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Asked by ponnujose4
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Your next patient has a 1 pack day history for 25 years. BV has bilateral crackles when you assess his lungs. BV states he had a recent hospital admission for shortness of breath, productive cough, & weakness. He was diagnosed with an upper respiratory infection. He has been home for 2 days and still feels fatigue. He was on a course of antibiotics during admission.Â
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Post bronchodilator spirometry results & CXR
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 Test Result (% Predicted) % Change Â
FEV1/FVC 50 7 Â
FEV1 50 8 Â
FVC 50 6 Â
CXR: Impression – Hyperinflation
Interpretation of results?
Interpretation of reversibility/GOLD severity grading?
Most likely diagnosis?
Treatment strategy with rationale?
Question#2
LZ is a 77-year-old male, presenting for evaluation of a productive cough for 6 weeks. He reports he has never smoked or used tobacco products but his wife smoked in the house for about 25 years, during their 40-year marriage. She quit smoking in the house about a year ago. LZ was employed in agriculture for 50 + years.
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Post-bronchodilator spirometry test
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 Test Result (% Predicted) % Change Result
FEV1/FVC 64 4 Â
FEV1 62 3 Â
FVC 61 6 Â
Interpretation of results?
Interpretation of reversibility/GOLD severity grading?
Most likely diagnosis?
Treatment strategy with rationale?
SCIENCE
HEALTH SCIENCE
NURSING
NR 601