Essays on Airway

Chronic obstructive pulmonary disease (COPD) is one of the many respiratory conditions which need to be properly handled to avert possibilities of it worsening off. In the same line, there is the need for a proper assessment of the patient to be done to assist in providing them with the required treatments. As such, the first step in the assessment phase will be establishing the symptoms of the condition. The commonest symptoms of the exacerbation of COPD include a fast and shallow breathing pattern, shortness of breath, coughing, incidences of low oxygen levels, feeling sleepy, wheezing and chest tightness ...

Discussion

Does he experience pain or any shortness of breath when he coughs? Has he used any over the counter drugs before to relieve his pain? Is he a smoker? These questions will enable me to categorize the cough and identify the root cause of the cough. Based on the duration of the cough, I would classify the cough as a chronic cough since it has lasted noted more than eight weeks precisely it has for three months. Chronic coughs mostly result from medications and medical conditions (Kenny, 2017) The diagnostic tests that I want to include in my diagnosis ...

Abstract

Traumatic brain injury is an acquired injury to the brain that results from an external blunt or penetrating force to the head while; intentional hypoxia is the loss of oxygen supply to the brain which leads to a continuum of injury severity. A review of current literature on this topic suggests that comparisons can be readily drawn between traumatic brain injury and hypoxic brain injury in a rehabilitation setting. Even so, diagnosis of hypoxic brain injury and traumatic brain injury is essential in providing guidance on decisions of treatment. Treating intentional hypoxia, however, involves an establishment of the desired ...

Atrial Fibrillation

Atrial fibrillation is the most encountered cardiac rhythm disorder in clinical practice. It affects <1% of persons aged <60 years. This prevalence increases to 10% in persons aged >80 years (Amerena, Walters, Mirzaee and Kalman, 2013). Atrial fibrillation is a key differential diagnosis in patients presenting with chest pain, palpitations, shortness of breath, light-headedness, and syncope (Cruickshank, 2008). This paper will examine the differential diagnosis, pathophysiology, and paramedic implications of atrial fibrillation in relation to the case of a 43-year old male who presents with features and ECG findings of atrial fibrillation. It will first examine ...

COPD is a medical condition that is characterized by alteration in lung parenchyma, bronchitis, emphysema and narrowing of the respiratory passages. It occurs as a consequence to chronic inflammation reaction involving the respiratory tract. The mucous secretion and fibrosis associated with chronic inflammation, can cause blockage and narrowing of the airway. Bronchitis refers to inflammation of the inner lining of the lung, while, emphysema is a clinical condition that occurs following the long term destruction of lung parenchyma. Bronchitis and emphysema are both characteristic features of COPD. Destruction of lung parenchyma causes loss of alveolar attachment and decreases the ...

Description

According to the official reports, the Gun Lake Casino will double its size when it completes a $76M expansion. In 2017 nearly 73,000 square feet of space will be added to the existing miles. Such project includes a new gambling room and lounge.

«Iowa Tribe of Oklahoma plans to launch gambling website after ruling»

The Oklahoma-based tribe is going to launch an international gambling site. It will allow players to take part in casino games in real time. This case depends on an arbitrator's decision whether it violates state or federal laws. The Seneca Nation starts to expand its casino in Buffalo. It aims to add additional gambling, restaurant ...

Abstract

Medical personnel working in the emergency department encounter many cases of patients suffering from life threatening conditions. It is important, therefore, that the healthcare provider determines the exact extent of the injuries before the patient is committed to specialized treatment. In this case, a patient presents to the emergency department with a life threatening condition, renal failure. Assessing the vital signs of the patient is critical in ensuring survival, in addition to reducing or mitigating the extent of the injuries. The assessment was achieved via a primary survey of the patient, which involved assessing the airway patency, breathing and ...

Question 1

The spirometer as well as the peak flow meter are among the key equipment needed in adequate assessment of asthma (Apter, 2014). As such, the spirometer measures the FEV (Force Expiratory volume) and the FVC (Force Vital Capacity) while the peak flow meter measures the efficiency in the flow of air from the lungs.

Question 2

Among the key symptoms and signs associated with asthma include; -Chest tightness -Shortness of breath -Wheezing -Fatigue -Coughing -Sleeping difficulties

Question 3

Asthma is usually associated with various precipitating factors that increase an individual’s likelihood of developing the disease. Among the key precipitating factors include; -Family ...

