Please explain the rationale of the laboratory test below related…
Question Answered step-by-step Please explain the rationale of the laboratory test below related… Please explain the rationale of the laboratory test below related to COPD. (Explain the CBC and FBS laboratory test below and connect the test in the case scenario)Case Scenario:History of Present IllnessA 56-year-old man with a history of smoking rush to ER at FUMC with shortness of breath and cough for several days. His symptoms began 3 days ago with runny nose. He reports a chronic morning cough productive of white sputum, which has increased over the past 2 days. He has had similar episodes each time of raining season for the past 4 years. He always experiences fatigue, worsening cough, increased breathlessness and waking up in the morning with headache and weight loss of 10kgs. He has smoked 1 to 2 packs of cigarettes per day for 40 years and continues to smoke. He denieshemoptysis, chills, and has not received any relief from over-the-counter cough preparations.Admission OrderNPO temporarily. Start IVF, PNSS 1L x KVO. Hook to O2 therapy via nasal cannula at 2-3LPM. Nebulization of Salbutamol + Ipratropium now, then every 6 hours. Acetylcysteine (Fluimucil) 400mg 1 sachet dissolved 1/2 of H2O every 6 hours, can be started tomorrow morning. Tazobac (Piperacillin sodium) 4.5 g thru soluset dissolved in PNSS 90 cc x 1hr OD ANST (). For Chest x-ray,CBC, FBS, ECG, Urinalysis and ABG. Please do spirometry and monitor for disease progress. Chest x-ray shows hyperinflation and right lobe pneumonia. ABG results was Ph 7.24, PO2-35 mmHg, PCO2 60mmHg, HCO3 30, O2 sat – 85%. Spirometry with FEVI 35% predicted that does not change significantly after inhaled bronchodilators. ECG was ordered.Patient’s ProfileName: Patient HWBirthday: August 12, 1964Age: 56 years oldSex: MaleNationality: FilipinoReligion: Roman CatholicMarital Status: MarriedAddress: Malanday, ValenzuelaDate of Admission:Time of Admission: 8:00 AMChief Complaint: Severe productive coughAdmitting Diagnosis: COPDFamily History:(+) Tuberculosis(+) Hypertension(-) CancerPhysical Examination:Took vital signs which are: BP: 130/80T: 37.5 CelsiusPR: 89RR: 30. Examination displayed tachypnea, respiratory distress, use of accessory muscles, and intercostal retraction. Health Science Science Nursing NCMA 210 Share QuestionEmailCopy link Comments (0)
