Chief complaint is chest pain. HISTORY OF PRESENT ILLNESS Ms. [Name] is a 49-year-old female who has a history of hypertrophic cardiomyopathy with an _____ in place‚ and also has a history of atrial fibrillation. She comes to the emergency department today complaining of chest discomfort. It began 3 days ago and has been constant and persistent since then. The pain is located on center and left side of her chest. It is associated with some shortness of breathe. The pain feels like tightness.
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Bronchial asthma is a chronic inflammatory airways disorder which leads to bronchoconstriction of the trachea and shorten the breath. It is a global serious health problem‚ where 5% to 10% of different age peoples suffer this disorder (Ukena‚ Fishman‚ & Niebling‚ 2008). Bronchial asthma has many manifestations as the recurrent acute shortness of breath episodes‚ which typically occur at night and early morning hours. In addition‚ it could cause other symptoms including wheezing‚ coughing‚ and feeling
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Lupus could be a chronic‚ autoimmune disorder which will harm any part of the body (skin‚ joints‚ and/or organs within the body). The word chronic implies that the signs and symptoms of said disease tend to last longer than six weeks and infrequently for several years. In this particular disease‚ when one thing goes wrong in your immune system‚ that is the part of the body which fights off viruses‚ bacteria‚ and germs‚ our immune system is not able to function properly. Commonly our system produces
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Case Study One COPD HCS 507 09/06/2014 Stephen Loughran‚ MSN-FNP‚ RN Case Study One COPD Chronic obstructive pulmonary disease (COPD) is a progressive‚ non-reversible disease that makes breathing difficult. COPD is characterized by coughing‚ often productive; wheezing; shortness of breath; and chest tightness. The leading cause of COPD is cigarette smoking (National Institutes of Health‚ 2013). While 85 % of COPD patients are or were smokers‚ only 10-25 percent of smokers develop COPD‚ suggesting
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Definition: Airways leading to the lungs inflame and become narrow. Causes: Can be inherited or this occurs if your airways are sensitive to allergens like dust‚ pollen‚ smoking‚ or perfume. Symptoms: Wheezing‚ shortness of breath‚ chest tightens‚ and coughing. Treatment: Using an inhaler to calm the airways. Prevention: Stay away from stimuli that trigger these symptoms‚ do not smoke‚ and always carry an inhaler. Definition: Swelling of the pleura that cover the lungs and chest wall. Causes:
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Dr. Adam’s dictation dated 04/03/08 Patients name: Diane G. Baron D.O.B: 09/07/1935 Age: 72 Sex: Female Subjective: Diane is here today with complaints of sinus symptoms‚ cough‚ there is a lot of pressure in her face‚ post nasal drainage. She denies any sore throat‚ no fever or chills. She states she’s coughing up quite a bit of white flam. She states at night sometimes she has to sit up‚ otherwise she starts coughing when she lies flat. She denies any night sweats; she is currently on combovent
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Given the current symptoms it seems that A.O is suffering from left heart failure. Dyspnea the medical term for difficulty breathing is often an indicator of left heart failure. The clinical manifestations including dyspnea are caused by pulmonary vascular congestion and poor systemic oxygen perfusion (Huether & McCance‚ 2012). Other clinical manifestations physicians find with individuals with left heart failure include‚ coughing up mucus‚ fatigue‚ and a decreased urine output. Physicians will
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NURSING PROCESS WORKSHEETS Client Name: NURSING PROCESS Nursing Diagnoses: (include 1 psychosocial) 1. Impaired Gas Exchange related to thoracotomy as evidenced by O2 via NC‚ L side chest tube‚ Hx of asthma‚ Obesity‚ chest x-ray showing congestion and atelectasis in the left lower lobe‚ and SOB on exertion. 2. Acute Pain related to surgical incision as evidenced by patients verbal report of pain (rated at a 10 on a scale from 1-10)‚ positioning
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supplemental oxygen. Mild to moderate hypoxemia is a common arterial blood gas finding. Hypocapnia and respiratory alkalosis may occur due to the high respiratory rate of an acute asthma exacerbation‚ but prolonged or severe symptoms may cause hypercapnia and metabolic acidosis (Karwat‚ 2002). Chest radiography is often normal; however‚ findings can encounter hyperinflation of the lungs with flattened diaphragm if there is obvious air trapping with the diagnosis of asthma. A CXR may be obtained
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Chapter 58 Practice Questions page 755 (652-674) (652) 1. An emergency department nurse is assessing a client who has sustained a blunt injury to the chest wall. Which of these signs would indicate the presence of a pneumothorax in this client? * Diminished breath sounds Rationale: This client has sustained a blunt or a closed chest injury. Basic symptoms of a closed pneumothorax are shortness of breath and chest pain. A larger pneumothorax may cause tachypnea‚ cyanosis‚ diminished breath
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