Chronic Obstructive Pulmonary Disease Case study
Chronic Obstructive Pulmonary Disease Case study
Presenting Issue
John Lewis is a 56 year old patient. He is a FIFO worker and the remote health nurse is concerned about Johns health when doing a routine health check. He had Bronchitis frequently over the last 3 years and recently lost weight. He smokes 20 pack cigarettes a day. On auscultation the nurse can hear course crackles.
Past Medical History
Angina
Hypertension
Hypercholesterolemia
Smoking: 20 pack per day
Medications
Metoprolol 10mg
Atorvastatin 40mg daily
Ramipril 5mg daily
Social History
Lives alone at home
FIFO worker
3 beers per day
Smoking 20 pack per day
Examination
General inspection
Sleep on two pillows
Speaking full sentences.
Vital Signs
BP 130/85mmHg
HR 60
RR24
SATS 94% on roomair
Afebrile
RESPIRATORY
Inspiratory course crackles bi-basally
Mild reduction in air entry at the right lower base.
CARDIOVASCULAR
Heart sounds dual
ECG right heart strain
ABDOMEN
Soft, nontender
INVESTIGATIONS
Bedside: ECG normal, sinus rhythm with right heart strain
BSL 5.7mmol/l
Bloods: FBC Normal,
UEC Normal
LFT-ALT 67
IMAGING
Chest x-ray: Enlarged lungs with flattened diaphragm.
FEV1/FVC ratio 0.6
List common drug(s) and select two (2) drugs to discuss the mechanisms of action, major side effects, precautions and relevant pharmacokinetics.
Create 4 slides with references on theabove topic based the case study listed above.
The script to explain the four slides for presentation for 3 minutes.
