2019-01-22T12:29:52+00:00 Assignments

Topic: Comprehensive Case Study on COPD, Heart Failure, Hypertension and Diabetes Mellitus

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Topic: Comprehensive Case Study on COPD, Heart Failure, Hypertension and Diabetes Mellitus

Instructions:

One source out of the 4 must be the textbook Pathophysiology 5th edition by Lee-Ellen C. Copstead and Jacquelyn L. Banasik.

Content:

Comprehensive Case Study on COPD, Heart Failure, Hypertension and Diabetes Mellitus Student: Professor: Course title: Date: Comprehensive Case Study on COPD, Heart Failure, Hypertension and Diabetes Mellitus Question 1 The clinical findings that correlate with the chronic bronchitis that MK has include a high hematocrit level, a low PaO2 and a high PaCO2. As per the lab findings, MK has hematocrit and HbA1c levels of 57% and 7.3% respectively. Female patients whose hematocrit is greater than 47% have a higher likelihood of being diagnosed with chronic bronchitis or COPD (Santibáñez et al., 2016). Since MK has 57%, it is not surprising that she was diagnosed with COPD/chronic bronchitis. PaO2 is used to assess gas exchange or perfusion, whereas PaCO2 is used to assess the sufficiency of breathing pattern or ventilation. Normal PaO2 is 80 mm Hg to 100 mm Hg arterial. PaO2 of less than 80 mm Hg indicates hypoxemia. Normal PaCO2 is 35-45 mm Hg arterial (Santibáñez et al., 2016). MK has PaCO2 of 52 mm Hg which is abnormal, and her PaO2 is 48 mm Hg which is also not normal. A low arterial PaO2 and a high PaCO2 are associated with chronic bronchitis; hence these clinical findings in fact correlate with MK’s C

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