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Respiratory System

12526Introduction
This assignment will cover the respiratory system.  For this assignment, you will investigate a case and answer the corresponding questions.

Remember to view the assignment rubric (see below) before completing the assignment.

Assignment Instructions
Read the case study.
Answer each question/complete the tasks, and create a report for the case study.
Which signs and symptoms would indicate a respiratory problem, and which would indicate a cardiovascular system problem?
How are Sandra’s breathing rate, blood pH, and PCO2 related?
Why would Sandra’s blood pressure be lower than normal, and why would a CT and V/Q scan of the legs be indicated in Sandra’s case?
How would asthma cause changes in blood CO2 and pH?
Your report must be a minimum of 300 words.

All answers should be in your own words and typed neatly using appropriate grammar, spelling, punctuation, and APA style.
Include APA citations when necessary.
Must be submitted as a Word file.
Submit to your instructor by 11:59 PM on the date listed in the course schedule.
Notes
Do not include/rewrite the questions in the assignment.
Your submission must have a Turnitin similarity score of less than 20%. Remember you have 3 submissions before the due date to check your score.
Submissions greater than 20% will risk point deductions, and you may be reported to Administration for academic discipline.
Case Study
by Dr. Bruce Forciea.

Introduction
Sandra and Bob were excited to board the plane for their first intercontinental flight since Bob’s retirement last summer. This was their first trip to Europe, and they were looking forward to the trip of a lifetime, beginning with London and then visiting a variety of European cities.

They relaxed in their coach seats, with Bob on the aisle and Sandra in the middle seat. Bob lifted the middle armrest to give Sandra some extra room since she had gained more than a few pounds during their long and happy marriage.

The 8-hour flight seemed to pass quickly for the couple. Bob slept through most of it while Sandra read her book. She only left her seat once to go to the restroom and didn’t want to disturb Bob.

The sudden jolt from the landing woke Bob from his sleep. A few minutes later, the couple was deboarding the plane and heading toward baggage.

“Just hold on a minute,” said Sandra to Bob. “I need to catch my breath. I must really be out of shape.”

Bob heard Sandra’s wheezing. He was all too familiar with her asthma attacks and reached into her bag for her inhaler.

“Let’s just sit for a while, and you take a few puffs of this,” said Bob while he handed over the inhaler.

The Hotel
“Bob, wake up! Something is wrong,” said Sandra in a panicked tone.

“What’s wrong?” said a concerned Bob.

“I can’t catch my breath, and I have pain on the left side of my chest. It is radiating into my left arm!”

“We’ll have to get you to the hospital!” said Bob, reaching for the phone.

The Hospital
Sandra was wheeled into a room on a gurney. A nurse took her pulse and blood pressure, administered oxygen, and hooked her up to a heart monitor.

Sandra’s Vitals:

Pulse 102 bpm
BP 90/56
“Sandra, have you had leg swelling like this before?” asked the nurse.

“Sometimes, but usually not this bad,” said Sandra.

“I see the swelling is worse in the right leg,” said the nurse.

Just then, the ER doctor entered the room. He greeted the couple, viewed the records, and briefly examined Sandra.

“We’ll need to run some tests,” said the doctor. “You may be here for a while.”

Tests
Sandra was given a blood draw, which was sent to the hospital lab for some tests.

The test results included:

Test Sandra Normal
Blood pH 7.25 7.35-7.45
Arterial PO2 78 80-100
Arterial PCO2 48 35-45
Creatine Phosphokinase 2.7 ng/mL 3 ng/mL
Breathing Rate 28 12-20
Breathing Sounds rapid, shallow breathing

Back in the ER room, the doctor read the test results.

I think we need to do some imaging,” said the doctor. “I’m ordering a CT and ultrasound of each leg along with a V/Q scan, which I think will confirm my diagnosis.”

