Case Study Jane Doe a 49yearold female with a history of.pdf

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Case Study Jane Doe, a 49-year-old female, with a history of heavy tobacco use, has been suffering from a respiratory viral infection over the last few weeks and her roommate reports that she has been using her nebulizers quite heavily. Despite this, Jane also has continued to smoke quite heavily. The patient's roommate said that the patient was in her room and called out to her - when she went in to check on her, Jane was coughing, looked pale and cyanosed (lips were bluish), and breathless. The roommate immediately contacted EMS. Upon arrival, the paramedics noticed that Joe had bronchospasm with profound difficulty with air entry, wheezing, rapid and labored breathing and tachycardia. She was taken to the ER, admitted and treated with bronchodilators and steroids and eventually recovered. Based on the above information: 1. What is/are the possible diagnosis in this case? 2. What could have possibly precipitated the condition? 3. What is the pathophysiology of this condition? 4. What possible acid-base imbalance could you expect in this condition? 5. How would the pulmonary function tests look like in this condition?.

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Case#1 A 24-year-old male graduate student without prior medical or psychiatric history is reported by his mother to have been very anxious over the past 6 months, with increasing concern that people are watching him. He now claims to “hearing voices,” telling him what must be done to “ fix the country.” Important workup ? thyroid-stimulating hormone TSH, rapid plasma reagain (RPR), and brain imaging. Questions: 1. What is the diagnosis of this patient? 2. What is the age onset of this disorder? 3. What socioeconomic group suffers from this disorder? 4. What is the subtype of this disorder in this patient ? 5. List five positive and negative symptoms that we can find in schizophrenia disorder> 6. What is the treatment? 7. What are five characteristics associated with better prognosis? Case#2 Ms. Torrez is a 17-year-old Caucasian woman without prior psychiatric history who is brought to the Emergency room by ambulance after her parents called 911 when they found her having a seizure in their living room. She was admitted to the medical intensive care units in status epilepticus and was quickly stabilized with intramuscular lorazepam and fosphenytoin loading. Her heigh is 5 feet 6 inches, she is of medium build, and her weight is 101 lbs. (BMI16.3kg/m2). She does not suffer any medical conditions, and this is her first seizure. Laboratory workup shows an electrolyte imbalance as the most likely cause of the seizures. Although initially reluctant, she admits to purging with the use of ipecac several times this week. She reports that although she normally restricts her daily caloric intake to 500 calories, she regularly induces vomiting if her weight is above 100 lbs. Her last menstrual cycle was 1 year ago. Psychiatric consultation is requested in order to confirm the diagnosis The on-call psychiatry notes in Terry’s chart Patient appears underweight and younger than her stated age. She is mild distress, has a nasogastric tube in place, and exhibits poor eye contact. She reports feeling “sad” and admitted to experiencing constant preoccupation about her physical appearance and says, “I am fat; I hate my body.” She also reports insomnia, low energy levels, and history of self-harm behavior by cutting her forearms. She reports that she is careful hiding her symptoms from her parents, whom she describes as strict disciplinarians. She also expresses concerns that she will disappoint them. Ms. Torrez’ parents describe her as a perfectionist. They say that she is involve in multiple school activities, takes advanced placement classes, and has been recently concerned about being accepted at her college of choice. They report that she maintains a 4.0 grade point average in high school, and they are expecting her to become a lawyer. Her parents have noticed that she is underweight and rarely see her eat but attributed this to stress from her many academic pursuits. Ms. Torrez’ mom was diagnosed with obsessive-compulsive disorder. Qu.

