Case study + questions that you have to answer into your won words! + Sources that you used.
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?
Q10: Is each MV normal or altered?