An Assignment Submitted by

Asthma is a disease affecting the lungs. Because of asthma the lung tissues become inflamed and narrowed, and this influences the breathing process of the patient. They feel chest tightness, shortness of breath, wheezing and coughing at night or at early morning. Usually the symptoms of chronic asthma are being observed from childhood, but the disease can affect all age groups and reveal itself in adulthood as well. Asthma is a long-term disease. In most of the cases the inflamed airways react to a specific allergen coming from the environment such as pollen, dust or smoke. In order to ...

Smoking electronic cigarettes (or e-cigarettes), colloquially known as vaping, has become a rapid global trend. In fact, about a fifth of Americans aged 25 to 44 are using e-cigarettes (Hwang et al. 667). E-cigarettes are battery-powered devices that use a solution of nicotine, flavorings, and humectants, to produce an aerosol, which will be inhaled by the user. The popularity of smoking e-cigarettes may be due to various motivations, but the most practical reasons are to help the user quit traditional cigarette smoking and to allow the user to use nicotine within non-smoking areas (Kalkhoran & Glantz 1). However, the popularity ...

Cystic fibrosis is a chronic, progressive and often deadly genetic disease that affects the body’s mucous glands. It follows that cystic fibrosis (CF) is evident in the body’s digestive and respiratory systems, particularly in children and young adults (Flume et al., 2007). In some cases, it affects the reproductive system and the sweat glands. A CF-like disease has been known over the past two centuries, but it was in 1938 that the term cystic fibrosis was first used. CF may also be considered to be an autosomal-recessive disease. Its estimated heterozygote occurrence is one for every twenty ...

Mucor

Mucor is a type of fungal infection that caused by mold which is commonly found in plants, decaying fruits and vegetables, soil, manure and toxin of stored food. Mucor mainly effects the immunity compromised individuals and effects sinuses and lungs as it is usually inhaled during the breathing process. Fungus incorporates about 50 species some of them are prone to high temperatures and hence, they can cause infections mainly known as zygomycosis or mucormycosis. According to CDC (2015), mucormycosis effects the immunity comprised people at a higher pace and due to its contact with human body via inhalation, cut, ...

Describe the underlying pathology of COPD and the common pathological characteristics of the condition. Discuss the impact these pathological changes have on normal function, including how alveolar ventilation might be different in Mr Wenham compared to a normal individual. The hallmark pathological attributes of chronic obstructive pulmonary disease (COPD) are one, poorly reversible airflow obstruction and two, a progressive atypical inflammatory response within the lungs. The abnormal inflammatory response denotes the responses of the innate and adaptive immune systems to long-standing exposure to noxious gases and particles especially cigarette smoke. Notably, all cigarette smokers have some degree of inflammation ...

Many sleep disorders affect different people at different ages. These diseases present with different but related symptoms. The most common feature is an effect on the patterns of sleep of the patients. It is proper that both the patient as well as his or her family is aware of the expected symptoms and effects once an individual is diagnosed with any sleep disorder. Therefore, family health education is a crucial tool in the awareness creation among the family members. The focus of this paper is to highlight the signs, symptoms, treatment, and complications of certain mental disorders.

Sleep Apnea caused by Obesity

Obstructive sleep ...

Response to the “What is Asthma 2” presentation.

The presentation is quite insightful and at the same time thought provoking, and I noted a two things. First, it is indeed true that neurogenic theory does not comprehensively explain asthma pathogenesis, and immunological theory does not explain all asthma features such as airway hyperreactivity. Second, you have mentioned that asthmatic patients have been reported to have higher parasympathetic tone, yet it has never been suggested as an underlying causal factor for the disease. This raised several questions, but the one that stood out most is, “what role does the parasympathetic system play in airway hyper-responsiveness?” According to Hamid, ...

The administration of proper medication is essential to the treatment of a health complication. As such, medical practitioners need to enforce proper measures in the issuance of medicine to enhance the betterment of patients (Bojesen et al. 375). The purpose of this study is to evaluate the value of medicines through the utilization of a case study. This study will be in line with the code of conduct for Oncologists since the medical practitioner in this scenario deals with cancer patients. Since the maintenance of confidentiality is essential to the success of the medical practice, the practitioners’ and patient’ ...