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Respiratory Case Study Do not change the format. Save your name to the document to receive credit and for easier verification. List at least one reference to support your answers. Use your own words only. Winter is a 4-year-old girl with a history of asthma. Her mother has brought her in an “asthma attack”. Winter is sitting in her mother’s lap and breathing rapidly through an open mouth. She has a cough that sounds congested and wheezy. The physician has already ordered a nebulized treatment containing albuterol (Proventil) and ipratropium bromide (Atrovent). Mr. Chung is a 68-year-old man complaining of cough, sore throat, fatigue, and weakness. His BP is 166/82, pulse is 90, respirations are 26, and temperature is 100.4 degrees. Jackson is a 19-year-old man who has had a sudden onset of right-sided chest pain and shortness of breath. His chest x-ray film revealed a right pneumothorax, and he is currently receiving 35% oxygen by face mask while waiting for an ambulance to transport him to the hospital for further evaluation. Ms. Summers is a 45-year-old homemaker. She says she has been extremely tired, easily becomes short of breath, and is unable to complete her chores without frequent rest breaks. She is pale and seems tired. Her vital signs are as follows: BP 136/78, pulse 86, respirations 24 and unlabored; temp 98.4 and pulse oximetry 98% on room air. She is now waiting for her lab results, which include a complete blood count (CBC). Answer the following questions that pertain to the above patients. Which patients are experiencing problems with ventilation? Explain your answer. Which patient appears to be experiencing problems with hypoxia? Does the problem appear to be related to oxygenation or perfusion? Explain your answers. Mr. Chung has smoked two packs of cigarettes per day for 50 years. ABGs reveal a low PO2 and a high PCO2 consistent with chronic lung disease. He is diagnosed with an acute exacerbation of chronic bronchitis. He is placed on oral antibiotics and long acting bronchodilators by metered-dose inhaler (MDI). What teaching could you offer to help Mr. Chung mobilize and expectorate secretions? Winter receives her nebulizer treatment and markedly improves. The physician has ordered a variety of take-home medications that you must teach her mother about. The treatment plan includes a protocol based on peak expiratory flow monitoring. Discuss how you might involve Mary in her own care. Jackson’s chest x-ray film reveals a spontaneous pneumothorax. There is no apparent fluid in the pleural space. What chest tube systems can be used to treat his pneumothorax? Explain your thinking. Ms. Summers is diagnosed with severe anemia. She is hospitalized because her hemoglobin is 5.9 g/dL. How will this affect her oxygenation? What interventions would improve her fatigue? .

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VI. A male student that attends a 4 year College majoring in Arts and music felt sick for a day with diarrhea he took some medication and felt fine. 8 days later he had a second round of diarrhea this time it was much worse and lasted most of the day. Again with somewhat more medication he was fine. 5 days later he had a 3rd round of diarrhea that was much worse and included vomiting. He was bed ridden the next day his symptoms continued with fever. 1.What disease does he have? Name the causative agent. 2. How did he become infected with this microbe? Explain the pathogenesis of this disease. 3. What is the virulence factor and how would you treat this disease? 4. How would the immune system deal with this case and why? 5. Why Doctors could only treat the symptoms before and not the disease and why death may result from it? These are the pathogens that are part of the final exam. The case study answers could be one of them and Only one of them. PS, No other pathogens should be considered. ----Campylobacter jejuni Shigella sp ---- Salmonella sp, ----Vibrio cholerae: Botulism Listeriosis, Brucellosis, Clostiridium difficle,. Neisseria meningitidis, Syphilis, Gonorrhea, Immunity.ONLY.

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Assignment Details MN551-2: Apply knowledge of tissue and organ structure and function to physiologic alterations in systems and analyze the cause and effect relationship in response to disease. Select one of the case studies below. In your discussion be sure to include evidence of your knowledge of tissue and organ structure and function to physiologic alterations in systems and analyze the cause and effect relationship in response to disease. Requirements Make sure all of the topics in the case study have been addressed. Cite at least three sources—journal articles, textbooks, or evidenced-based websites—to support the content. All sources must have been written within five years. Do not use .com, Wikipedia, or up-to-date, etc., for your sources. Case Study 1 Mechanisms of Infectious Disease Thirty-two–year-old Jason is a general laborer, who fell ill shortly after working on a job digging up old water pipes for the town he lived in. The task involved working around shallow pools of stagnant water. Ten days after the contract ended, Jason developed a fever and aching muscles. He also had nausea, vomiting, and diarrhea. Jason’s friend took him to his physician who listened carefully to Jason’s history. She told him she suspected West Nile fever and ordered serological testing. Jason went home to recover and was feeling better by the end of the week. Jason’s physician ordered serological tests. How would antibody titers assist the doctor in confirming his diagnosis? When Jason was feeling at his worst, he had extreme malaise, vomiting, and diarrhea. What stage of the illness was he experiencing at that time? What are the physiological mechanisms that give rise to the signs and symptoms of infectious illness? West Nile virus has a single-stranded RNA genome. How does this virus replicate? In general terms, what are the various effects viruses can have on host cells? Case Study 2 Innate and Adaptive Immunity Melissa is a 15-year-old high school student. Over the last week, she had been feeling tired and found it difficult to stay awake in class. By the time the weekend had arrived, she developed a sore throat that made it difficult to eat and even drink. Melissa was too tired to get out of bed, and she said her head ached. On Monday morning, her mother took her to her doctor. Upon completing the physical exam, he told Melissa the lymph nodes were enlarged in her neck and she had a fever. He ordered blood tests and told Melissa he thought she had mononucleosis, a viral infection requiring much bed rest. Innate and adaptive immune defenses work collectively in destroying invasive microorganisms. What is the interaction between macrophages and T lymphocytes during the presentation of antigen? Melissa’s illness is caused by a virus. Where are type I interferons produced, and why are they important in combating viral infections? Humoral immunity involves the activation of B lymphocytes and production of antibodies. Wh.

