What clinical findings correlate with M.K.’s chronic bronchitis? What type of treatment and recommendations would be appropriate for M.K.’s chronic bronchitis?
Comprehensive Case Study on COPD, Heart Failure, Hypertension
and Diabetes Mellitus
M.K. is a 45 year old female; measuring 5’5” and weighs 225
lbs. M.K. has a history of smoking about 22 years along with a poor
diet. She has a history of Type II diabetes mellitus along with
primary hypertension. M.K. has recently been diagnosed with chronic
bronchitis. Her current symptoms include chronic cough, more severe
in the mornings with sputum, light-headedness, distended neck
veins, excessive peripheral edema, and increase urination at night.
Her current medications include Lotensin and Lasix for the
hypertension along with Glucophage for the Type II diabetes
mellitus. The following are lab findings that are pertinent to this
case:
Vitals
BP 158/98 mm Hg
CBC
Hematocrit 57%
Glycosylated hemoglobin (HbA1c) 7.3 %
Arterial Blood Gas Assessment
PaCO₂ 52 mm Hg
PaO₂ 48 mm Hg
Lipid Panel
Cholesterol 242 mg/dL
HDL 32 mg/dL
LDL 173 mg/dL
Triglycerides 184 mg/dL
What clinical findings correlate with M.K.’s chronic bronchitis?
What type of treatment and recommendations would be appropriate for
M.K.’s chronic bronchitis?
Which type of heart failure would you suspect with M.K.?
Explain the pathogenesis of how this type of heart failure
develops.
According to the B.P. value, what stage of hypertension is M.
K. experiencing? Explain the rationale for her current medications
for her hypertension. Also, discuss the impact of this disease in
the U.S. population.
According to the lipid panel, what other condition is M.K. at
risk for? According to this case study, what other medications
should be given and why? What additional findings correlate for
both hypertension and Type II diabetes mellitus?
Interpret the lab value for Hb
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