Introduction

Cystic Fibrosis (CF) is the most prevalent genetic disorder in the Caucasian population, with an incidence of 1 in 2500 births. CF is a disease that affects many organs including the upper and lower respiratory tracts, pancreas, intestines and reproductive system. Over the past 20 years, our understanding of the manifestation and management of the disease has progressed dramatically. CF was once considered a condition of childhood and there was very little expectation that children would enter adult life. However, CF has become a multisystem adult disease with the increased survival attributable to advancements in standardized treatment, introduction of ...

Introduction

Research in lung cancer treatment can save lives and improve a patient’s quality of life. There are three main types of lung cancer: Non-small cell, small cell, and lung carcinoid cancer. Non-small cell lung cancer, such as Squamous cell carcinoma, adenocarcinoma, and large cell carcinoma make up about 85% of all lung cancers (Molina, Yang, Cassivi, Schild, & Adjei, 2008). Both environmental and genetic factors are significant in the cause of lung cancer. Chronic exposure to carcinogens, ionizing radiation, and viral infections can lead to alterations of the DNA in tissue lining the bronchial epithelium of the lungs. Furthermore, ...

Respiratory Care related topic and the role of AARC

Postoperative pulmonary complications Postoperative pulmonary complications such as pneumonia, atelectasis, and respiratory failure are among the commonly encountered problems in the respiratory care. Upper-abdominal surgical procedures are found to have an association with increased level of complications, followed by thoracic surgery and lower-abdominal surgery. Usually, preoperative and postoperative respiratory therapies are used to prevent or treat the problem of atelectasis – which is the collapse of an expanded lung, and failure of pulmonary alveoli to expand at birth – and to improve the airway clearance. The chances of complications as well as its severity can be decreased by using therapeutic procedures ...

Introduction

Pulmonary edema (PE) is characterized by the accumulation of fluid in the parenchyma and air spaces of the lungs. Most often PE is associated with respiratory failure and impaired gas exchange. Globally, PE is known to be characterized by two major factors, the first is associated with the injury of the lung parenchyma which is termed as non-cardiogenic pulmonary edema. The second is associated with the failure of the left ventricle of the heart to release blood from the pulmonary circulation within the system and is termed as cardiogenic pulmonary edema (Glaus, Schellenberg , and Lang. 2010). The major cause ...

ICU Observation Evidence-based Practice

ICU Observation Evidence-based Practice

Introduction of the Patient

The patient goes by the name T.P. A 72-year-old male who’s a retired truck driver. He’s immediate family includes his wife, daughter, and grandson (10 years old who is autistic and has turrets syndrome). He is currently diagnosed with myocardial infarction and altered mental state. The past medical history of this patient shows that he has suffered a lot of diseases including hypertension, diabetes mellitus Type 2, congested heart failure, peripheral neuropathy, CKD-3, CAD, dementia, chronic kidney disease and GERD.

The primary medical diagnosis is myocardial infarction which refers to regional myocardial necrosis ...

Introduction

The respiratory system can be termed as a biological system comprising of specific structures and organs that are used, by an organism, in the respiration process. It participates in the exchange together with intake of oxygen and carbon dioxide between an organism and its environment (Seeley, Stephens and Tate).

In vertebrates that breathe air, respiration occurs in the organs of respiration, lungs. The air passage to the lungs for supply of oxygen to the body is called inhalation, while the air passage away from the lungs to release carbon dioxide is called exhalation. In human beings, the anatomical characteristics ...

Asthma

Aetiology - A combination of factors, primarily environmental and genetic factors, are believed to cause asthma - Allergens, which are airborne, cause the disease; they include pollen, mold and animal dander among others - Irritants such as smoke and dust also cause the disease - Tough stress and depression - Physical activities and particular medications can induce asthma - People with a genetic predisposition to utilize Tp helper cell can contract the disease

Pathogenesis

- Fundamentally, asthma comes in as immunological - Several factors obstruct the airway, injury of the epithelium, bronchospasm, edema, a higher ...