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Fiona is a 29-year-old woman who works in a medical factory making medical equipment. She lives with her husband and in-laws. Over the last week, she has been more isolative, saying strange things to her husband, and not sleeping due to unidentified fearfulness. The only stressor that her husband can identify is that they started talking about having children. Fiona refuses to do her ADLs, eats very little, and appears intermittently in a trancelike state. The family was becoming more and more concerned and attempted to get Fiona to see their family doctor, but she was refusing. Finally, police were called due to worsening regressed behavior and Fiona was brought to the local emergency department (ED) for evaluation. The ED physician examined her and reported after labs and neuroimaging that she was medically stable. Although the patient reported no history of psychiatric illness, she did report that her maternal grandmother was in a state hospital for most of her life. The physician recommended psychiatric hospitalization for new onset of a psychotic illness. Summarize the clinical case. What is the DSM5 diagnosis? Identify the rationale for your diagnosis using the DSM5 diagnostic criteria. According to the clinical guidelines, which one pharmacological treatment is most appropriate to prescribe? Include the medication name, dose, frequency and rationale for this treatment. According to the clinical guidelines, which one non-pharmacological treatment would you prescribe? (exclude psychotherapy modalities) Include the risk and benefits of the chosen rationale for this treatment. Include an assessment of medication's appropriateness, cost, effectiveness, safety, and potential for patient adherence. Use a local pharmacy to research the cost of the medication. Use great detail when answering questions 3-5. .

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Caso Demasiado amable con la gente John acababa de graduarse de la Facultad de Administracin de Empresas de la Universidad Estatal y se uni a la pequea empresa de su familia, que emplea a veinticinco trabajadores semicalificados. La primera semana en el trabajo, su pap lo llam y le dijo: John, he tenido la oportunidad de observarte trabajando con hombres y mujeres durante los ltimos dos das y, aunque odio hacerlo, siento que debo decir algo. . Eres demasiado amable con la gente. S que te ensearon eso de las relaciones humanas en la universidad, pero aqu no funciona. Recuerdo cuando se inform por primera vez sobre los estudios de Hawthorne y todos en la universidad se emocionaron mucho con ellos, pero cranme, hay ms en el manejo de personas que solo ser amable con ellos. Respuesta: 1. Cmo reaccionaras a los comentarios de tu padre si fueras John? 2. Crees que el padre de John entendi e interpret correctamente los estudios de Hawthorne? 3. Qu fases de gestin cree que ha atravesado el padre de John en este negocio familiar?.

Caso Demasiado amable con la gente John acababa de gradua.pdf

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Caso de Estudio #6a Sistema Neurolgico: Esclerosis Mltiple Paciente: Myrtle Recin diagnosticado, (25 aos), Historia social: sin hogar, desempleado, soltero, No fumador; sin ETOH (ETOH es un acrnimo de alcohol etlico) ; sin drogas ilcitas Estudiante universitario en lnea: lucha por comprender el material EMRR (Esclerosis Mltiple Remitente Recidivante) Sntomas 2006: visin borrosa y doble 2013: visin doble; urgencia urinaria; mala atencion 2012: Entumecimiento en ambas piernas Diagnstico: EMRR - Esclerosis mltiple remitente recidivante (2 episodios de sntomas neurolgicos atribuibles al SNC, separados en el espacio y en el tiempo) Problemas de memoria pasados los 6 meses; fatiga; intolerancia al calor; problemas con el equilibrio Prevalencia por Dominios Cognitivos Memoria 40% Procesamiento de informacin 35% Atencin/concentracin 30% Resolucin de problemas 20% Habilidades Visuopastiales 20% Fluidez verbal 10% Mltiples dominios (promedio)22% Apoyando el Diagnstico Mltiples lesiones de sustancia blanca con realce Seal T2 alta en el nervio ptico derecho Lesin realzada en el borde en T6-7 Notas de bandas en LCR y no en suero medicamentos Estudio de caso de discusin #6a. 1. Cul es el efecto de la desmielizacin en los nervios de una persona que tiene esclerosis mltiple? 2. Por qu son apropiados los medicamentos? 3. Por qu cree que las mujeres tienen mayor riesgo de EM?.

