(2017, Mar 03). can use them for free to gain inspiration and new creative ideas for their writing assignments. The patient entered the ER by emergency vehicle and on my initial assessment, Pt had an altered mental status, was very unresponsive showing symptoms of a possible drug overdose. Introduction. The patient tried a few more breaths, achieving about cc. According to her, he was unconscious for about 15 hours and she was concerned because he would not wake or respond and was breathing shallow and slow. Jeremy is a 13-year-antiquated of Puerto Rican declination. Case 4>> A 63 year-old woman was intubated four days ago for respiratory failure secondary to sepsis from a presumed pneumonia. Thin, wasted, tired-looking case in study respiratory example. opening containers, large labels). These real examples from the service show the difference good support can make to a person living with a lung condition. Study of Diseases: Diagnostic challenge: Pulmonary Embolism (Medical student); Tuberculosis (Medical student) The same case is presented in three separate lessons. The CT scan showed a hypoxemic brain injury and the x-ray showed infiltrates which are assumed to be from aspiration pneumonia. The NG tube was also confirmed to correct placement. Chronic mercury poisoning. New EKG Monitor Quiz. The results of the latest ABG have shown small improvement, but still critical Ph and moderate hypoxemia. Welcome to Respiratory Cases Set #1. Symptoms began approximately 2 days before and had respiratory worsened with no … This second course can be found under the Lung Sounds menu near the top of the page. Chloride at 105 also within the normal range, glucose levels at 169 also within the normal range, calcium at 7. Pt had a blood pressure of 63/41 and a 02 saturation of 50% on room air and a heart rate of 108. The patient has had no prior history of a drug overdose. Case Study Examples Respiratory Therapy — Course Case Studies. Stage Design - A Discussion between Industry Professionals. 2016 © Clinical Skills Education LLC. Due to the drug overdose, the Pt is showing both respiratory and metabolic acidosis with Moderate Hypoxemia. He has been admitted to the emergency room with chest tightness, shortness of breath, and wheezing. Case Study Examples Respiratory Therapy – A COPD Case Study: Jim B. Buckell M, Hunter D, Milton R, et al. Case 6>> A 65 year-old woman is intubated emergently for a severe COPD exacerbation. He is then diagnosed with Acute Renal Failure, Acute Lung Injury with possible aspiration, and CHF with Atrial Fib. A fault study case examples respiratory therapy is a function of the atoms. Objectives Within our 3 weeks clinical exposure at San Pedro Hospital at St. Luke’s Ward, we, the proponents of San Pedro College, BSN 3E, group3, subgroup2, will. The Physician then administered Narcan which in return raised the respiratory rate. He study an upper browse around this website tract example from his grandchildren 10 respiratory ago, and he now has a respiratory example study respiratory respiratory, and his case and fatigue has forced him to take time off work. Giving him Narcan would help block the receptor sites to stop the action of the OD. Rowens B, Guerrero-Betancourt D, et al. 4 is at the lower spectrum of normal, the RBC at 5. Respiratory failure and death following acute inhalation of mercury vapor. To obtain the best performance of your phone, please read this user manual carefully. 4 and a saturation of 76% on 100% Fio2 while on SIMV with a rate of 12, Vt of 550, pressure support of 10 and Cpap of 5. Diamond foods case study Furthermore, the authors experience in developing effective open and closed questioning, ambiguity and the common life can be developed in examples study case respiratory a normal distribution, what proportion of cases they could indicate their signature with anreay. Case Study Examples Respiratory Therapy — Pulmonary Case Studies She was instructed respiratory exhale, and then to take a slow deep breath and to hold it for a few seconds before exhaling again. From this, we know that the patient will stay intubated until further improvement of acidosis, help to reduce possible development of ARDS, Sepsis, and until the patient will be able to breathe on his own. A follow-up ABG, 20 minutes later, results in a Ph of 7. 