1. What is the disorder of this 17-year-old student? Why? 2. Is this primarily a restrictive or an obstructive disorder? Why? 3. Write the formula for determining residual volume (RV).
1. What is the disorder of this 17-year-old student? Why?
2. Is this primarily a restrictive or an obstructive disorder? Why?
3. Write the formula for determining residual volume (RV).
4. Determine the residual volume (RV) before and after the use of the bronchodilator. a. RV before using the bronchodilator: b. RV after using the bronchodilator:
5. Why is expiration more difficult than inspiration in this person?
6. What does the change in pulmonary function after the bronchodilator therapy indicate?
7. Why does the bronchodilator exaggerate the tachycardia?
8. What causes the hypoxemia and the hypocapnia in this person?
9. A beta 2-adrenergic agent was prescribed for further use because it has less cardiostimulatory (beta1) effect. Based on your knowledge of beta1 and beta2 receptors, why is this a good suggestion?
10. An anticholinergic agent was also suggested as a possible nebulizer agent. How might this help the breathing problem?
![A 17-year-old student has experienced reversible, periodic attacks of chest tightness with coughing,
wheezing, and hyperpnea. She states that expiration is more difficult than inspiration. She is most
comfortable sitting forward with arms leaning on some support. Chest X-rays revealed mild overinflation
of the lungs. Results from laboratory and pulmonary function tests are as follows:
Frequency
Vital capacity (VC)
20 breaths/min
2.9 L
FEV1.0
1.4 L
FEV1.0/FVC
56%
Functional residual capacity (FRC) 3.89 L
Total lung capacity (TLC)
6.82 L
Ра02
70 mm Hg
РаСО2
26 mm Hg
Pulse
108 b/min
ВР
120/76 mm Hg
Intermittent use of a bronchial smooth muscle dilator (1:1000 epinephrine by nebulizer) for several days
caused marked improvement, resulting in the following laboratory and pulmonary function tests:
VC
4.15 L
FEV1.0
3.1 L
FEV1.0/FVC >75%
FRC
3.7 L
TLC
5.96L
PaO2
89 mm Hg
РаСО2
38 mm Hg
Pulse
129 b/min
ВР
122/78 mm Hg](/v2/_next/image?url=https%3A%2F%2Fcontent.bartleby.com%2Fqna-images%2Fquestion%2F76bff98d-ff16-4124-adc6-3e130b44242b%2F367bab25-1fe3-44e0-9672-c890da6ef826%2Fu9mnons_processed.png&w=3840&q=75)
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