Caso de Estudio 6a Sistema Neurolgico Esclerosis Mltiple.pdf

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Caso de estudio Aplicar el principio de gestin de recursos humanos Donna Moreau estuvo empleada durante nueve aos como asistente de habitacin en el hotel Windjammer. Su trabajo y asistente durante ese perodo fueron considerados excelentes. El hotel estaba moderadamente ocupado durante la semana y normalmente se llenaba de turistas los fines de semana. De acuerdo con una poltica del hotel que requiere una notificacin de dos semanas, el 1 de mayo Donna present una solicitud de "da libre" para el sbado 15 de mayo para asistir a la ceremonia de graduacin de la escuela secundaria de su nica hija a la 1:00 p. m. Se esperaba que el hotel tuviera una escasez extrema de personal el fin de semana del 15 de mayo debido a algunas renuncias y despidos del personal, as como a la previsin de que se agotaran las habitaciones. La supervisora de Donna, Tara Roach, rechaz la solicitud de Donna para el da libre, ya que el departamento de limpieza necesitaba que ella trabajara todo el fin de semana. DOnna estaba visiblemente molesta cuando se public el horario y se enter de que su solicitud haba sido denegada. Se enfrent a Tara y dijo: Estar atendiendo a mi hija durante 17 aos, y de ninguna manera me perder ese da!. Tara respondi que lo senta mucho, pero que todas las solicitudes de los empleados para ese fin de semana haban sido denegadas y Donna se present a trabajar segn lo programado. El sbado de la graduacin, Donna, de acuerdo con la poltica escrita del hotel, llam "enferma" cuatro horas antes de que comenzara su turno. El hotel estaba extremadamente ocupado y, en parte debido a la ausencia de Donna, cada encargado de la habitacin que se present en el trabajo asign una carga de trabajo superior a la media, lo que provoc una gran tensin en el departamento. Tara, que estaba enfadada por lo que vio como un desprecio deliberado por la autoridad supervisora, y recordando la conversacin anterior con Donna, registr la llamada de la empleada como una "excusa inaceptable" y complet un formulario que deca que Donna, de hecho, la haba dejado. trabajo voluntariamente al negarse a trabajar su mierda asignada. Tara se refiri a la parte del manual del empleado que Donna firm cuando se uni al hotel. El manual deca, en parte: Se considerar que el empleado ha renunciado o abandonado voluntariamente su empleo en cualquiera de los siguientes casos; Ausencia del trabajo por uno (1) o ms das consecutivos sin excusa aceptable para la empresa. tardanzas habituales No presentarse al trabajo dentro de las 24 horas posteriores a una solicitud de informe Donna volvi al trabajo al da siguiente y descubri que la haban eliminado del horario. Tambin se le inform que ya no era empleada del hotel. Donna solicit compensacin por desempleo. En su estado, los trabajadores que renunciaron voluntariamente a sus trabajos generalmente no eran elegibles para la compensacin por desempleo. Aquellos que son despedidos normalmente reciben ese beneficio (que finalmente es pagado por el hotel). Revise la a.