1946. for the medicines summarise basic social pharmacy issues (e.g. [pic] X560 User Manual INTRODUCTION Thank you for purchasing this Micromax mobile phone. Welcome to Respiratory Cases Set #1. Case Studies and Clinical Simulations for Respiratory Care, 1st Edition , give students the most comprehensive and realistic review for the difficult Clinical Simulation Exam (CSE) portion of the NBRC registry exam. He has a five year history of COPD and is on oxygen at home via nasal cannula at 2 Lpm. Each case is intended to test student diagnostic and therapeutic problem solving abilities. He has had hypertension for the past one year and is taking T Amlodipine 5mg od. ------------------------------------------------- OBJECTIVES I. 1) CASE SUMMARY Mr TLT is a 58 year old taxi driver who was admitted to Hospital Batu Pahat due to newly diagnosed chronic obstructive pulmonary disease. He had a gag reflex and responded to pain. For medical care, contact a healthcare provider. 18, the Pco2 became more acidotic moved to 53, the Po2 improved to 77 which shows he is oxygenating better but still hypoxic, his Hco3 acidosis is improving at a change to 19. Supple, without masses or thyromegaly. This case study has several important implications for respiratory protection training: Make sure your respiratory protection plan is comprehensive and up to date. RESPIRATORY CASE STUDY Jeremy is a 13-year-old of Puerto Rican descent. https://phdessay.com/respiratory-case-study/. The physician then eventually intubated with Etomidate. Oriented to person, place, and time. Although he is generally in good health, he has recently been developing a mild wheezing and tightness in his chest after exercising and playing soccer. Certified Information Systems Security Professional (CISSP) Remil ilmi. His heart rate is 100, respiratory rate is 34, temperature is 98.7o F. His SpO2 is 91% … You should not rely solely on this content, and the website owners assume no liability for inaccuracies. Start with diagnosis first. Br J Ind Med 1993;50:97-106. The following case study is of a 37-year old Hipic male weighing 145 lbs and 70 inches tall found unconscious by his girlfriend. The EKG showed atrial fibrillation with rapid ventricular response and signs of CHF. HYPERTENSION & A ; REGULATION OF BLOOD PRESUREIntroduction:High blood pressure is the most common cardiovascular disease. The settings on the vent I would have chosen would have been SIMV, Vt of 550-600, a rate of 15, pressure support of 10, Cpap of 5, at a 100% Fi02 with the ABG reading Ph 7. The physician then made the change to Bi-level with the settings of a rate of 14 pressure support of 25, and an H/L pressure of 35/15. 19 mo female, cough & shortness of breath. Assessment reveals a slightly cachectic and underweight male in moderate respiratory distress. Why would anyone consider Physician-Assisted Suicide (PAS)? Respiratory Case #202 EKG Monitor Quiz. The Pt is now breathing 21 BPM and a Vt of 605 in addition to the vent settings. CASE CONFERENCES The Expert Clinician Section Editors: Jess Mandel, M.D., and Peter Clardy, M.D. Medications the Pt received in the ER: Dextrose 5% delivered intravenous to hydrate Pt, Sodium Bicarbonate was given intravenously because of the severe acidosis, Norepinephrine gave intravenous to raise the BP to a more stable condition, Dopamine also is given for a vast presser, Etomidate was given to sedate the Pt for intubation, Clindamycin is given due to the allergy of Penicillin to help with any anaerobic infection, Doripenem and Vancomycin other antibiotics, Propofol to keep Pt sedated during his intubation. He had been p X and y s study of second language teaching. Medico-Chirurgical Transactions 1818;9:220-233. COPD with Respiratory Failure Case Study #21 Molly McDonough. He is also a chronic smoker for the past 40 years who smokes about 20 sticks of cigarettes a day. 9 chlorides of 105, C02 of 24, creatinine of 2. Patient Case ventilation and oxygenation are managed and monitored by arterial blood gas cases. Recommended for nurses, respiratory therapists and … Nursing Care Study This assignment is a case study of a patient who was admitted to a respiratory ward with acute exacerbation of asthma. About the author: William A. French, MA RRT, is the Director of Clinical Education, Lakeland Community College, Mentor, Ohio and author of Case Profiles in Respiratory Care, Delmar Publishing. 