NURS 3380 MODULE 5 RESPIRATORY CASE STUDY

NURS 3380 MODULE 5 RESPIRATORY CASE STUDY Bree Lively Module 5 – NURS 3380 Respiratory Case Study June 30, 2019 Scenario: RS has smoked for many years and has developed chronic bronchitis, a chronic obstructive pulmonary disease (COPD). He also has a history of coronary artery disease and peripheral arterial vascular disease. His arterial blood gas (ABG) values are pH, 7.32; PaCO2, 60 mm Hg; PaO2, 50 mm Hg; and HCO3-, 30 mEq/L. His hematocrit is 52% with normal red blood cell indices. He is using an inhaled ß2 agonist and theophylline to manage his respiratory disease. At this clinic visit, it is noted on a chest x-ray examination that RS has an area of consolidation in his right lower lobe that is thought to be consistent with pneumonia. 1. What clinical findings are likely in RS as a consequence of his COPD? How would these differ from those of emphysematous COPD? According to Stephens and Yew (2008), common findings among patients with COPD are a chronic productive cough for a min