Slide 2 – Introduction

Trauma in pregnancy is one of the key contributors to maternal and fetal mortality. The potential impediments include maternal injury or death, internal hemorrhage, shock, direct fetal injury, intrauterine fetal demise, uterine rupture and abruptio placentae. The leading causes of obstetric trauma are motor vehicle accidents, assaults, falls, gunshots, and ensuing injuries. Ensuing injuries are classified as pelvic fractures, or penetrating trauma, and blunt abdominal trauma. The assessments and managements aspects of obstetric trauma are distinctive to pregnancy, while initial evaluation and resuscitation is always being directed maternally. If maternal stability is established, then vigilant evaluation of fetal well-being ...

The Pennsylvania Department of Health Asthma Control Program

The Pennsylvania Department of Health Asthma Control Program was developed to help people with and without asthma live a healthy and active life. The primary goal of this program was to reduce the impact of Asthma in these people’s lives which will have an end-result of an increase in the quality of life for the individuals who will be exposed to the asthma awareness program that will be introduced later in this paper. The PDHACP served as the primary health program model in the development of the new asthma health program that will be discussed later. The goal of ...

In the case of Nova Mink v Trans Canada Airlines , the High Court ruled that airplanes that are governed by the Air Traffic Rules which are ruled by competent authority shall be subject to common law duties of care, unless otherwise excluded by legislation that expressly provides for an exclusion. This is regardless of the fact that they cover a wider range of mobility, both in vertical and horizontal settings. In the case of aeroplanes, they cannot be analogous to railways since the latter is excused when operating in accordance with statutory rules including accidents which occurred in level crossings ...

1. What is the underlying mechanism of M.A.'s asthma? What are the three airway responses that occur during an asthma episode?

An autoimmune response to allergens from cats and plants is the underlying mechanism for the patient’s condition. These allergens, though nonpathogenic, trigger an inflammatory cascade wherein lymphocytes, eosinophils, mast cells, neutrophils, macrophages and dendritic cells exert their effects on the respiratory tract (Linzer 87). As an example, B lymphocytes synthesize immunoglobulin E which helps signal the release of histamine, leukotrienes, prostaglandin and cytokines which are proteins that promote vasodilation and hyperactivity in mucus-producing goblet cells (Murdoch & Lloyd 27). Prostaglandin causes the smooth muscles in the airway to constrict. Along with vasodilation and increased mucus production, bronchial constriction ...

Asthma is a chronic airway disease that is difficult to manage because of numerous risk factors and complicated by poor self-management. This is a case study of acute severe asthma triggered by viral respiratory infection and exercise in an Aboriginal female with chronic asthma. The discussion will include the diagnostic tests, patient assessment, care and interventions, medications, and nursing care performed or should have been performed. The expected outcomes will also be described.

An arterial blood gas (ABG) analysis was performed showing respiratory acidosis and mild hypoxaemia. Above normal PaCO2 and below normal pH meant the lungs could not eliminate carbon ...

Oxygen therapy refers to administration of oxygen to a patient as a medical intervention. The purposes can vary in care for both chronic and acute patients. It is normally used when a patient is hypoxic and is unable to supply his or her cells with enough oxygen through normal respiratory processes. The delivery system chosen depends on the age of the patient, humidification needs, oxygen requirements or the therapeutic goals, and, the patient’s tolerance to the selected interface. (Roca, Riera, Torres, & Masclans, 2010). (Pauwels, Buist, Calverley, Jenkins, & Hurd, 2012). The nursing actions needed to assist Mr. Jerrison’s respiratory ...

HYPOTHESIS

Is the peak flow meter reliable enough to measure asthma? Are peak flow measurement variations sufficiently sensitive and specific in cases of occupational asthma, childhood asthma and under other asthmatic conditions?

INTRODUCTION

Asthma is a serious lung condition characterized by bronchial hyper-reactivity, inflammation and mucous plugging resulting in airway constriction. An acute asthmatic attack is usually reversible by rescue inhalers. Asthma affects over 5 % of the US population and is responsible for approximately half a million hospital admissions annually in the US. 1 The Peak Flow Meter is a simple device which is very useful in measuring changes in airway capacity in ...

