By John F Schuessler
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Additional info for A catalog of UFO-related human physiological effects
9. Bronchodilation occurs so long as asthma is not present. 10. Mucus transport increases (Houtmeyers, 1999). 1 1. Work of breathing increases because high flow rates increase turbulence and active expira tion causes dynamic compression of airways. MV above 40 L/min is usually accompanied by mouth breathing. 12. Mouth breathing and raised MV increase the inhalation of pollutants. A marathon runner can inhale in 3 hours the same air and pollutants as a sedentary person in 2 days (Atkinson, 1997).
Goals? 4. Plan? ABGs arterial blood gases; HPC history of present complaint; RMH relevant medical history; SOB shortness of breath. f;gel�;;,'e';ii�iEMIiIi)->1 I . , - Identify this 62-year-old patient's problems from the selected details of her case study, and answer the questions. She has an exacerbation of COPD. 26 ------ i WOB. Blood gases indicate hypoxaemia, hypercapnia and compensated respi ratory acidosis. Uncontrolled coughing is largely i neffective and contributes to fatigue. Coughing, stress incontinence, immobil ity and fluid restriction are i nter-related.
Is the patient obese, thus compromising diaphragmatic function, or cachectic, indicating poor nutrition and weakness? If the patient is unkempt, does this reflect difficulty with self care or a measure of how the disease has affected self-esteem? Is the patient restless or incoherent, possibly because of hypoxia? OBSERVATION Preliminary observation of the breathing rate and breathing pattern should be made before the patient IS aware of the physiotherapist's Colour Pallor is associated with anaemia, reduced cardiac output or hypovolaemic shock.
A catalog of UFO-related human physiological effects by John F Schuessler