Thursday, February 20, 2020
Emphysema Case Study Example | Topics and Well Written Essays - 500 words
Emphysema - Case Study Example The chemicals released in the response disintegrate the alveolar septum, hence deforming the mechanical architecture of the lungs and increasing the cavities between the alveoli. With the reduction of alveoli surface area, there is reduced ventilation of the surrounding parenchyma (Webb & Higgins, 2005). The thoracic cage expands and diaphragm contracts to compensate the reduced surface area. With increased alveoli breakdown, the body cannot maintain enough oxygen in the blood. Vasoconstricting then takes place, with a risk of leading to hypertension, which strains the right side of the heart that pumps deoxygenated blood to the lungs (Webb & Higgins, 2005). The patient is likely to experience shortness of breath at times. It may be more frequent, including even when he is at rest, depending on the extent of damage to the lungs. An examination will reveal an expansion of the chestââ¬â¢s diameter. His skin will also tend to discolor to a purplish-blue hue (Loscalzo et al, 2008). Pneumothorax may be caused by the spontaneous rupture of alveoli, which is a prevalent condition in emphysema. It occurs when there is constant loss of air from the lung, which then flows into the pleural space without an escape way. It results in the accumulation of air in the space between the lungs and the chest (Loscalzo et al, 2008). Pneumothorax can hasten respiratory failure in the absence of enough lung reserve to balance the shrunken lung or its segment. Severe pulmonary vascular occlusion results in ventilation-perfusion disparity and respiratory failure due to inadequate blood flow into the still functioning alveoli. With massive pulmonary artery embolism, pressure increases on the right side of the heart, causing cardiac dysfunction and hindering the heart from circulating adequate volumes of blood (W. H. O., 2009). Care must be taken not to give too much
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