Rubric
Respiratory System Case Rubric
Respiratory System Case Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeAnswer Question 1
Answer includes a description of which signs and symptoms would indicate a respiratory problem, and which would indicate a cardiovascular system problem?
20 pts
Exemplary
Answer to question 1 demonstrated an in-depth understanding of concepts through the application of course content. Concepts are synthesized into the student’s own perception.
18 pts
Good
Answer to question 1 demonstrated an understanding of concepts through the application of course content. Most concepts are synthesized into the student’s own perception.
16 pts
Satisfactory
Answer to question 1 demonstrated a basic understanding of concepts through the application of course content. Some concepts are synthesized into the student’s own perception.
12 pts
Needs Improvement
The answer to question 1 fails to demonstrate an understanding of concepts through the application of course content. Not all concepts are synthesized in the student’s own words.
0 pts
No Submission
The student did not answer this question.
20 pts
This criterion is linked to a Learning OutcomeAnswer Question 2
Answer includes a description of how the subject’s breathing rate, blood pH, and PCO2 are related?
20 pts
Exemplary
Answer to question 2 demonstrated an in-depth understanding of concepts through the application of course content. Concepts are synthesized into the student’s own perception.
18 pts
Good
Answer to question 2 demonstrated an understanding of concepts through the application of course content. Most concepts are synthesized into the student’s own perception.
16 pts
Satisfactory
Answer to question 2 demonstrated a basic understanding of concepts through the application of course content. Some concepts are synthesized into the student’s own perception.
12 pts
Needs Improvement
The answer to question 2 fails to demonstrate an understanding of concepts through the application of course content. Not all concepts are synthesized in the student’s own words.
0 pts
No Submission
The student did not answer this question.
20 pts
This criterion is linked to a Learning OutcomeAnswer to Question 3
Answer includes a description of why the subject’s blood pressure would be lower than normal and why would a CT and V/Q scan of the legs be indicated.
20 pts
Exemplary
Answer to question 3 demonstrated an in-depth understanding of concepts through the application of course content. Concepts are synthesized into the student’s own perception.
18 pts
Good
Answer to question 3 demonstrated an understanding of concepts through the application of course content. Most concepts are synthesized into the student’s own perception.
16 pts
Satisfactory
Answer to question 3 demonstrated a basic understanding of concepts through the application of course content. Some concepts are synthesized into the student’s own perception.
12 pts
Needs Improvement
The answer to question 3 fails to demonstrate an understanding of concepts through the application of course content. Not all concepts are synthesized in the student’s own words.
0 pts
No Submission
The student did not answer this question.
20 pts
This criterion is linked to a Learning OutcomeAnswer to Question 4
Answer includes an explanation of how asthma causes changes in blood CO2 and pH.
20 pts
Exemplary
Answer to question 4 demonstrated an in-depth understanding of concepts through the application of course content. Concepts are synthesized into the student’s own perception.
18 pts
Good
Answer to question 4 demonstrated an understanding of concepts through the application of course content. Most concepts are synthesized into the student’s own perception.
16 pts
Satisfactory
Answer to question 4 demonstrated a basic understanding of concepts through the application of course content. Some concepts are synthesized into the student’s own perception.
12 pts
Needs Improvement
The answer to question 4 fails to demonstrate an understanding of concepts through the application of course content. Not all concepts are synthesized in the student’s own words.
0 pts
No Submission
The student did not answer this question.
20 pts
This criterion is linked to a Learning OutcomeGrammar, Mechanics and Cohesiveness
Answer is clearly written with good logic, grammar and spelling and directly addresses the question.
10 pts
Exemplary
The student effectively presents the answer in a clear and logical manner. Student’s writing expertly presents a valid answer to the question without spelling, grammatical and punctuation errors.
9 pts
Good
For the most part, the student presents the answer in a clear and logical manner with minimal (1-2) spelling, punctuation, and/or grammatical errors.
8 pts
Satisfactory
Sometimes the student presents the answer in a clear and logical manner and/or contains several (3-5) spelling, punctuation, and/or grammatical errors.
6 pts
Needs Improvement
The answer fails to answer the question in a clear and logical manner. The student’s writing shows a minimal understanding of the question topic and/or the answer contains significant errors (more than 5), grammar, spelling, and/or punctuation.
0 pts
No Submission
The student did not submit the assignment.
10 pts
This criterion is linked to a Learning OutcomeAPA Guidelines
Answer contains APA citations when necessary.
10 pts
Exemplary
The assignment is written following all APA guidelines to include a properly formatted title page, body, and reference page (as needed).
9 pts
Good
The assignment contains minimal APA guideline formatting errors to include a properly formatted title page, body, and reference page (as needed).
8 pts
Satisfactory
The assignment paper contains several APA formatting errors including proper formatting of the title page, body, and reference page (as needed).
6 pts
Needs Improvement
The assignment is not properly formatted per APA.
0 pts
No Submission
The student did not submit the assignment.
10 pts
Total Points: 100

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