Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of chronic obstructive pulmonary disease (COPD). Today, he presents to the emergency department with reports of shortness of breath and difficulty breathing. He is in respiratory distress with retracting respirations of 26 breaths/min, BP is 154/76 mm Hg, pulse is 120 beats/min, and temperature is 37°C.

His skin color is pale gray, his chest is barrel-shaped, and he uses accessory muscles to breathe; he appears anxious and is sitting in a tripod position. His nail beds are bluish in color; his oxygen saturation by pulse oximetry is 72%.

Chest auscultation reveals wheezes and decreased-to-absent breath sounds in bilateral bases. Hyperresonance is noted upon chest wall percussion. Chest x-ray showed atelectasis bilaterally in the bases. Mr. Ritter coughs with minimal amounts of clear sputum. (Learning Objectives 5 and 8)

a. What findings from the given scenario are subjective data?

b. What findings from the given scenario represent objective data? Describe which is abnormal and why that is abnormal.

c. What is the pathophysiology related to this disease process in the aging adult patient?

d. Choose 3 nursing diagnoses and develop a care plan for this patient based upon the assessment and diagnoses using the concept map below.

 

 

 

 

 

 

Summarize the genitourinary Infections or Disorders in terms of etiology, pathogenesis, clinical picture, diagnosis, and treatment rationale.

 

The 5 General Topics of Disease Summary

1. Etiology & risk factors

2. Pathogenesis: The molecular mechanism of the disease process (How the disease process evolves)

3. Clinical Picture: Signs& Symptoms, Sequelae, and Complications

4. Diagnosis: Labs & tests (as well as screening tests and follow up tests whenever applicable)

5. Pathophysiologic rationale of treatment

This summary should cover the following genitourinary infections:

UTI: cystitis & pyelonephritis

Genital infections: Chlamydia, gonorrhea

For each one of these 2 categories (UTI & Genital infections) discuss the following:

1. Etiology:

The organisms causing these infections, route of transmission, risk factors.

2. Clinical Picture:

Signs& symptoms of these infections and possible complications

3. Diagnosis:

Labs and tests to diagnose these infections.

 

This is the textbook for information:

McCance, K.L., Huether, S. E. (2018) Pathophysiology: The Biological Basis for Disease in Adults and Children. (8th Ed) St. Louis, MO. Elsevier Mosby ISBN-13: 978-0323583473 ISBN-10: 9780323583473

The rationale for treatment of heart failure can be directed to: a. Enhancing cardiac contractility. Marked out of b. Reducing the workload on the failing heart by increasing the heart rate. increasing the workload on the failing heart by decreasing the heart rate d. Reduce cardiac workload by reducing heart rate and/or enhancing the force of contraction

What are some treatment modalities for anxiety disorders? And medical treatments for people with Somatic symptoms and related disorders/medications used in the treatment of anxiety disorders and their side effects?