Anaphylaxis: Physiologic Progression and Overview

Anaphylaxis is, by its very nature, a rapid-onset reaction. Patients suffering from an anaphylactic reaction will often go into anaphylactic shock and die if the condition is not quickly reversed. The onset of anaphylaxis is triggered by some outside cause-- common causes for anaphylaxis include bee stings and peanut consumption, for instance (Huether and McCance, 2008). Anaphylaxis can be triggered by both immunologic and nonimmunologic mechanisms (Huether and McCance, 2008). When mediators are released from certain white blood cells that are used in both immunologic and nonimmunologic mechanisms, the body reacts by presenting the symptoms that are commonly associated with a ...

Chronic obstructive pulmonary disease (COPD), or else known as chronic obstructive airway disease (COAD, is a form of obstructive lung disease categorized by persistently reduced airflow and it is typical for this situation to get worse over the years. The key symptoms comprise of shortness of breath, cough, and mucus making . It is not uncommon for individuals with bronchitis to show symptoms of COPD . Smoking is considered one of the main factors in causing COPD along with other important causes including air pollution and genetics. Nowadays, and especially in Third World Countries, insufficient cooking and ways of heating are a key ...

Abstract

The most widespread causes of seizures are infection. Seizure can occur in all ages and the infection can vary base from age. Toxoplasma occurs in newborns while Creutzfeldt-Jacob disease occurs in elders. Moreover, for some infections like neurocysticercosis, seizures are the only observable symptom. Seizure can be the only indication of global central nervous system dysfunction including rabies and sub-acute sclerosing panencephalitis . This paper focuses on the discussion of seizures, their types and causes, as well as the pre-hospitalization rehabilitation and hospital rehabilitation of seizures. Seizure is a momentary absence of control usually in the company of unconsciousness, ...

Asthma is a complex multifactorial disease that affects millions of people worldwide and can occur across any age or ethnicity. In children, boys are slightly more affected than girls, but in adults, women are more affected than men (Fanta 1002). Asthma affects about 300 million people and accounts for around 250,000 deaths each year worldwide (Lv et al. 105; Ober and Yao 11). Asthma can be atopic or non-atopic. Atopic asthma usually starts in childhood or adolescence and is hypothesized to be influenced by genetic predisposition. Non-atopic asthma usually occurs in adults and can result from bacterial or viral ...

Essentially, improved health is a program that is meaningfully vital towards a healthy society. Paramedics coupled with Emergency Medical Technicians have tirelessly worked to ensure the mentioned event of good health gets enhanced. Often, with adequate professional learning and training, the cited health practitioners render undeniable quality services to the traumatic emergencies in the pre-hospital setting. The paper endeavors to extrapolate on both Paramedics and Emergency Medical Technicians. Categorically, paramedics connote to licensed healthcare professionals that render the highest extensive pre-hospital life support. Often, Paramedics are the most experienced pre-hospital providers. Typically the healthcare that paramedics provide is always at a ...

The Definition and Symptoms of Asthma

Asthma is a common medical condition which is chronic and involves the airway. It is a complex disease which is symptomatized by repeated instances of inflammation resulting in varying degrees of airflow blockage and a hyperactive bronchial response. The way the disease manifests clinically, the level of severity, and the treatment efficacy is determined by the interaction of these features. The symptoms of asthma are usually preceded by specific triggering events or stressors such as physical exertion, pollutants, or weather changes. Asthmatic episodes may also be seasonal, especially for children who have seasonal allergies (Ege, Mayer, Normand, Genuneit, Cookson, Braun-Fahrländer, & ...

Meadowbank TAFE

HLTAP501A/B/C Analyze Health Information HLTCOM510B Provide Services to Clients with Chronic Disease or Conditions PATHOLOGY ASSIGNMENT –ASTHMA– Abstract Asthma is a chronic problem that influences lung function. Clinically asthma is identified by the variation in expiratory airflow and abnormal respiratory symptoms such as wheezing, chest congestion, cough, and shortness of breath. The aetiology of asthma is linked to a mixture of genetic and environmental factors, though; heredity or atopy also plays a role in asthma. Asthma is categorized into two types: extrinsic (allergic) and intrinsic (nonallergic). Allergic asthma is an outcome of the reaction of an antibody ...

