - (ANSWER)Mild to moderate stages: Acute alveolar hyperventilation with
hypoxemia
Severe stage: Chronic ventilatory failure with hypoxemia
SIMULATION SAE NEW SET WITH COMPLETE SOLUTIONS 100%
VERIFIED!!! ALREADY GRADED A+
COPD - (ANSWER)Preventable and treatable disease state characterized by air flow limitation that is not
fully reversible.
Emphysema - (ANSWER)Presence of permanent enlargement of the air spaces distal to the terminal
bronchioles, accompanied by destruction of their walls and without obvious fibroisis
Chronic bronchitis - (ANSWER)Chronic 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 - (ANSWER)- tobacco smoke
-genetic predisposition
- indoor and outdoor pollution
Pt Assessment of Emphysema Pt (Primary assessment) - (ANSWER)AKA 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 - (ANSWER)Thin, underweight
,CLINICAL SIMULATION SECURE COMPREHENSIVE CLINICAL
SIMULATION SAE NEW SET WITH COMPLETE SOLUTIONS 100%
VERIFIED!!! ALREADY GRADED A+
Past medical history for emphysema pts - (ANSWER)Tobacco use
Cough (Emphysema) - (ANSWER)Less common, muciod secretions
Appearance of the chest (Emphysema) - (ANSWER)Barrel chest, increased A-P diameter
Respiratory pattern ( Emphysema) - (ANSWER)Dyspnea, pursed lip breathing, accessory muscle use,
especially during exacerbations
Color (Emphysema) - (ANSWER)Often reddish
Clubbing (Emphysema) - (ANSWER)Late stage
Diagnostic Chet Percussion (Emphysema) - (ANSWER)Hyperresonant/tympanic note
Breath sounds ( Emphysema) - (ANSWER)Diminished, prolonged expiration
Patient Assessment (Primary) Chronic Bronchitis - (ANSWER)AKA Blue bloater Type B COPD
Body build = Stocky, overweight
Past Medical History = Tobacco use
Cough = Productive, copious amounts, purulent secretions
Chest Appearance = Ocassionally barrel chest
Color = Cyanotic
Clubbing = Common
Diagnostic Chest Percussion = normal
Breath Sounds = Rhonchi, crackles , wheezing
,CLINICAL SIMULATION SECURE COMPREHENSIVE CLINICAL
SIMULATION SAE NEW SET WITH COMPLETE SOLUTIONS 100%
VERIFIED!!! ALREADY GRADED A+
Body build (Chronic Bronchitis) - (ANSWER)Stocky, overweight
Past Medical History (Chronic Bronchitis) - (ANSWER)Tobacco use
Cough (Chronic Bronchitis ) - (ANSWER)Productive, copious amounts of purulent secretions
Chest Appearance (Chronic Bronchitis) - (ANSWER)Occasionally barrel chest
Respiratory Pattern (Chronic Bronchitis ) - (ANSWER)Use of accessory muscles less common
Clubbing ( Chronic Bronchitis ) - (ANSWER)Common
Diagnostic Chest Percussion ( Chronic Bronchitis) - (ANSWER)Normal
Breath Sounds (Chronic Bronchitis ) - (ANSWER)Rhonchi, crackles, wheezing
Secondary Assessment Emphysema pt - (ANSWER)Chest X-ray = translucent (dark) lung fields, depressed
or flattened diaphragms, long and narrow heart, increased retrosternal air spaces, possibly hypertrophy
or right ventricle
ABG = Mild to moderate stages: Acute alveolar hyperventilation with hypoxemia Severe Stages: Chronic
ventilatory failure with hypoxemia
Pulmonary Function = Decreased flowrates (FEV1 , FEF 25-75%, FEF 200-1200, FEV1/FVC, and PEFR)
Decreased DLCO
CBC = Increased RBC/Hb/Hct in late stages
Sputum = Normal
, CLINICAL SIMULATION SECURE COMPREHENSIVE CLINICAL
SIMULATION SAE NEW SET WITH COMPLETE SOLUTIONS 100%
VERIFIED!!! ALREADY GRADED A+
Chest X-ray (Emphysema ) - (ANSWER)Translucent (dark) lung fields, depressed or flattened diaphragms,
long and narrow heart, increased retrosternal air space, possibly hypertrophy or right ventricle
ABG (emphysema) - (ANSWER)Mild to moderate stages: Acute alveolar hyperventilation with hypoxemia
Severe stage: Chronic ventilatory failure with hypoxemia
Pulmonary Function (Emphysema ) - (ANSWER)Decreased flowrates, Decreased DLCO
CBC (Emphysema) - (ANSWER)Increased RBC/Hct/Hb in late stages
Sputum (Emphysema) - (ANSWER)Normal
Secondary Assessment Chronic Bronchitis - (ANSWER)AKA Type B Blue Bloater
Chest X-ray = translucent (dark) lung fields, depressed or flattened diaphragms, possibly hypertrophy of
right ventricle
ABG = Mild to moderate stages: Acute alveolar hyperventilation with hypoxemia
Severe stage: Chronic ventilatory failure with hypoxemia
Pulmonary Function = Decreased flowrates, DLCO normal
CBC = increased RBC/Hb/Hct in early and late stages
Sputum = Often shows ; Streptococcus pneumoniae, Haemophilus influenza, Moraxella catarrhalis
Chest X-ray (Chronic Bronchitis) - (ANSWER)Translucent lung fields, depressed or flattened diaphragms,
possibly hypertrophy of the right ventricle
ABG ( Chronic Bronchitis) - (ANSWER)Mild to moderate stages: Acute alveolar hyperventilation with
hypoxemia
Severe stage: Chronic ventilatory failure with hypoxemia
