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Running head: 1 MICROBIOLOGY CASE STUDY ANALYSIS

MICROBIOLOGY CASE STUDY ANALYSIS

March 28,2021.

2 What are the Cardiovascular and Cardiopulmonary Pathophysiologic Processes that Result in the Patient Presenting these Symptoms?

The condition our patient is currently managing is COPD exacerbation. When the lungs are exposed to chronic irritants, McCance & Huether (2018) says it causes progression, and an irreversible condition is known as COPD because it limits the airflow in the lungs. As a result, a patient presenting with symptoms of this condition leads to the lungs' 2 inflammation resulting in two primary phenotypes referred to as emphysema and chronic bronchitis. According to Fuller-Thomson et al. (2017), patients with chronic COPD, they may present concurrently with these phenotypes, although our patient, in this case, manifested with emphysema. 2 The patient is producing green sputum and high fevers as an indication of possible development of pneumonia.

When the ciliary function is impaired, it leads to hypersecretion associated with COPD, makingb it hard for the body to excrete excessive mucous.  The alveoli, in this case, produce more fibrosis due to accumulated mucous. According to Fuller-Thomson et al. 2 (2017), the patient is at a higher risk of getting infectious diseases within the lungs when the lungs fail to reach their peak performance appropriately. Therefore, this disease is associated with several connective processes and cardiovascular conditions. 2 the two primary processes that interact concurrently are cor pulmonale and pulmonary hypertension.  Another name for left heart disease is pulmonary hypertension, whereas when the person experiences increased and resistance to pressure, it is said to have pulmonary arterial pressure (Sarkar et al., 2019).  This is complicated by hypoxic pulmonary vasoconstriction (Sarkar et al., 2019).  When there is some stress on the right ventricle, which makes the chamber perfuse less of the right coronary arteries, the condition is known as pulmonary pathophysiology because hypertrophy of the muscles is created within the ventricular wall (McCance & Huether, 2018).  The domino effect created is poor contractility, back up into the vascular system, and increased overload that eventually affects the potential hypoxemia and ischemia. There is a tandem function between the heart and the lungs – meaning when one fails to functions to its full capacity, the other is compromised.

2 What are the Racial/Ethnic Variables that may Impact Physiological Functioning?

Biological and natural factors account as major causes of COPD because inhalation is the number one cause, although the early onset of COPD and pulmonary hypertension may be triggered by ethnic and racial variables (Sarkar et al., 201). Women between the age of 20 and 40 are at a higher risk of pulmonary hypertension associated with vasoconstrictors' overproduction. Also, underserved population such as Hispanic and black ate more vulnerable to COPD disease (Fuller-Thomson et al., 2017). Also, people with COPD are influenced by socioeconomic factors such as environmental factors, inadequate house, and poverty (McCance & Huether (2018).

2 How do these Processes Interact to Affect the Patient?

The body is a system of parts that rely on each other like a machine. When one or more systems work in synchrony, it makes necessary adjustments, but other parts will not catch when one shuts down at a higher speed; they feel the impact, making the body develop irreversible chronic conditions (Sarkar et al., 2019). 2 Heart muscles start to work in overdrive when they fail to pump the incoming blood at the normal rate. As a result, there is a reduction in contractility of muscles because the heart has become hypertrophic. 2 The aftermath of such a situation is having a lot of fluid back up in the vascular system, increased overload, and decreased output. As previously mentioned, each system works like an oily machine, implying that less oxygen flows in every part of the body when there is a decreased output. Once the body detects oxygen inadequacy, it leads to the accumulation of fluid in the preload system. 2 It is a complete shutdown of the system and chronic distress. The major organs facilitating the flow of blood/flood are the lungs, brain, and the heart – and one organ does not meet its function potential – the others feel the effect. 2 Therefore, to treat patients properly in all clinical settings, providers must understand the importance of this pathophysiology dynamic (McCance & Huether, 2018).

References

Fuller-Thomson, E., Chisholm, R. S., & Brennenstuhl, S. (2017). 2 COPD in a population-based sample of never-smokers:  interactions among sex, gender, and race. International journal of chronic diseases, 2016.

McCance, K. 2 L., & Huether, S. E. (2018). Pathophysiology-E-book: 3 the biologic basis for disease in adults and children.  4 Elsevier Health Sciences.

5 Sarkar, M., Bhardwaz, R., Madabhavi, I., & Modi, M. (2019). 5 Physical signs in patients with chronic obstructive pulmonary disease. Lung India: 6 Official Organ of Indian Chest Society, 36(1), 38.