Question

Translate the following nurse’s notes into layman’s terms to explain to a family member. Write your translation in the same form as the original notes but identify abbreviations by the name and define medical terms. Make a video explaining the situation to a family member. Current Complaint: A 67-year-old male, Jackson, arrived at the doctor’s office complaining of SOB, tachypnea, and some hemoptysis. His symptoms have been going on for one week. History: Patient has COPD and frequent URI. Most recent TB test was negative. Symptoms: Temperature is 102°, R are 25 per minute, BP is 145/90, heart rate is 75 beats per minute. Patient has a persistent cough during examination. O2 levels obtained with an oximeter show 92%. Tests Ordered: ABGs, CXR, PFT, CT Diagnosis: After tests were performed, ABGs show low O2 level and increased CO2 level. CXR shows atelectasis in the LUL. PFT confirms COPD. CT demonstrates possible pulmonary embolism. Treatment Plan: Recommend pulmonary angiography to rule out pulmonary embolism. Continue treatment for COPD, specifically emphysema. Refer patient to ENT for further evaluation.

Answer 1

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.

Answer 2

Nurse's Notes Translation:

Video Explanation:
"Hi there! I wanted to update you on Jackson's visit to the doctor's office. Jackson is a 67-year-old man who came in because he has been experiencing shortness of breath, fast breathing, and coughing up a small amount of blood for the past week. He has a history of COPD (Chronic Obstructive Pulmonary Disease) and often gets upper respiratory infections.

During the examination, Jackson had a temperature of 102°F, was breathing rapidly at a rate of 25 breaths per minute, had a blood pressure of 145/90, and a heart rate of 75 beats per minute. His oxygen levels, measured with a device called an oximeter, were at 92%.

The doctor ordered some tests to better understand what's going on. Jackson will have arterial blood gas (ABG) tests, a chest X-ray (CXR), pulmonary function tests (PFT), and a computed tomography (CT) scan. Based on the results, it was found that Jackson has low oxygen levels and increased carbon dioxide levels in his blood. The chest X-ray showed a collapsed lung in the left upper lobe, which is known as atelectasis. The pulmonary function tests confirmed his COPD diagnosis, and the CT scan suggested a possible blood clot in the lungs, called a pulmonary embolism.

The treatment plan includes recommending a pulmonary angiography to confirm or rule out a pulmonary embolism. Jackson will continue to receive treatment for his COPD, specifically for emphysema. He will also be referred to an ear, nose, and throat specialist (ENT) for further evaluation.

I hope this explanation helps you understand what's going on with Jackson. If you have any further questions, please let me know. Take care!"