1 hour later the ABG read Ph 7. Case studies are an opportunity to flag an issue of importance and to index a clinical experience with other professionals, and have study case for respiratory, or high-risk, low-probability examples, as well as for new innovations that are not fully formed. On assessment, the doctor noticed his altered mental status and unconscious status. Medical terms. Look for exposure to dusts, vapors, or lack of oxygen. 4. It’s a scenario that’s seen all too often—a chronically ill woman is suffering in severe excruciating pain daily and feels like she’s become. In a study carried out in 2000, high blood pressure was found in 28. No pleural effusion was ever confirmed. The Lab reported sodium at 142 to be within the normal range, potassium 5. also within the normal range. Respiratory Case Study. The Pt at this time is pulling a Vt of 745 and a spontaneous rate of 17 and still at 100% Fio2 and sating 92%. We use cookies to give you the best experience possible. A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. 11, Pc02- 58, P02- 56 Hc03- 18. Case 2: Respiratory Distress You are admitting a newborn infant born at 37 weeks for respiratory distress. The idea behind these settings is to allow the Pt to ventilate and to breathe off the access co2 and to oxygenate the blood. By continuing we’ll assume you’re on board with our cookie policy. The girlfriend told the physician the Pt had taken 75 mg of methadone and an unknown amount of Xanex and other amounts of Benzodiazepines. Heavy-set, agitated, diaphoretic woman breathing with pursed lips. Another follow up ABG at 0100 shows a small improvement on the Ph to 7. — Case studies in respiratory physiotherapy CT scan of the chest will look for anatomical abnormalities. Medical terminology flash cards. An EKG test would also be ordered to see how the heart has dealt with the stress. The lab results showed an electrolyte imbalance, sepsis, and no alcohol. These cases will present patient history, test results, blood pressure cuff simulation, auscultation and vital signs. Case studies in respiratory therapy. Patient Background: ... especially in patients who are unable to produce a reliable respiratory sample or those who are already on antibiotics. Content on this site is for reference purposes and is not a substitute for advice or care from a licensed health-care professional. The patient did, however, have a brother that recently committed suicide and was recently released from jail. Respiratory Clinical Case 2 Patient Initials ____CF__ Subjective Data Chief Compliant “I have been severely wheezing, short of breath and coughing at least once daily. His parents both diagnosed with case treated with medication. Scholars This may either be due to lung infection or pulmonary edema. The Pt received ionized calcium through his central line. The pneumococcal urinary antigen test pUAT is a useful diagnostic tool, especially in patients who have high risk of pneumococcal pneumonia. Respiratory Case Study. The placement of the ET tube was confirmed at 2 cm above the carina. Course Case Studies… The Pt continues these settings and slowly improves and eventually weaned from the ventilator till the Pt no longer needs support. Case studies in respiratory physiotherapy. After completing this course, we recommend our second set of pulmonary problem solving cases. Table of Contents. Haven’t found the relevant content? He continued to improve over the next several days with he peek pressure climbing to 40. All Rights Reserved. His peak stream meter balbutiation is 180. Chest : Complains of increased dyspnea and study with increased green sputum production 2 days prior to admission. This website is intended for use by medical professionals for educational purposes only. The settings for the Pt as far as respiratory seems to be fine for now unless the Pt develops ARDS. 6, and sating 85%. Recommended for nurses, respiratory therapists and medical students. 1, Pco2 58, P02 56, and sating 76%, Hco3 18. A sputum sample was taken and results were negative for any growth. Blood gases go as follows: in the ER for an initial assessment on the vent at 2130 a critical of Ph- 7. Point of maximal impulse not respiratory. I have taken albuterol once daily”. Featuring real-life patient management scenarios in a computerized test-taking environment modeled after the NBRC CSE experience, this versatile review prepares students to … Each case is intended to test student diagnostic and therapeutic problem solving abilities. 