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Chronic Bronchitis (PT Evaluation (Functional mobility (Bed…
Chronic Bronchitis
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Medical Management
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Diagnostic Testing
Chest X-Ray
B Hyperinflation, depressed hemidiaphragms, R Ventricular Hypertrophy, infiltrates in B bases R>L
Arterial Blood Gases
pH 7.36, PaO2 65 mm Hg, PaCO2 54 mm Hg, HCO3 30 mEq/L, and SaO2 87%
Pulmonary Functional Test
Spirometry
FEV1 65% of predicted, FVC 89%, and FEV1/FVC 73%
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ICF
Body Structure/Function
- Decreased gas exchange
- Chronic swelling and inflammation of bronchi and bronchioles
- Increase in tracheobroncial mucus gland (increase mucus production)
- Decrease in cilia number
- Decreased mucus excretion
- Compensated respiratory acidosis
- Morning Headaches
Activity
- Difficulty sleeping
- Difficulty eating
- Difficulty with housework
- Difficulty walking
Participation
- Boating and sailing
- Community ambulation
- Dancing with her husband
- Babysit grandchildren during the week while daughter works
Personal Factors
- 66 y/o
- Retired School teacher
- 47 pack years
- Overweight
- Supportive family
Environmental Factors
- Lives in a 2 story house with husband
- Grown son and family visit frequently
- Medications: Ampicillan, Aminophylline
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O2 Transport Deficits
Decreased PaO2, Increased PaCO2
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