Case study: COPD

? Patient admitted to the ICU with COPD exacerbation, requiring intubation.
? Give a brief history of the patient, discussing risk factors, and previous and present health history.
? Include a summary of your findings on physical assessment of the cardiovascular and respiratory system.

? Discuss the pathophysiology of the disease(ie emphysemic vs bronchietic)
? Discuss ventilation parameters and explain the mode of ventilation.
? Analyze ABG results, trends, and any treatment
? Discuss any pertinent drug therapy and rationale for use.
? What were the outcomes of therapy?
? Address patient and/or family concerns related to long term care.

Case study 2 GI Bleed
? Give a brief history of the patient discussing risk factors, and previous and present health history.
? Include a brief summary of findings on physical assessment of the cardiovascular, respiratory and gastrointestinal systems.

? Discuss pertinent laboratory results, and diagnostics(ie endoscopy)
? Discuss the mechanism of the bleed and common therapies such as Linton or Blakemore tube insertion.
? Discuss drug therapy and rationale for use.
? What are the outcomes of therapy?
? Discuss any patient and/or family concerns.

Case study 3 Acute Decompensated Heart Failure
? Give a brief history of the patient, discussing risk factors, previous & present health history.

? Include a brief summary of your findings from a cardiac and respiratory physical examination.
? Analyze the series of 12 lead ECGs discussing changes during hospitalization, and discuss hemodynamic parameters.
? Discuss drug therapy, and rationale for use.
? What were the outcomes of therapy?
? Discuss the psychological impact on patient and/or family.

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