Patient Care and Laboratory Diagnosis Essay.

Patient Care and Laboratory Diagnosis

S:         The patient came in for a follow up for her COPD, citing some chest pains as well. The patient states having experienced three chest pain episodes in the last five days. During every period, she felt compression-like pain that woke her up. The patient states having never experienced such pains before. She runs for roughly three miles each day and experiences no pain or discomfort after her run. During sleeping, the compression pains felt improved with positioning as the discomfort was elevated by propping using two pillows. Her symptoms seem to be linked to the fact that the patient has been eating larger meals and closer to bedtime. The patient has not experienced nausea, palpitations, or diaphoresis.Patient Care and Laboratory Diagnosis Essay.

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Where her COPD is concerned, the patient has received more SOB with activities since her previous check-up. Her coughs have also reduced in frequency.

The patient has a history of COPD. She has no history of hypertension or high cholesterol. Medications prescribed to the patient include Vitamin D 600 mg BID, Aspirin 81mg daily, two puffs of Combivent inhaler four times daily, and albuterol inhaler as needed.Patient Care and Laboratory Diagnosis Essay.

O:        The patient appears thin and anxious. She weighs 110 lbs; height is 61 i9n, BMI 22kg/m2, Pulse 71 reg., BP is 117/65.

Lungs: no wheezes

CV: No murmurs, Regular rate and rhythm, S1 and S2, no S3.

Abdomen: no tenderness to palpitation, normal bowel sounds.

Lab: Neutrophils infiltrate present the lung tissue, pH value of 7.1, FEV1 below 1 L/s.

A:        A patient who is 43 years old treated for chest pain and COPD.

• The recent onset of chest pains during the night is likely a result of GERD because it is absent on exertion and only present when recumbent. This is supported by her change in diet to eating larger meals. The chest pain could also result from heart disease, which would explain a lack of chest pain upon exertion. Neutrophils infiltrate in blood work could result from damage in the lung tissue from irritation. The low pH shows respiratory compromise and severe exacerbation (Schermer et al., 2016). The low FEV1 could indicate the presence of Hypercapnia (Ho et al., 2019).Patient Care and Laboratory Diagnosis Essay.

P:         Chest pain; the patient is advised to eat 2 to 3 hours before sleeping to prevent heartburns.

Follow up in 4 weeks.

COPD: Change the patient’s inhalers.

Follow-up in 4 weeks.Patient Care and Laboratory Diagnosis Essay.