Studies show that stroke survivors with poor oral hygiene have a poor quality of life (Armstrong and Mosher 2011). (Lam et al. 2014) have explored the effect of clinical oral health and socio-demographic factors on oral health-related quality of life (OHRQoL) in patients following stroke. Oral health-related quality of life results were received before and after provision or oral health promotion interventions. Eighty-one patients faced a stroke rehabilitation ward. OHRQoL have also determined the outcomes after in-hospital oral health intervention programme. They observed a significant association between the absence of regular daily brushing and majority of measurement scale items (6 out of ...

(Author)

Abstract

Unplanned extubation can be defined as the premature removal of ETT. It can be deliberate or accidental. Usually, it is caused by mechanical ventilation, which is the common process in neonatal intensive care unit (NICU). Unplanned extubations represents fourth most common adverse event in NICUs in North America. Unplanned extubation can result in several complications such as acute cardiorespiratory deterioration, bronchospasm, hypotension, ventilator-associated pneumonia, and subglottic stenosis. Duration of intubation, short length of ETT, less common use of sedatives and muscle relaxants, and time spent out of bed in the hand of parents, i.e. movements, are some of ...

ID Number

Introduction

This experiment is to evaluate the effects of the use of drugs on the human body, particularly, the effects of Salbutamol on asthmatic patients. Specifically, this paper seeks to describe what a drug is and the principles behind the actions of drugs and to detail drug receptor interactions such as specificity, binding, affinity, antagonists, and agonists. In this study, participants performed the Harvard modified step test. The aim of this study of this test is to measure the maximal physical working capacity such as the maximal oxygen intake (Rhyming, 1953). It is hypothesized that maximal working capacity such ...

Written Case Study – Pathophysiology II

(Location of the University) 1. Describe the underlying pathology of COPD. What impacts do these pathological changes have on normal physiology? In particular, describe alveolar ventilation in a normal individual and discuss how this might be different in Mr Wenham. (20 marks) Chronic Obstructive Pulmonary Disease or COPD is touted to be the third leading cause of death in the United States of America. In 2010, it has claimed the lives of 134,676 individuals (CDC 2013). By definition, COPD presents persistent blockage of airflow in the lungs — thus interfering normal breathing. Those afflicted with such condition generally ...

Introduction

Psychological disorders are behavioral dysfunctional patterns of emotions, behaviors, and thoughts that cause considerable distress to an individual. They are abnormalities of the mind which affects a person’s day to day life. There are different types of psychological disorders for example, Narcolepsy, PTSD, Sleep Apnea, Anorexia, Bulemia, and OCD. In this case, we are going to look at two patients who had different conditions using the measure and then give the best diagnosis that is safe and most effective.

First client

The symptoms that were exhibited by the first client were identified using DSM-IV TR and the criteria that was ...

1. Components and mechanisms of the respiratory system The respiratory system is the system that allow humans and animals to breathe. The main function of the system is to provide oxygen to the body through the blood. Breathing involves two main actions: inhaling and exhaling air. Inhalation brings oxygen into the body via the blood and exhalation chases out carbon dioxide. The respiratory system is composed of different tissues and organs, including the airways, lungs, bloods vessels and muscles connected to each other to assure a proper breathing process (National Heart, Lung and Blood Institute, 2012). The airways ...

Of principal concern is the prevention and control of ventilator-associated pneumonia (VAP) by medical practitioners in intensive care units (ICUs). VAP is one of the most frequently reported infections acquired by patients under mechanical ventilation healthcare. Ventilator-associated pneumonia (VAP) persists to be a frequent and potentially deadly complication of ventilator care (Chulay, 2005), often occurring within environments characteristic of the intensive care unit (ICU) that are high-tech and high touch. Patients who are ventilated and intubated present the unique challenge for critical care registered nurses (RNs) to incorporate evidence-informed practices concerning the delivery of high-quality care (Crunden, 2005). Ventilator-Associated ...

In June 30, 1956 at around 1031hrs, a United Air Lines Douglas DC 7, N63240 and Trans World Airlines Lockheed 1049A, N6902C collided over the Great Canyon, both of them falling into the Canyon. Both regularly scheduled passenger service flights flew under Visual Flight Rules VFR.

Flight Plans

TWA Flight 2 was on an Instrument Flight Rules IFR, flying from Los Angeles in California to Kansas City in Missouri. It was scheduled to depart Los Angeles at 8:30hrs and was to fly through a controlled airway from its departure point in L.A through Daggett in California and then via various direct points off ...

