What does it mean that she is a 60-pack-year smoker

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Questions: A man has been admitted for exacerbation of his COPD. The patient is receiving oxygen at 2 L/min via nasal cannula. The pulse oximeter shows a saturation of 94% while at rest. The RN calls you to ask for your assistance in evaluation of the patient's dyspnea during ambulation. How would yo assess dyspnea on ambulation for a patient wearing oxygen? How are low-flow oxygen devices affected by changes in breathing pattern?

2. Mary Mac is a 61-year-old female with a 60-pack-year history of smoking who was diagnosed with COPD 7 ears ago. She is currently being treated on the general floor for community-acquired pneumonia. She has been intubated twice because of exacerbation of COPD and is complaining of dyspnea. Vital signs are heart rate 96 beats/min, BP 138/90 mmHg, RR 25 breaths/min, and SPO2 88% on a nasal cannula at 6 L/min. ABG's reveal pH 7.25, PaCO2 66 mmHg and Pa02 58 mmHg. She is very anxious and tripoding. What does it mean that she is a 60-pack-year smoker? What is the definition of exacerbation?? Are her vital signs in normal range? Are her ABG's in an acceptable range? What is tripoding and why is that significant in this scenario? What treatment would you initiate at this time?

 

 

Reference no: EM133343915

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