UMB Impaired Gaseous Exchange Mini Concept Map

Assignment # 3 Mini Concept Map

Using this scenario:

RP is a 68 year-old male who was admitted to the hospital from his long-term care facility after 1 week of dyspnea and cough. He was seen by a staff physician at the long-term care facility and was diagnosed with a COPD exacerbation. He was prescribed azithromycin, but has not improved after 3 days of antibiotics. He has a history of dyslipidemia, COPD, alcoholic cirrhosis, and HTN. He routinely takes lisinopril, atorvastatin, tiotropium and fluticasone/salmeterol, and has recently had a heavier reliance on his rescue albuterol inhaler.

Vital signs:BP: 140/86, HR: 89, RR: 18, TMAX: 102.2°F, O2 saturation: 84% on 4LNC, Pain 0/10

Assessment findings: alertness slightly altered, but baseline, coarse breath sounds, rhonchi and wheezesheard throughout with an occasional productive cough, dyspnea is worse than baseline; regular rate and rhythm, no murmurs, no edema, decreased peripheral pulses bilaterally, feet cool to touch; abd slightly distended; skin excoriated, otherwise normal