Get Help With Your Essay

"Place your order now for a similar assignment and have exceptional work written by our team of experts, guaranteeing you A results."

For This or a Similar Paper Click To Order Now

 

Patient Profile
J.H. is a 52-year-old white man who comes to the emergency department complaining of shortness of breath. He has not seen a health care provider for many years.

Subjective Data
•Has a 38 pack-year history of cigarette smoking
•States he has always been slender but has had 25-lb weight loss despite a normal appetite in the past few months
•Admits to a “smoker’s cough” for the past 2 to 3 years; recently coughing up blood
•Is married and the father of three adult children

Objective Data
•Thin, pale man looking older than stated age
•Height 6 ft; weight 135 lb (61.2 kg)
•Intermittently confused and anxious with rapid shallow respirations
•Vital signs: temperature 102.6° F (39.2° C), heart rate 120, respiratory rate 36
•Chest wall has limited excursion on right side; auscultation of left side reveals coarse crackles but clear with cough; right side has diminished breath sounds

Diagnostic Studies
•Arterial blood gases: pH 7.21, PaO2 58 mm Hg, PaCO2 82 mm Hg, HCO3− 33 mEq/L, O2 saturation 84%
•Chest x-ray: consolidation of the right lung, especially in the base with possible mass in the area of right bronchus; pleural effusion on the right side
•Bronchoscopy with biopsy of mass: small cell lung carcinoma

Discussion Questions
1. How would you classify J.H.’s pneumonia? Why is this important?
2. What is your analysis of J.H.’s arterial blood gas results?

Get Help With Your Essay

"Place your order now for a similar assignment and have exceptional work written by our team of experts, guaranteeing you A results."

For This or a Similar Paper Click To Order Now