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Present a case from your clinical experience in which the patient had a chronic pulmonary condition: COPD Exacerbation

 

 

 COPD Exacerbation

A 52-year-old male patient who had a history of COPD presented to the emergency department with acute onset of dyspnea. The dyspnea began three days ago and has been progressive and occurring at rest during admission. There was an associated productive cough and chest pain. There was no history of fever, night sweats, or unintentional weight loss. The patient has a history of 40 pack-per-year of cigarette smoking and did not quit this behavior despite the diagnosis of COPD. He was obese and has no other significant past medical history. He uses supplemental oxygen therapy during activity. Additionally, he was on salbutamol and budesonide inhalers.

The history of COPD led to a high index of suspicion of acute COPD exacerbation. The presence of deteriorating respiratory symptoms beyond day-to-day variations such as progressive dyspnea, chest pain, and productive cough also supported this diagnosis (Bollmeier et al., 2020). To further support the diagnosis and rule out other possible conditions with similar presentations, additional diagnostic workups were obtained. A complete blood count revealed increased white cell count with the other cell counts within normal ranges. Oxygen saturation on pulse oximetry was 86%. A chest X-ray showed hyperinflation whereas findings from a chest CT scan were consistent with emphysema. Electrocardiography was non-contributory.

The patient’s acute exacerbation necessitated a change to the management plan. Additional interventions offered included the administration of antibiotics, oral systemic corticosteroids, high-flow oxygen therapy, non-invasive mechanical ventilation, and a combination of the short-acting beta agonist with a short-acting anticholinergic bronchodilator (Crisafulli et al., 2018). The acute COPD exacerbation also had implications on the prognosis of the patient. This was due to the need for hospital admission, increased morbidity due to the risk of acute respiratory failure, and the required additional therapeutic interventions (Macleod et al., 2021). The occurrence of exacerbations increases the risk for subsequent exacerbations and re

Present a case from your clinical experience in which the patient had a chronic pulmonary condition COPD Exacerbation 

sultant readmissions. Exacerbations also result in disease progression with worsening lung function with each exacerbation.

 

 

 

 

 

References

Bollmeier, S. G., & Hartmann, A. P. (2020). Management of chronic obstructive pulmonary disease: A review focusing on exacerbations. American Journal of Health-System Pharmacy, 77(4), 259–268. https://doi.org/10.1093/ajhp/zxz306

Crisafulli, E., Barbeta, E., Ielpo, A., & Torres, A. (2018). Management of severe acute exacerbations of COPD: An updated narrative review. Multidisciplinary Respiratory Medicine, 13(1). https://doi.org/10.1186/s40248-018-0149-0

MacLeod, M., Papi, A., Contoli, M., Beghé, B., Celli, B. R., Wedzicha, J. A., & Fabbri, L. M. (2021). Chronic obstructive pulmonary disease exacerbation fundamentals: Diagnosis, treatment, prevention, and disease impact. Respirology (Carlton, Vic.), 26(6), 532–551. https://doi.org/10.1111/resp.14041

 

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Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

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Important information for writing discussion questions and participation

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Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • Student paper example
  • Citing Sources
  • The Writing Center is a great resource