Case Study on Copd
This is a case study on a 76 year old man.Mr Alan Chari(pseudonym used to protect the identity of a patient),was admitted over night in my department.He is a divorcee who stays with son.He is a retired teacher and his son is permanently employed by a local company as an electrician.He is independent with activities of daily livings but is occasionally limited by his ill health.He used to be a heavy smoker .After realising the burden COPD has on general New Zealand population ,affecting about15% of the adult population over the age of 45 years according to asthmanz( 2010) ,l took this case study to gain in-depth understanding.
Presenting hx
Chari is a known patient with Chronic obstructive airway disease(COPD).He presented with increased shortness of breath, stabbing chest pain aggravated by breathing, continues coughing,rapid breathing,incresed sputum production(no change in colour),.He is on ventolin inhaler qid prn which he has not been using despite having these symtoms, Also on Seretide 125/25,2 puffs bd and home oxygen for COPD ,Chari has other co morbidities namely ,low body mass index,previous pulmonary emboli(treated).
On examination,he appears frail with evidence of poor nutritional status,He had bibasal crepitations,wheeze throughout the lungs and reduced air entry.His oxygen saturations were 89% on 2litres oxygen
Other tests-blood gas showered a normal ph,and hypoxia(mild).Bloods indicates no raised white cell count.Vital signs,Temperature 37 degrees,BP 120/60,Respirations 24b/min.Weight 52 kg
Chest x-ray showed widespread changes in COPD,ill defined opacity in rt lower lobe which has increased in density in comparison with previous study.No other focal areas of consolidation or collapse identified.In view of this he was prescribed predinisone for 10 days(in tiltrated dosages),He was also encouraged to use his ventolin inhaler prn to gain quick relieve for increased shortness of breaths.
COPD
Chronic Obstructive Pulmonary Disease (COPD)
Presenting hx
Chari is a known patient with Chronic obstructive airway disease(COPD).He presented with increased shortness of breath, stabbing chest pain aggravated by breathing, continues coughing,rapid breathing,incresed sputum production(no change in colour),.He is on ventolin inhaler qid prn which he has not been using despite having these symtoms, Also on Seretide 125/25,2 puffs bd and home oxygen for COPD ,Chari has other co morbidities namely ,low body mass index,previous pulmonary emboli(treated).
On examination,he appears frail with evidence of poor nutritional status,He had bibasal crepitations,wheeze throughout the lungs and reduced air entry.His oxygen saturations were 89% on 2litres oxygen
Other tests-blood gas showered a normal ph,and hypoxia(mild).Bloods indicates no raised white cell count.Vital signs,Temperature 37 degrees,BP 120/60,Respirations 24b/min.Weight 52 kg
Chest x-ray showed widespread changes in COPD,ill defined opacity in rt lower lobe which has increased in density in comparison with previous study.No other focal areas of consolidation or collapse identified.In view of this he was prescribed predinisone for 10 days(in tiltrated dosages),He was also encouraged to use his ventolin inhaler prn to gain quick relieve for increased shortness of breaths.
COPD
Chronic Obstructive Pulmonary Disease (COPD)