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70-year-old female has recently retired from her long-term job in Fort…
70-year-old female has recently retired from her long-term job in Fort Worth and has recently moved to Denver, CO. Denver has a much higher elevation than her previous home. She went to the emergency room for difficulty breathing. She has fast, shallow breathing, and a wet wheezy cough. Fluid in lungs in pneumonia. After I examined her I see she has a viral infection in her lungs. After I view this I admit her for observation.
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The effects of inflammation on ventilation of the respiratory system: It leads to increased respiratory rate, changes in airway resistance, and altered lung compliance. Fluid accumulation can further hinder normal gas exchange. It aims to protect the respiratory system, but potentially leading to dysfunction if inflammation is prolonged.
Effects the change in partial pressure would have to loading and unloading of oxygen/CO2 at the lungs and tissue: Changes in partial pressure greatly influence the loading/unloading of oxygen and CO2.
Oxygen-hemoglobin saturation curve: depicts the relationship between blood oxygen saturation and oxygen partial pressure.
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The Haldane Effect: related to CO2, enhances the binding/release of CO2 at the tissues and lungs. An increase in blood CO2 enhances the binding of CO2 to hemoglobin. Higher CO2 levels promote the binding of CO2 to deoxygenated hemoglobin, promote CO2 transport in the blood.
The Bohr effect: related to O2. An increase in blood oxygen partial pressure at the lungs enhances the binding of oxygen to hemoglobin, facilitating oxygen uptake by red blood cells. A decrease in O2 partial pressure causes hemoglobin to release oxygen.
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Upstream Causes:
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How did moving to an higher altitude contribute to respiratory problems? The higher up you go in elevation, the thinner the atmosphere gets. This means that breathing in the same amount of air gets you less oxygen than at a lower level. There is also altitude sickness which can happen when your body has trouble adjusting to the difference of how much oxygen you get each breath.
Downstream Causes:
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Why does she have fast, shallow breathing, wet, wheezy cough, and fluid in lungs?
These symptoms can indicate conditions such as: pneumonia, bronchitis, Congestive heart failure, COPD, or Pulmonary Edema
The condition and symptoms are induced from her age as well as changes in the altitude and environments she is living in.
What is causing these problems? The change in altitude could be one of the causes for these problems as well as age and an infection in the lungs, such as pneumonia
What will happen if they are untreated? If pneumonia is left untreated it can be deadly. It can cause respiratory failure, sepsis, and lung abscess.
What are the interactions between her respiratory system and other systems that might be complicating her illness?
The cardiovascular system can be affected by pneumonia because an increased effort for breathing can strain the heart as well as decreased oxygen levels can affect the ability to pump blood efficiently. Immune system is also affected because an overactive immune system can lead to inflammation. The nervous system can also be affected because the brain regulates breathing and the infection can lead to changes in breathing patterns
How does fluid in lungs affect gas exchange? When fluid in lungs increases the effective thickness of the alveolar wall and decreases the area of gas exchange