Caso de estudio Aplicar el principio de gestin de recursos.pdf

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Caso: Autoridad Aeroportuaria La Autoridad Aeroportuaria (AA) ha estado bajo una presin considerable por parte del Gobierno Regional para aumentar la capacidad en el Aeropuerto de Changow. Construido originalmente hace cincuenta aos como un pequeo aeropuerto regional que atiende a una poblacin de 250 000 habitantes, la pista nica de Changow est a plena capacidad durante 20 horas al da. La poblacin de la regin ha aumentado a ms de 5 millones y gran parte de este crecimiento en los viajes areos se debe a la rpida expansin econmica de la regin a partir de la industria y el turismo. Las opciones que enfrenta el AA no son atractivas. Aumentar la capacidad en Changow presenta serios problemas de ingeniera en el nico terreno disponible al norte, sobre el cual se debe construir una nueva pista. Los problemas se deben a la geologa local y algunas inundaciones regulares del delta del ro Hankse que fluye cerca. Una poblacin residencial de alrededor de 1 milln vive dentro de un rea de 15 kilmetros al norte del aeropuerto y creen que sus vidas se veran gravemente afectadas por una nueva pista importante. Adems, los desarrollos econmicos cercanos al aeropuerto se amontonan hasta el lmite sur, que es el nico medio de acceso adecuado desde la ciudad de Changow para una carretera ms ancha. La tierra cercana a los lmites este y oeste contiene principalmente propiedades residenciales de altos ingresos, mezcladas con sitios verdes aislados, que contienen plantas naturales raras, aves exticas y otros pequeos animales salvajes. El Gobierno del Estado recientemente design algunas de estas reas como 'Sitios del Patrimonio Nacional'. La otra opcin es construir un aeropuerto completamente nuevo en Fongow, a una distancia de cuarenta kilmetros de Changow, en tierras agrcolas, actualmente cultivadas por miles de pequeos propietarios, cuyas familias han trabajado la tierra all durante muchas generaciones. Se necesitaran nuevos caminos de acceso, adems, quizs un sistema ferroviario que requerira muchos puentes y tneles, y el aeropuerto estara cerca de altas colinas boscosas. Hay dudas sobre la factibilidad operativa de construir un aeropuerto tan lejos de la capital regional. Los representantes polticos locales, todos miembros de la coalicin gobernante, favorecen la expansin del aeropuerto de Changow por motivos de 'desarrollo econmico nacional', 'progreso social' y orgullo nacional. Lo mismo ocurre con las empresas locales, que afirman que el aeropuerto actual est frenando la expansin econmica en la regin. Los pasajeros del aeropuerto, tanto de negocios como de turistas, se ven afectados por largos retrasos en los vuelos y conexiones perdidas, y atascos de trfico durante el acceso y la salida a lo largo de la nica e inadecuada carretera sur del aeropuerto hacia la ciudad de Changow. La inquietud/preocupacin del pblico sobre las propuestas para ampliar el aeropuerto de Changow han surgido y estn atrayendo el inters de los medios. La principal oposicin proviene de los veci.

Caso Autoridad Aeroportuaria La Autoridad Aeroportuaria .pdf

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Caso 9-A: El Departamento de Poltica obtiene una renovacin de liderazgo Lesley se gradu recientemente de la universidad con su ttulo en administracin de empresas. Pas los ltimos dos veranos trabajando en Connecticut Mutual Insurance (CMI), como pasante en varios trabajos diferentes mientras los empleados tomaban sus vacaciones. Recientemente recibi y acept una oferta para unirse a CMI a tiempo completo como supervisora del departamento de renovacin de plizas. CMI es una gran compaa de seguros. Solo en la oficina central, donde trabajar Lesley, hay ms de 1500 empleados. La empresa cree firmemente en el desarrollo personal de sus empleados. Esta creencia se traduce en una filosofa, que emana de las principales oficinas ejecutivas, de confianza y respeto para todos los empleados de CMI. La compaa tambin se encuentra regularmente en la cima de la mayora de las listas de "mejores empresas para trabajar", en gran parte debido a sus programas progresivos de trabajo y vida y su fuerte compromiso para minimizar los despidos. En el nuevo trabajo de Lesley, ella dirigir las actividades de dieciocho empleados de renovacin de plizas. Sus trabajos requieren poca capacitacin y estn altamente estandarizados. La responsabilidad de un empleado es asegurarse de que se enven los avisos de renovacin de las plizas actuales, tabular cualquier cambio en las primas, informar a la divisin de ventas si se cancelar una pliza como resultado de la falta de respuesta a los avisos de renovacin y responder preguntas y resolver problemas. relacionados con las renovaciones. Las personas en el grupo de trabajo de Lesley tienen edades comprendidas entre los diecinueve y los sesenta y dos aos, con una mediana de edad de veinticinco. En su mayora son graduados de secundaria con poca experiencia laboral previa. Ganan entre $2,350 y $3,200 al mes. Lesley reemplazar a una empleada de CMI desde hace mucho tiempo, Jan Allison. Jan se jubila despus de treinta y siete aos en CMI, los ltimos catorce como supervisora de renovacin de plizas. Debido a que Lesley pas algunas semanas en el grupo de Jan el verano pasado, est familiarizada con el estilo de Jan y conoce a la mayora de los miembros del departamento. Pero la gente no conoce muy bien a Lesley y sospecha que acaba de salir de la universidad y tiene poca experiencia en el departamento. La realidad es que Lesley obtuvo este trabajo porque la gerencia quera a alguien con un ttulo universitario para supervisar el departamento. La crtica ms vocal de Lesley es Lillian Lantz. Lillian tiene ms de cincuenta aos, ha sido empleada de renovacin de plizas durante ms de una docena de aos y, como la "gran anciana" del departamento, tiene mucho peso entre los miembros del grupo. Lesley sabe que ser difcil liderar este departamento sin el apoyo de Lillian. Lesley est decidida a comenzar con el pie derecho su liderazgo en el departamento. Como resultado, ha estado pensando mucho en las cualidades de un supervisor eficaz. Respondiendo al caso 9-13. Qu .

