Please answer this question. When observing the results of a pre/post bronchodilator test, what is assessed to determine the need for bronchodilator therapy?
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- Explain how respiratory values correspons to anatomical or physiological changes for asthma, emphysema, moderate exercise and heavy exerciseScenario: After three days of mechanical ventilation, the client's interdisciplinary healthcare team decides to perform a ventilator weaning trial. After 30 minutes, assessment findings indicate that the client is tolerating the process well. The weaning trial is continued for an additional 90 minutes at which time an ABG is drawn and vital signs are reevaluated. For each assessment finding, use an X to indicate whether the finding is supportive of Extubation or Resuming mechanical ventilation. Provide a rationale for each choice. Assessment finding Extubation Resuming mechanical ventilation Rationale Ph 7.38 Blood pressure 120/76 mm Hg SaO2,90%. PaCO2, 43 mm Hg PaO2, 48 mm Hg Heart rate: 120 bpm HCO3-, 24 mEq/LPlease do the following question!
- Please answer this question From the following tests, which one is used to calculate air-trapping and the severity? DLCO, N2 washout, Pre-post bronchodilator, Plethysmography.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 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) What is the pathophysiology related to this disease process in the aging…Fill in the blank: As a result of hyperventilation, breath-holding time is _______________________.
- LF, a 34 year old white male, presented to the emergency room complaining of acute and severe shortnessof breath and intense chest tightness. LF’s speech was choppy and breathing was very rapid and erratic,punctuated by noticeable wheezing. LF’s medical records included the results of pulmonary functiontesting he had undergone six months before (Table 1).Table 1. Pre- vs post-bronchodilator spirometry at baselinePre-Bronchodilator (L) Post-Bronchodilator (L) Predicted Normal (L)FEV1 3.22 4.25 5.55FVC 5.20 5.52 6.51His medical records also indicated prior admission for respiratory symptoms and a history of poorly-controlled asthma. Blood gas tests were performed shortly after LF was admitted (Table 2) and a PEFR(peak expiratory flow rate) test performed. The latter revealed a PEFR of 181 L/min (normal: 525 L/min).LF additionally had serum creatinine measured at admission and at 12h post-admission (Table 3).Table 2. Blood gas values upon admissionAdmission + 2h +4h +6h +8h +10h +12hPaO2…Please answer the question. What does Respiratory therapist check for in home oxygen concentrator every month.what is the difference between obstructive pulmonary diseases (COPD, asthma) and restrictive pulmonary diseases (pulmonary fibrosis), and how these differences impact pulmonary function tests.
- Scenario 2: You are a newly employed home care therapist and are visiting Mr. Pickwick for the first time. While checking his BiPAP setup, you observe that 2 Lpm of oxygen from an oxygen concentrator is being titrated directly into the mask How can you assess the adequacy of the oxygen therapy being provided?How does a nonrebreathing mask work? A one-way valve located between the reservoir bag and the base of the mask allows gas from the reservoir bag to enter the mask on inhalation but prevents gas in the mask from flowing back into the reservoir bag during exhalation. O It has a reservoir bag that must remain inflated during both inspiration and expiration. The nurse adjusts the oxygen flow to ensure that the bag does not collapse during inhalation. The mask is constructed in a way that allows a constant flow of room air blended with a fixed flow of oxygen. Excess gas leaves the mask through the two exhalation ports, carrying with it the exhaled carbon dioxide.How can you relate the Concept of Gas Exchange to future professional clinical practice? Explain in ~ 150 words.