FCVRP - Dorothy - COPD/infection

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Last updated 8:15 PM on 8/19/26
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4 Terms

1
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Findings

SpO2

  • only 93% on 24% supplemental oxygen

CXR

  • Equal lung fields: opacity in left lower lobe

  • Diaphrenic angles: costophrenic and cardiophrenic angles are unclear compared to right side


2
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Subjective

  • HPC

  • PMHx

  • DHx

  • SHx

  • Smoking

Symptom based

  • Cough/sputum

  • SOB


3
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Objective

Vital signs

  • Would be valuble to see if RR is high or low with supplemental oxygen

Auscultation

  • Fine inspiratory crackles as alvioli pop open with fluid contents

  • Bronchial breath sounds over lung fields (fluid transmits bronchial sounds to chest wall)

Cough assessment

  • Analyse effectiveness of cough

Sputum analysis/culture

  • colour

  • Infections content

ABG’s and hematology

  • WBC raise indicates infection

  • Is oxygen supplementation causing low RR, respiratory acidosis


4
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Problem list

  • SOBAR

  • Hypoxemia

  • Reduced exercise tolerance/reduced self management

  • Increased sputum production/retention