Case study + questions that you have to answer into your won words! + Sources that you used.

profileamalkh
AnatomyCasestudy.docx

A 155 lb., 60-year-old man had a chronic productive cough, exertional dyspnea, mild cyanosis, and marked slowing of forced expiration. His pulmonary function and laboratory tests follow:

Frequency

15 breaths/min

Alveolar ventilation

4.1 L/min

Vital capacity (VC)

2.2 L

Functional residual capacity (FRC)

4.0 L

Total lung capacity (TLC)

5.2 L

Maximum inspiratory flow rate

252 L/min

Maximum expiratory flow rate

21 L/min

PaO2

63 mm Hg

PaCO2

38 mm Hg

Pulmonary function tests after bronchodilator therapy:

Frequency

15 breaths/min

Alveolar ventilation

4.25 L/min

VC

2.4 L

FRC

4.0 L

TLC

5.2 L

Maximum inspiratory flow rate

252 L/min

Maximum expiratory flow rate

24 L/min

PaO2

63 mm Hg

PaCO2

37 mm Hg

Q1: What is the disorder of this man? 

Q2: Is this mainly a restrictive or an obstructive disorder? Explain.

Q3: Why is the bronchodilator therapy ineffective for this patient?

Q4: What causes the hypoxemia?

Q5: Calculate the residual volume (RV) for this person before and after the bronchodilator therapy. RV = TLC - VC.

Q6: What is the cause of this altered RV? 

Q7: Calculate the tidal volume (TV) for this person before and after the bronchodilator therapy. TV = AV/f + patient body weight. Hint: TV is calculated in mL, so you will need to convert L to mL before completing the equation.

Q8: Is each TV normal or altered?

Q9: Calculate the minute ventilation (MV) for this person before and after the bronchodilator therapy. MV = TV × f

Q10: Is each MV normal or altered?