Caso 9A El Departamento de Poltica obtiene una renovacin.pdf

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Caso de debate: filtracin de datos de Equifax La empresa de informes de crdito Equifax estuvo en el centro de una filtracin masiva de datos que afect a ms de 145 millones de clientes. En 2017, los piratas informticos aprovecharon una vulnerabilidad en el software del sitio web de Equifax y robaron informacin personal, incluidos nombres, direcciones y nmeros de seguro social, de hasta 145 millones de estadounidenses. Un incidente separado pero relacionado en Equifax involucr a 15 millones de ciudadanos britnicos cuyos registros fueron violados entre 2011 y 2016. El fracaso de las medidas de control e informes internos de Equifax condujo a una violacin generalizada de los derechos de las personas a la privacidad de su informacin personal y se convirti en un enorme crisis de relaciones pblicas para la empresa. El principal abogado de Equifax, John Kelley, fue investigado por la junta directiva por su posible participacin en el encubrimiento del hackeo y su mal manejo de la situacin. Kelley fue responsable de aprobar las ventas de acciones de la empresa por parte de los ejecutivos despus de que se descubriera la infraccin, pero antes de que se revelara al pblico. Tras la divulgacin de la infraccin, el precio de las acciones de la empresa cay un 14 por ciento. Los inversores vendieron aproximadamente 4500 millones de dlares (el 25 %) del valor de mercado de la empresa despus de que se hiciera pblico el ataque. Ms de 10 millones de estadounidenses vieron expuestos los datos de sus licencias de conducir durante el hackeo. Muchas personas que haban proporcionado la informacin de su licencia de conducir a la empresa simplemente estaban verificando su informacin para recibir informes crediticios y calificaciones de Equifax. Algunos haban ingresado su informacin en la pgina web de la compaa en un esfuerzo por resolver disputas de informes de crdito. La pgina web de disputas de informes crediticios haba sido particularmente vulnerable a las brechas de seguridad. El CEO de Equifax, Richard Smith, admiti durante las audiencias del Captulo 6 tica organizacional 133 PDF final para imprimir 134 Segunda parte tica empresarial law43665_ch06_115-136.indd 134 11/14/18 01:42 PM del Congreso que l y otros ejecutivos estaban al tanto de las debilidades de seguridad , pero que un solo empleado de la empresa no haba prestado atencin a las advertencias de seguridad y no se asegur de la implementacin de las correcciones de software. Smith agreg que hubo una falla en sus sistemas de software diseados para buscar la ausencia de "parches" necesarios para proteger la informacin privada. Otros mecanismos de control interno en Equifax parecan haber sido ignorados o disfuncionales. Frederick Lemieux, director del programa de posgrado en Inteligencia Aplicada de la Universidad de Georgetown, culp de la violacin a lo que llam "complicidad pasiva" en la cultura de la empresa. (La complicidad significa estar involucrado en un acto indebido; la complicidad pasiva implica que los ej.

Caso de debate filtracin de datos de Equifax La empresa de.pdf

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1. Case Study Jane Doe, a 49-year-old female, with a history of heavy tobacco use, has been suffering from a respiratory viral infection over the last few weeks and her roommate reports that she has been using her nebulizers quite heavily. Despite this, Jane also has continued to smoke quite heavily. The patient's roommate said that the patient was in her room and called out to her - when she went in to check on her, Jane was coughing, looked pale and cyanosed (lips were bluish), and breathless. The roommate immediately contacted EMS. Upon arrival, the paramedics noticed that Joe had bronchospasm with profound difficulty with air entry, wheezing, rapid and labored breathing and tachycardia. She was taken to the ER, admitted and treated with bronchodilators and steroids and eventually recovered. Based on the above information: 1. What is/are the possible diagnosis in this case? 2. What could have possibly precipitated the condition? 3. What is the pathophysiology of this condition? 4. What possible acid-base imbalance could you expect in this condition? 5. How would the pulmonary function tests look like in this condition?

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