Question

In: Nursing

Create a Pathophysiology (concept map) based on the case Scenario A 56-year-old man with a history...

Create a Pathophysiology (concept map) based on the case Scenario

A 56-year-old man with a history of smoking rush to ER with shortness of breath and cough for several days. His symptoms began 3 days ago with runny nose. He reports a chronic morning cough productive of white sputum, which has increased over the past 2 days

Past Medical History
He has had similar episodes each time of raining season for the past 4 years. He always experiences fatigue, worsening cough, increased breathlessness and waking up in the morning with headache.

Family History
(+) Tuberculosis
(+) Hypertension
(-) Cancer
Personal and Social History
He has smoked 1 to 2 packs of cigarettes per day for 40 years and continues tosmoke. He denies hemoptysis, chills, or weight loss and has not received any relief from over-the-counter cough preparations.

Chest x-ray shows hyperinflation and right lobe pneumonia. ABGresults wasPh7.24,PO2-35 mmHg, PCO2 60mmHg, HCO3 30, O2 sat - 85%. Spirometry with FEVI 35%predictedthat does not change significantly after inhaled bronchodilators. ECG was ordered.

Physical Examination:
Took vital signs which are: BP: 130/80, T: 37.5 Celsius, PR:89, RR:30. Examinationdisplayedtachypnea, respiratory distress, use of accessory muscles, and intercostal retraction. Barrel chest is a common observation.

Solutions

Expert Solution

Since he is a smoker from a long time it lead to Chronic obstructive pulmonary disorder (COPD) ,So the aboce concept map is for COPD disorder


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