COMMENTS

  1. Case Study: 60-Year-Old Female Presenting With Shortness of Breath

    The patient is a 60-year-old white female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago with an acute, chronic obstructive pulmonary disease (COPD) exacerbation requiring ...

  2. COPD Case Study: Patient Diagnosis and Treatment (2024)

    Chronic obstructive pulmonary disease (COPD) is a progressive lung disease that affects millions of people around the world. It is primarily caused by smoking and is characterized by a persistent obstruction of airflow that worsens over time. COPD can lead to a range of symptoms, including coughing, wheezing, shortness of breath, and chest ...

  3. Case 24-2020: A 44-Year-Old Woman with Chest Pain, Dyspnea, and Shock

    On examination, the temperature was 36.4°C, the heart rate 103 beats per minute, the blood pressure 79/51 mm Hg, the respiratory rate 30 breaths per minute, and the oxygen saturation 99% while ...

  4. Case 18-2021: An 81-Year-Old Man with Cough, Fever, and Shortness of

    On examination, the temperature was 37.9°C, the blood pressure 157/95 mm Hg, the pulse 112 beats per minute, the respiratory rate 30 breaths per minute, and the oxygen saturation 91% while the ...

  5. Diagnosis and management of COPD: a case study

    This article uses a case study to discuss the symptoms, causes and management of chronic obstructive pulmonary disease, describing the patient's associated pathophysiology. Diagnosis involves spirometry testing to measure the volume of air that can be exhaled; it is often performed after administering a short-acting beta-agonist.

  6. PDF Diagnosis and management of COPD: a case study

    COPD: a case study Authors Debbie Price is lead practice nurse, Llandrindod Wells Medical Practice; Nikki Williams is associate professor of respiratory and sleep physiology, Swansea University. Abstract This article uses a case study to discuss the symptoms, causes and management of chronic obstructive pulmonary disease, describing the patient's

  7. A COPD Case Study: Susan M.

    Meet Susan M! Share your impressions in our latest COPD case study. Summary of in-patient admission: Susan M. is being discharged today following a 6-day ICU and step-down admission for acute exacerbation of COPD with bacterial pneumonia requiring intubation and mechanical ventilation for a period of 32 hours. Subsequent to her extubation and transfer to the step down unit she was treated with ...

  8. Four patients with a history of acute exacerbations of COPD ...

    Case study 1: A 63-year-old man with moderate/severe COPD and a chest infection A 63-year-old self-employed plumber makes a same-day appointment for another 'chest infection'.

  9. Case study

    Nurse Seema works on a medical-surgical unit and is caring for Richard, a 75-year-old male with a history of smoking, who was admitted for an acute exacerbation of chronic obstructive pulmonary disease, or COPD. After settling Richard in his room, Nurse Seema goes through the steps of the Clinical Judgment Measurement Model to make clinical ...

  10. A COPD Case Study: Jim B.

    We're interested in your thoughts on another COPD case study: Jim B., a 68-year-old man here for his Phase II Pulmonary Rehabilitation intake interview. A bit more about Jim: Medical history: COPD, FEV1 six weeks ago was 38% of normal predicted, recent CXR shows flattened diaphragm with increased AP diameter, appendectomy age 34, broken nose and broken right arm as a child.

  11. PDF Advanced COPD Case Study

    Advanced COPD - Case Study Clara (… 3 year earlier) • 73-yr-old female with severe COPD ̵ tiotropium (LAMA), indacaterol (LABA) and prn salbutamol (SABA) • 3 chest infections in the past year ̵ responded to antibiotics - received prednisone for [only] 1 • Did not receive the influenza vaccination last year • Tries to walk daily, but difficult - too SOB, "I'm always so tired"

  12. Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)

    The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley's PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED). While waiting for the ambulance, the nurse repeats the SpO2 and finds Mr. Whaley's SpO2 is only 89%.

  13. Case 19-2020: A 74-Year-Old Man with Acute Respiratory Failure and

    On examination, the patient appeared to be in respiratory distress. The temperature was 35.9°C, the pulse 98 beats per minute, the blood pressure 129/58 mm Hg, the respiratory rate 24 breaths per ...

  14. PDF COPD Case Study

    COPD Case Study 6. Case Study. The patient in this case report is a 78 year old female with a smoking history of unknown duration who has a health complaint of a cough. The cough comes on unexpectedly at random times during the day and at night waking her from sleep. The cough is not productive.

  15. 2: Case Study #1- Chronic Obstructive Pulmonary Disease (COPD)

    This page titled 2: Case Study #1- Chronic Obstructive Pulmonary Disease (COPD) is shared under a CC BY-SA 4.0 license and was authored, remixed, and/or curated by Glynda Rees, Rob Kruger, and Janet Morrison via source content that was edited to the style and standards of the LibreTexts platform; a detailed edit history is available upon request.

  16. Clinical Case: Man With COPD and Worsening Shortness of Breath

    October 24, 2017. A 65-year-old man with a 60-pack-year history of cigarette smoking presents with worsening exertional dyspnea. Pulmonary function testing showed significant restrictive lung disease that was thought to be secondary to the patient's chronic obstructive pulmonary disease (COPD). Two-dimensional echocardiography revealed a mean ...

  17. PDF Spirometry: Case studies

    Case 4: Interpretation Interpretation: Mild COPD • The reduced FEV 1 /FVC ratio (67%) and slight concavity in the flow volume curve indicates airflow obstruction • The pre-bronchodilator FEV 1 is 76% and FEF 25-75% only 51% indicating mild airflow obstruction • Post-bronchodilator there was little improvement in FEV 1 (change in FEV 1 = 3 ...

  18. Factors associated with non-fatal heart failure and atrial fibrillation

    Exacerbations of Chronic Obstructive Pulmonary Disease (COPD) are associated with an increased risk of cardiovascular disease (CVD) [] likely due to linked pathophysiology, hypoxic state, and an amplified systemic inflammatory response [2, 3].Previous studies have demonstrated an increased, immediate period of risk for hospitalized cardiovascular events following a COPD exacerbation compared ...

  19. Periodontal disease increases the severity of chronic obstructive

    Recent research suggests that periodontitis can increase the risk of chronic obstructive pulmonary disease (COPD). In this study, we performed two-sample Mendelian randomization (MR) and investigated the causal effect of periodontitis (PD) on the genetic prediction of COPD. The study aimed to estimate how exposures affected outcomes. Published data from the Gene-Lifestyle Interaction in the ...