Question Joe, 74 years old, is a Caucasian patient with a history of COPD…. Joe
Question Joe, 74 years old, is a Caucasian patient with a history of COPD…. Joe, 74 years old, is a Caucasian patient with a history of COPD. He presented 4 days ago to the emergencydepartment with severe difficulty breathing. On admission his respirations were 26 with retracting chestexpansion; BP 154/76; pulse 100 bpm and regular; and temperature 98.6°F (37°C). Joe has allergies topenicillin and latex.His skin color was pale gray, his chest barrel shaped, and he appeared anxious sitting in a tripod position. Hisnail beds were a bluish color; his oxygen saturation by pulse oximetry was 72%.Chest auscultation revealed wheezes and decreased to absent breath sounds over the lower lung bases.Hyperresonance was noted upon percussion of the chest wall. Chest x-ray showed atelectasis in the lower lungbases. Joe was coughing with minimal amounts of clear sputum productionA tracheostomy was inserted shortly sfter admission by the healthcare provider due to the inability to intubate the patient. Joe was removed from the ventilator yesterday and place on a tracheostomy collar at 30% oxygen. He continues to cough minimal amounts of clear sputum. Breath sounds are equal in both lungs with an improving chest z-ray. BP 150-70, Resp 24, pulse 88 bpm and regular, and temp 101.3F. What do you assume is the medical diagnosis for this patient? Health Science Science Nursing NURS 130 Share QuestionEmailCopy link Comments (0)
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