COPD Case Study Patient and History: D.Z. a 65 yr old man is admitted to a medical floor for COPD exacerbation. PMH of HTN, controlled well by enalapril for the past 6 years as well as a recent diagnosis of pneumonia. He appears cachectic and experiences dyspnea at rest. He reports a productive cough of thick yellow green sputum. D.Z. is experiencing irritability and anxiety. He reports smoking 2 packs a day for 38 years. He complains of sleeping poorly and feeling tired most of the time. Vital signs: BP 162/84, P 124, RR 36, T 102.8F SaO2 88% Room air. Admitting diagnosis: Exacerbation of COPD etiology to be determined. Orders: Diet as tolerated, Up with assistance, O2 to maintain sats greater than 90%, IV D5W @ 50 ml/hr, Strict I/O, ABGs in AM, CBC with diff, BMP, Theophylline level on admission, CXR every 24 hours. Medications: Prednisone 60mg po daily Doxycycline 100mg po every 12 hours for 10 days Azithromycin 500 mg IVPB every 24 hours for 2 days then 500mg po for 7 days Theophylline 300mg po BID Heparin SQ 5000 Units BID Albuterol 2.5mg/3ml NS and Atrovent 500mg by nebs every 4-6 hours Enalapril 10mg po every am Questions: 1. In 200 Words Explain the pathophysiology of COPD give clinical example of symptoms and pathophysiology associated with COPD. 2. What type of COPD do you feel this patient is experiencing provide explanation in 200 words minimum? 3. Are DZs VS and SO2 appropriate? If not explain why? 4. Identify 3 nursing diagnosis and interventions that can be implemented to improve oxygenation and explain how to determine effectiveness. 200 word minimum. 5. Explain the purpose of the following classes of drugs as they relate to COPD provide explanation and direction for each use. Antibiotics Bronchodilators Anticholinergics Corticosteroids
Why Choose Us
Top Quality and Well-Researched Papers
We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.
Professional and Experienced Academic Writers
We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.
Free Unlimited Revisions
If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document. You can do this yourself after logging into your personal account or by contacting our support.
Prompt Delivery and 100% Money-Back-Guarantee
All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.
Original & Confidential
We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text. We also promise maximum confidentiality in all of our services.
Customer Support 24/7
Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.
No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.
Admission and Business Papers
An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.
Editing and Proofreading
Our academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.
If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. You can use this option as many times as you see fit. This is free because we want you to be completely satisfied with the service offered.