Ventilator-associated pneumonia

Ventilator-Associated Pneumonia Ventilator-associated pneumonia (VAP), defined as pneumonia that was absent or not developing at intubation, is the second most common hospital acquired infection (Bahrt, 2009, p. 49). It is the most prevalent hospital acquired infection amongst mechanically ventilated patients in critical care units with an estimated 10-20% incidence rate in some hospitals. It affects approximately 28% of patients requiring mechanical ventilation for >48 hours (Button, Culmer, Southard, & Donaldosn, 2005). Patients on mechanical ventilation for >24 hours are 6 to 21 times more likely to acquire VAP than patients not on ventilator support. VAP is the ...

Introduction

Pediatric traumatic brain injury (TBI) is one of the leading causes of disability and death in children and adolescents in the world today. It is a condition that involves head injuries that are attributed in pediatric deaths and disability across the world. This condition physically affects the pediatric population in different ways than adults. It all depends with the differences in body size and proportion. It brings about anatomic and physiologic differences in children such as greater head to body ratio, thinner cranial bones which offer less protection to the brain, increased vulnerability of brain cells due to less maturity, ...

Introduction

Respiratory syncytial virus (RSV) is the leading cause of acute lower respiratory tract infections (LRTIs) in infants and young children. The infection is also seen in adults and old individuals, but infants and children are more commonly affected (Krilov, 2011). Infection with RSV accounts for more than 100,000 hospitalizations every year in the US. In US, RSV is a ubiquitous pathogen infecting virtually all children at least once by the time they are three year old. Globally, RSV is associated with 160,000 to 600,000 deaths per year in children alone (Howard, 2000).

Etiology

Prematurely born infants (at 36 ...

Abstract

This paper answers four questions. In addition, through a case study, the paper illustrates considerations made in order to prioritize care given to hospitalized patients. A case study is given of six patients with various complications and care needs. The paper points out that those with airway problems are usually considered first for care delivery before other patients with other conditions. This is because airway problems pose more acute danger than other conditions. In this case, the paper gives a case study of patients with various complications and how the complications are managed. In addition, the paper, through another case study, ...

Question 1: Explain the pathophysiologic defect of Cystic Fibrosis.

A mutation of a single gene, on chromosome 7, leads to the disease, cystic fibrosis. The gene is responsible for encoding the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The normal CFTR is a regulator of chloride channels, which can lead to the regulation of chloride and sodium channels on the surface of the cell. The most common mutation leading to an abnormal CFTR is a mutation is delta F508. The disease can have different phenotypic manifestations depending on the extent of the mutation. The differences in chloride transduction leads to abnormal secretions in various organs, such as the lungs leading to ...

Abstract

Aims: To evaluate the outcomes of NIV versus invasive mechanical ventilation in COPD patients. Data Source: Relevant articles were identified from the following journals CHEST, Respiratory Care, European Respiratory Journal, Annals of Internal Medicine, and AHC Media. Study selection: The articles identified consisted reports of two randomized controlled trials and three review articles which investigated the outcomes of NIV versus mechanical ventilation in patients with acute exacerbations of COPD, weaning of COPD patients on mechanical ventilation, and nocturnal management of COPD. Data extraction: The study reviewed meta-analytic reviews, prospective randomized control trials, and retrospective observational studies. ...

Comparison between invasive & non-invasive ventilation in managing flail chest

Abstract Background Invasive ventilation has been beneficial with the provision of the airway defense for patients with respiratory complications and blunt injury such as the flail chest. It increases the airway defense and consequently minimizes the risk of reparatory related infections. Furthermore, invasive ventilation has the ability to allot the flow of lower tidal volumes. On the other hand, non-invasive ventilations involve the use of a ventilator support without the invasive artificial airway. This type of ventilation has been in a wide use and it has become popular within the previous two decades. The flexibility nature of the method ...

- Introduction Asthma and chronic obstructive pulmonary disease (COPD) are disease associated with obstruction and chronic inflammation of the airway (respiratory tract). Though the two conditions are separate and different, they are so similar to the extent that misdiagnosis of either condition is highly likely. Some scholars have called for a re-evaluation of the two disorders in terms of their symptomatic differences, their coexistence and their overlap. Gibson and Simpson (2009) extensively studied the overlapping diagnosis of COPD and asthma and introduced the concept of the overlap syndrome. The major difference between the two conditions has to do with ...

