Complete Shadow Health Respiratory Assessment for Chadwick Bowman. COPD exacerbation — expiratory wheeze on auscultation, barrel chest inspection, digital clubbing, O2 saturation 91% on room air, pursed lip breathing observed. Complete respiratory history, spirometry documentation and GOLD staging assessment. Used in GCU and Chamberlain health assessment courses.
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Chadwick Bowman is a 68-year-old male with a 45 pack-year smoking history presenting with worsening shortness of breath and productive cough over 3 days. He rates dyspnea at 7/10. He uses pursed lip breathing at rest and is using accessory muscles. O2 saturation is 91% on room air. He has a known history of COPD and uses albuterol and tiotropium daily.
The Respiratory Assessment covers the complete respiratory history, inspection findings (barrel chest, digital clubbing, pursed lip breathing, accessory muscle use), auscultation (expiratory wheeze throughout, prolonged expiratory phase), percussion (hyperresonant), palpation and peak flow measurement. Spirometry results consistent with obstructive pattern are documented.
O2 sat 91%. Barrel chest. Expiratory wheeze throughout. Hyperresonant percussion. Diagnosis: COPD exacerbation, GOLD Stage III. Bronchodilator treatment, oral corticosteroids, O2 supplementation and respiratory therapy consultation documented.