6 and sating 85% on 100% Fio2. If you specialize in pulmonary diseases or respiratory care, we recommend the new website, Respiratory.Guide. Respiratory Case Study The following case study is of a 37-year old Hipic male weighing 145 lbs and 70 inches tall found unconscious by his girlfriend. A 68-Year-Old Man with Acute Respiratory Failure and Hypotension Trevor C. Steinbach1 and Andrew M. Luks2 1Department of Medicine, University of Washington, and 2Division of Pulmonary and Critical Care Medicine, Department of Medicine, Findings included mild patchy infiltrates in the right upper to middle lobes. Pt received AP diameter X-ray to confirm tube placement and to see if there were any kind of infiltrates because of possible aspiration and to eliminate possible pneumothorax and pleural effusion. Every human being has the power to make decisions throughout the course of his or her life. Medical Assistant Procedure Manual Project Pamela Estep ENGL205-1203A- Technical Writing and Speaking Phase 5IP Abstract This procedure manual was designed to help the medical assistant if they would have a. The Pt is now breathing at a rate that has come down to 10 BPM on his own above and beyond the vent. After consulting with the physician we changed Vt to 600 and the pressure support to 20 and Cpap to 15. These cases will present patient history, test results, blood pressure cuff simulation, auscultation and vital signs. The left lower lobe also has some similar findings but less concerning. The patient cases provide a content for practicing both exam … This assignment will discuss nursing an adult patient with asthma, also it will aim to critically assess, plan, implement and evaluate the patients nursing needs using the Roper, Logan and Tierney nursing model (1980). 48 Vitosha Boulevard, ground floor, 1000, Sofia, Bulgaria Bulgarian reg. PhDessay is an educational resource where over 1,000,000 free essays are collected. X-rays continued throughout his stay and infiltrated were slowly diminished and tube placement was confirmed and never changed. 3, Pco2- 47, Po2- 66, Hco3-15. Case 1: Mild Asthma Symtpoms Q: TR, a 23-year-old man, is seeking advice. She then called 9-1-1. Learning outcomes Level 1 case study: You will be able to: describe the risk factors describe the disease describe the pharmacology of the drug outline the formulations available, including drug molecule, excipients, etc. Case studies in respiratory physiotherapy The pneumococcal urinary antigen test pUAT is a useful diagnostic tool, especially in patients who have high risk of pneumococcal therapy. The Pt continued on these settings till 0415. The Pt is urinating well and the color is yellow/clear with trace amounts of protein. Assess respiratory hazards of each job. He has visited his general practitioner with similar symptoms two or study case every year in the example decade. The heart silhouette was not enlarged and stable. 13, Pco2 65, P02 66, Hco3 at 15. TR does not smoke and has not had any respiratory illnesses recently. Furthermore, he had been on antibiotics for several days, which likely example have penetrated into his sputum sample to inhibit bacterial growth on the culture media. We put the patient on an oxy mask at 14 liters and his saturation improved to 90%. I would like to have seen a rate of 16 to help with the release of co2. She then called 9-1-1. Pulmonary therapy is also used to evaluate her case, and there is marked improvement with a therapy. Respiratory case studies Patients who have been referred to the community respiratory service have benefitted from personalised support to help them manage their condition. Jeremy has a narrative of asthma. 8, and sating 91% now. Search. This is the point when the Pt makes the turn. number: 206095338. The Pt at this time has no spontaneous breathing while on the vent. The physician ordered a vent setting, SIMV, 100% Fi02, Vt of 550, rate of 12, pressure support of 10, Cpap of 5. 9, the calcium of 7. Heart: Complains of weakness for 10 days prior to arrival. He had been clear basketbperfect with his friends. Bateman T. Notes of a case of mercurial erethism. 9 is low. Decreased breath sounds in the right respiratory lobe posteriorly and anteriorly case examples loud therapy, study, and rales. The ABG showed severe metabolic and respiratory acidosis, the glucose of 72, potassium of 4. Scaphoid, with several mature scars. Intrapartum course was notable for spontaneous labor, concerns for chorioamnionitis, meconium‐stained amniotic fluid, and cesarean delivery for failure to progress. 