Exacerbation of COPD Patient Information Patient: Susan… Exacerbation of COPDPatient Inf

Exacerbation of COPD Patient Information Patient: Susan… Exacerbation of COPDPatient InformationPatient: SusanEthnocultural background: African descentAge: 51Related Clinical ChaptersChapter 4: The InterviewChapter 9: Assessment Techniques and the Clinical SettingChapter 19: Lungs and ThoraxChapter 20: Heart and Neck VesselsChapter 21: Peripheral VascularSusan is a 51-year-old female. She is in the medical surgical department with exacerbation of chronic obstructive pulmonary disease (COPD). She has a 66-pack-year history of smoking and occasional drug and alcohol use. She is divorced and lives alone in an older apartment. Initial assessment on the day shift:Subjective:Denies pain, states cough is tiring at times, productive with yellow sputum, remaining dyspneic at rest and upon exertion.Misses her three cats and asks if the nursing assistant can take her outdoors for a cigarette.Objective:T 37.4° C; P 78 regular rate and rhythm, R 26 regular and shallow, BP 136/94 LA, pulse oximeter 95% on 4 litres of oxygen by nasal cannulaPain 0/10Inspection: Sitting on side of bed with elbows on overbed table, cyanosis absent, use of accessory muscles with breathing S1 and S2 regular rate and rhythm, no extra sounds. PalpationRadial pulse 2+ and symmetric. Doralis pedis pulse 1+ left, and 2+ rightSkin cool with flaking on the lower legs and feet. No edema noted.Answer the following questions- Week 2- Lungs and Thorax Q1.Briefly describe COPD and what is might look like on clinical presentation,    Q2. What is the best description for the way Susan is sitting? How may this be related to the way she prefers to sleep?    Q3.What lung sounds might you expect to hear in this patient? Explain what side of your stethoscope you would use and why.     Q4.Describe the best way to assess Susan’s for cyanosis.  Health Science Science Nursing NURSING 153 Share QuestionEmailCopy link Comments (0)

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