Respiratory Case 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: 20 breaths/min Frequency Vital capacity (VC) 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 Pa02 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

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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Respiratory Case
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
70 mm Hg
26 mm Hg
Ра02
РаСО2
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
Transcribed Image Text:Respiratory Case 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 70 mm Hg 26 mm Hg Ра02 РаСО2 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
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