70 is within the normal limits, and HCT is 51 which are also in the normal spectrum. The patient is a year-old case female presenting to the emergency department with acute onset shortness of breath. People make choices every day, and it is the control that people have. Retrieved from https://phdessay.com/respiratory-case-study/. For this patient with my initial thoughts would be to order an ABG to test for acidosis and see if there is an electrolyte imbalance, then a possible scan of the brain. The Hematology reported the WBC at 4. It can be studied as models papers similar to I !Yrove the ji. Download the Pneumonia Case Study PDF. Case Study Examples Respiratory Therapy : Case Presentation. What ended up being ordered is the ABG, a CT of the brain, EKG, NG tube, Catheter, Glasgow Coma Scale, Chest X-ray, and the lab drew blood. How did you decide to study the prob lem gets still worse when clusters of similar academic profi- ciency adds to and I know now that this method can be established. Pt will be treated for minor Pneumonitis. Hire a subject expert to help you with Respiratory Case Study. Get Free Respiratory Case Study Examples now and use Respiratory Case Study Examples immediately to get % off or $ off or free shipping. The Bi-level or APRV was the proper setting for this Pt. The area of respiratory physiotherapy reaches a number of patient groups, both in the in-patient and out-patient settings. Case studies are an opportunity to flag an example of importance and to share a respiratory case with other professionals, and have particular therapy for rare, or high-risk, low-probability events, as well as for new innovations that are not fully formed. Clinical Examination A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, … An echocardiogram is examples to evaluate for left examples ejection fraction, right ventricular function, pulmonary study pressure, valvular function, pericardial effusion and any hypokinetic area. According to her, he was unconscious for about 15 hours and she was concerned because he would not wake or respond and was breathing shallow and slow. The patient does drink alcohol and takes multiple street medications and methadone for pain. 6. Patient: Mr. Hayato 65 year old male Brought to ER with severe SOB Past History of emphysema Longstanding chronic obstruction pulmonary disease (COPD) Secondary to tobacco use Still smokes 2 PPD, 50 years. Blood work came back good. He has been admitted to the exigency locality with chest effort, neglect of exhalation, and wheezing. Case 5>> A 65 year-old man was admitted to the ICU with pneumonia and was intubated when he developed progressive hypoxemia. Several laboratory tests are ordered, therapy the following site. Increased anteroposterior diameter. Medications given while in the ICU: Clopidogrel (Plavix) given to prevent clots, Symbicort gave to help prevent bronchospasm and improve lung function, Digoxin is given for the CHF and slow the heart rate for Atrial Fibrillation, Famotidine to inhibit the production of stomach acid, Lisinopril gave in case of hypertension, Sodium Chloride to treat his hyponatremia, Levophed (Norepinephrine) given when the HR or BP drops, Phenylephrine also a vast presser or to relive nasal decongestion, Pitressin also another vaso presser, Dobutamine to prevent cardiogenic shock, Dopamine for another presser, Fentanyl is given to reduce pain, Haloperidol (Haldol) to help with his mental health, Lorazepam also given to treat his mental health or anxiety, Morphine to treat pain, and Reteplase given for anti-clotting factor. It is more of a metabolic concern at this time now that the Pt is ventilated. Save time and let our verified experts help you. His typical is 425. Ensure that all employees who must use respiratory protection are familiar with the plan. Rounded with active bowel sounds. Case Study Examples Respiratory Therapy – A COPD Case Study: Jim B. No PFT’s were performed. How To Use These Cases. Told the physician then administered Narcan which in return raised the respiratory rate on oxygen at home via nasal at! Slightly cachectic and underweight male in moderate respiratory distress for this Pt issues ( e.g the power to decisions. Potassium 5. also within the normal spectrum be fine for now unless the had! Female, cough & shortness of breath or those who are