Saturday, August 10, 2019

Hyper Secretion of Mucus Results in the Production of Sputum Essay

Hyper Secretion of Mucus Results in the Production of Sputum - Essay Example John has a history of previously smoking for 28 years and stopped when diagnosed with the chronic obstructive pulmonary disease (COPD) and has had asthma since he was a teenager, which is being treated with inhalers. John’s airway, breathing, and circulation was checked on arrival to identify any actual or potential problems. These observations are taken on admission as an initial assessment and management of a patient during their stay on HDU. They provide a baseline for future comparison, to monitor the patient condition during treatment and to monitor the patient’s response to treatment or medication. Whilst on HDU, John started developing respiratory problems like shortness of breath (dyspnea) with a raised respiratory rate 33 along with low oxygen saturation 88% (hypoxemia). Hypoxemia may lead to anxiety, dyspnea, and a reduction in oxygen saturation. The effect of a lowered cardiac output, poor circulation, and potential lung dysfunction may cause a drop in oxygen to tissues affecting other organs, which is why I will administer 2L of oxygen to Jack via nasal cannula. I, then, went on to assess John’s circulation where I found his skin colour, capillary refill, and fluid balance to be normal. His blood pressure was slightly raised 180/120. John’s temperature was 37 and I found his skin to be slightly moist. John pulse was 88, strong and bounding, following a sinus rhythm. Disability was assessed next and I found John’s Glasgow Coma Score (GCS) to be 15/15 and he was alert. His blood glucose was normal; however, his pain score was 7/10 so I administered some analgesia.

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