Ch. 28. Chronic Obstructive Pulmonary Disease with Exacerbation Patient Profile D.B. is a 63-year-old electrician who came to the emergency department with shortness of breath, morning cough, and swelling in his lower extremities. Subjective Data Has smoked one pack of cigarettes daily for more than 30 years Has difficulty breathing when he walks Has been sleeping in a recliner to make it easier to breathe His shoes are tight at the end of the day Objective Data Physical Examination Blood pressure 125/90, pulse 90, temperature 98.4°F, respirations 32 Increased anterior-posterior diameter Breath sounds diminished with prolonged expiration 2+ peripheral edema bilateral lower extremities Thin with muscle wasting Respirations labored Diagnostic Studies Arterial blood gases: pH 7.32, SaO2 86%, PaCO2 55 mm Hg, PaO2 70 mm Hg Chest x-ray shows hyperinflation of lungs FEV1 65% Discussion Questions 1. What in D.B.’s history is commonly associated with pulmonary proble
use this refernce from text book below
https://digitalbookshelf.southuniversity.edu/#/books/9780323551557/cfi/6/2!/6/4@0.00:0.00
Can you also add few sentences about pharngitis and chronic cough
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