Based on the patient’s history of pulmonary problems, if you were to treat him, which of his problems would be the biggest concern to you?
The biggest concern would be interstitial lung disease caused by the asbestos fibers. He worked for twenty years in the automobile plant, and that is the root cause of his problems. The other forms are as a result of weakened immunity due to the presence of asbestos fibers.
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What findings are you expecting to show up during the physical examination?
There are to be signs of respiratory distress. The physical exam will find out that the patient is weak and produces thick whitish sputum. The exam would further reveal high temperatures and lungs that do not function well.
What are some of the many things that the chest x-ray shows you?
The chest x-ray shows that the lungs of the patient have been damaged. The ribs that protect the lungs have been weakened by the various interstitial lung diseases. The functionality of the lungs is not too well since the protective layers have been weakened.
Interpret the ABG
The arterial-blood gas test (ABG) shows that the arteries contain more alkaline blood. There is also the presence of more carbon dioxide as compared to oxygen. Overall, the results show that there is more carbon dioxide present in the arteries of the patient as compared to the oxygen supply.
What could have caused this sudden change in the patient’s condition?
Old age must have caught up with the patient. He is ninety years old which means that is functionality is not active as it used to be in early stages.
What new therapy orders would you recommend?
It would be recommended to start giving the patient lung expansion therapy from time to time. The patient has to recognize the changes in their condition and lung expansion will help increase their capacity to store more oxygen.
What do you think of the patient?
The patient has a slim chance of recovery. The interstitial lung diseases have all attacked him at the same time and when he is old. His immunity will not be able to handle all the complications at the same time.
Cardiopulmonary was still unstable even after exhibiting normal sinus rhythm after the code blue was called?
Close monitoring with constant reevaluation is to be carried out constantly.
