Final answer:
A 67-year-old male patient with COPD visited the doctor's office complaining of shortness of breath, rapid breathing, and coughing up blood. Tests revealed low oxygen levels, an atelectasis in the left lung, and a possible pulmonary embolism. Treatment includes ruling out the embolism with pulmonary angiography, continuing COPD treatment, and a referral to an ENT specialist.
Step-by-step explanation:
The nurse's notes in the video are about a 67-year-old male patient, Jackson, who visited the doctor's office. He complained of SOB (shortness of breath), tachypnea (rapid breathing), and some hemoptysis (coughing up blood). He has been experiencing these symptoms for one week. Jackson has a history of COPD (chronic obstructive pulmonary disease) and frequent URI (upper respiratory infections). His most recent TB (tuberculosis) test was negative.
In his examination, Jackson's temperature was 102°F, respiratory rate was 25 breaths per minute, blood pressure was 145/90 mmHg, and heart rate was 75 beats per minute. He had a persistent cough during the examination. O2 levels obtained with an oximeter showed 92% saturation.
Tests ordered for Jackson include ABGs (arterial blood gases), CXR (chest x-ray), PFT (pulmonary function test), and CT (computed tomography). The ABGs showed low oxygen levels and increased carbon dioxide levels. The CXR showed atelectasis (collapsed lung) in the left upper lobe. The PFT confirmed COPD. The CT revealed a possible pulmonary embolism.
The treatment plan for Jackson includes recommending pulmonary angiography to rule out pulmonary embolism. He will also continue treatment for COPD, specifically emphysema. Jackson will be referred to an ENT (ear, nose, and throat) specialist for further evaluation.