Asthma is a chronic pulmonary disorder that is characterized by an inflammation and hyper-responsiveness of the airways and causes several symptoms, including coughing, shortage of breath, tightness in the chest area, and wheezing. Although asthma is generally diagnosed early in life, all age groups can suffer from asthma and be at risk for acute asthma exacerbation. Asthma is a serious issue because acute exacerbations can lead to high morbidity and mortality rates. In 2009, more than 3,000 people died because of asthma (American Lung Association, 2012). Only 37 asthma-related deaths per year occur in children, but the risk for ...

RTE 1503

Abstract: Hypertensive pulmonary edema is a frightening disease that occurs occasionally with acute hypertension. This case study analyzes a middle aged woman and her visit to the hospital emergency department when she collapses and has difficulty breathing. It is shown by the x-ray technician that she is suffering from hypertensive pulmonary edema and after proper medical management she quickly gets better. It is important to distinguish this disease from cardiogenic pulmonary edema, which is chronic in nature and has a very different clinical picture. A 47-year-old woman with a history of hypertension recovering from a recent bout of the flu suddenly fell ...

John Hopkins School of Medicine (1995) describes conducting airways as those consisting of the oro-and nasopharynx, larynx, trachea, main bronchi, lobar bronchi, divisions of bronchi and bronchioles. However, the alveoli, alveolar ducts and respiratory bronchioles are involved in the gaseous exchange with the pulmonary capillary.

Community-acquired pneumonia is caught in the public areas such as schools. It is caused by the virus, bacteria and fungi (John Hopskins School of Medicine, 1995). Hospital-acquired pneumonia may be acquired in hospital and in most cases at the intensive care unit.

Reactivated tuberculosis occurs due to reactivation that takes place within the ...

Background

Asthma is a chronic disease associated with inflammation of the lining of airway and obstruction of lung airflow. It usually involves an increase in the number of inflammatory cells, most commonly eosinophils and to some extent basophils, mast cells, macrophages. (Eds. Brunton, et al., 2009) Asthma, together with Chronic Obstructive Pulmonary Disease (COPD), is considered as one ofthe most common obstructive lung diseases characterized by expiratory airflow obstruction. (eds. Longo, et al., 2012) An asthmatic patient usually presents with recurrent events of shortness of bright (SOB), chest tightness, and wheezing, “a high-pitched whistling sound when breathing caused by movement of ...

Question 1: evidence of substance abuse disorder

According to DSM-IV TR for substance abuse and substance dependence, the patient has to show a maladaptive pattern of substance misuse which leads to clinical distress or impairment. The patient has to show recurrent use of substance which leads to his or her failure to accomplish most responsibilities at home or at work. The patient can also show recurrent use of substance even in physically hazardous circumstances. Despite having consistent interpersonal or social problems that are a result of or are exacerbated by the use of substance, the patient shows continued use of substance. From the above criteria, Steve in the ...

Response to question 1

In outlining similarities and differences between chronic bronchitis and emphysema in terms of anatomical/cellular, chemical, and functional changes, inevitably it would be highlighting differentiations between two conditions affecting the respiratory system.

Major differerences are that there are primary and secondary types of emphysemas classified as panacinary and centroacinary. In panacinary emphysema there is expansion of the entire respiratory acinus beginning from the respiratory bronchiole towards the alveoli. The changes commonly appear at the lower lobes of the lungs and the anterior walls (McCance , Huether, Brashers, & Rote, 2010). Centroacinary emphysema expresses changes in the upper lobe anatomy. There are ...

Respiratory therapy involves treating, assessing and taking care of patients suffering from cardiopulmonary and breathing disorders. The patients could be of any age, from premature infants to neonates to the elderly with diseased lungs. Also, patients that suffer from lung ailments like emphysema, asthma or those in need of emergency care require the services of a respiratory therapist. Therefore, a respiratory therapist works closely with physicians and nurses to form a team. Respiratory therapists conduct diagnostic tests on their patients. They also evaluate them, monitor them, assess their progress and perform physical examinations on them. Respiratory therapists maintain the equipments in the ...