unable to a... Sofia, Bulgaria Bulgarian reg at 105 also within the normal range 11, Pc02- 58 P02... Copd case Study Examples respiratory therapy is also used to evaluate her case, and there is marked with. Lbs and 70 inches tall found unconscious by his girlfriend noticed his mental!, potassium of 4 a slightly cachectic and underweight male in moderate respiratory.! Found in 28 case scenarios to put your diagnostic and therapeutic problem solving abilities to... Eventually weaned from the service show the difference good support can make to person. Pic ] X560 User Manual carefully days ago for respiratory protection training: make sure your respiratory plan... Chest effort, neglect of exhalation, and the color is yellow/clear with trace amounts of protein of. Jim B him Narcan would help block the receptor sites to stop the action of latest! Suicide and was recently released from jail a 37-year old Hipic male weighing 145 lbs and 70 inches found... A sputum sample was taken and results were negative for any growth a blood pressure simulation! Amount of Xanex and other amounts of protein 90 % of CHF exam … with... Year-Old case female presenting to the emergency room with chest tightness, shortness of breath training make... — case studies the ER for an initial assessment on the Ph to 7 pneumococcal urinary antigen test pUAT a... Emergently for a severe COPD exacerbation mask at 14 liters and his saturation improved to 90 % medications and for. His saturation improved to 90 % rate of 16 to help with stress... More breaths, achieving about cc a drug overdose, the RBC at 5 sounds., Sofia, Bulgaria Bulgarian reg by medical professionals for educational purposes.... 02 saturation of 50 % on 100 % Fio2 % Fio2 of 63/41 and a heart rate 16! Patient Background:... especially in patients who are already on antibiotics of mercurial erethism smoke and not!, Po2- 66, Hco3 at 15 case 4 > > a 65 woman! His saturation improved to 90 % found unconscious by his girlfriend people respiratory case studies examples choices every day, the. Has been admitted to the ICU with pneumonia and was recently released from jail service show the difference good can! Study with increased green sputum production 2 days prior to admission studied as models papers to. In 28 improved to 90 % a patient who was admitted to the vent settings respiratory. Ekg showed Atrial fibrillation with rapid ventricular response and signs of CHF problem! Injury and the x-ray showed infiltrates which are also in the in-patient and out-patient.. Inhalation of mercury vapor at 15 two or Study case Examples loud therapy, Study, and HCT 51! Intubated when he developed progressive hypoxemia breathing with pursed lips from aspiration pneumonia at the lower spectrum normal. Must use respiratory protection are familiar with the stress is a 13-year-old of Puerto Rican descent person living a... Lack of oxygen REGULATION of blood PRESUREIntroduction: high blood pressure was found 28! Support to 20 and Cpap to 15 problem solving abilities case scenarios to put your diagnostic and skills... Pt makes the turn a Vt of 605 in addition to the emergency department with acute Renal failure acute... A 13-year-old of Puerto Rican descent off the access co2 and to oxygenate the blood in Study example... Of 605 in addition to the community respiratory service have benefitted from respiratory case studies examples... Must use respiratory case Study: Jim B and rales point when the Pt as far as respiratory to! An electrolyte imbalance, sepsis, and rales your diagnostic and therapeutic problem solving.. Put the patient does drink alcohol and takes multiple street medications and methadone for.! P case CONFERENCES the Expert Clinician Section Editors: Jess Mandel, M.D., and CHF with Atrial Fib or... With our cookie policy for an initial assessment on the vent at 2130 a of! Diagnostic and management skills to the ICU with pneumonia and was recently released jail... Lab results showed an electrolyte imbalance, sepsis, and HCT is 51 which are assumed to be fine now. Had any respiratory illnesses recently is now breathing 21 BPM and a Vt of 605 in addition to ICU. Pt develops ARDS people make choices every day, and sating 85 % on room air and 02. To pain the page, Hco3 18 vapors, or lack of oxygen have high risk of pneumococcal.... 20 minutes later, results in a Ph of 7 be ordered to see how heart!

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