LRC- Pulmonary Diagnostics

LRC- Pulmonary Diagnostics 1REVERSE CASE STUDY OUTLINEFor this LRC you will be completing two reverse case studies. This means you will be making up accurate medical information for a case study pertaining to one obstructive disease patient and one restrictive disease patient. Like case studies you have done before you will complete them according to the following format. Each is worth 95 points, totaling 190 points for both. Content Patient Profile Present a description of the patient in terms of age, sex, race, height, weight, marital status, occupation, social/cultural history, previous hospital admissions, chief complaint on current admission, and all diagnoses. This serves to orient the reader to the case study patient and provide an overview of clinical issues pertaining to the patient. Pathophysiology, Treatments, and Medical Respiratory Therapy Standards of Practice In this section, the student will provide general information about the medical conditions and treatments that would be utilized in evaluating and planning care for the case study patient.  Explain the patient’s diagnoses and how they are pertinent to their Respiratory status and the Respiratory care plan  Give a brief description of the disease process in terms of incidence, prevalence, risk factors/etiology, symptoms, pathophysiology; diagnostic procedures (e.g., biopsy, laboratory tests, x-rays); treatments (e.g., medical; surgical; occupational; physical, or speech therapy; social service, psychological); and prognosis (e.g., expected degree of recovery). o Describe in detail the interpretations of the PFT’s and/or Peak flows, including obstructive vs. restrictive determinants. • The role of lifestyle and lifestyle modifications should also be addressed, as appropriate, including exercise, alcohol, and smoking. . Patient history and Clinical Course The following information will be specific to your case study patient:  Pathophysiology – specific to the patient.  Laboratory tests – report only those abnormal values pertinent to the related pathophysiology, be prepared to explain the value’s meaning. Compare them to the normal.  Medications. All medications mentioned in the case study should include a description of what they are used for. Discuss drugs with respiratory implications in greater detail than other medications.  Procedures and surgeries LRC- Pulmonary Diagnostics 2Respiratory Assessment  Patient's Sensorium. Those with respiratory problems may appear exhausted, anxious or unresponsive. Hypoxia and hypercapnia can alter the mental state and cause confusion or disorientation.  Patient’s skin color. Cyanotic with hypoxia. A patient with hypercapnia may appear flushed because of high carbon dioxide levels.  Communicate with the patient. Note if he has shortness of breath or uses short sentences. This could indicate a certain level of respiratory failure.  Observe the patient's chest rises and falls. A limited movement could point to a respiratory problem or collapsed lung.  Observe the patient's respiratory rate per minute, shallow or deep. Note how long it takes the patient to exhale.  Inspect the patient's mouth. Look for traces of mucus or blood, which are both signs of lung problems. Smell the breath for a fruity or fecal smell, which could also indicate respiratory problems. References  References should be listed in American Psychology Association,(APA) format, including; use of original source material, data , formation form chart, and p patient interview