Assessing the Heart, Lungs, and Peripheral Vascular System
When one issuffering from chronic lung disease or asthma attack bronchitis thatallow air to move freely in the lungs is blocked. The mucus blocksthe tube and thus no airways making it hard to breath. For a normalperson when air flows through the lungs the chest expands andcontracts when one exhale. When one is suffering from chronic lungdiseases or asthma when air enters the lung, the bronchial tubes areinflamed and thus the lungs do not stretch. It implies that lessamount of air will get in of the lungs and thus one not able tobreathe.Patient Personal history
The nurse needs totake the patient history, for instance, the risks that the patientmay have encountered before. For instance, if the patient has beenexposed to pollution like the industrial pollutant. The next patienthistory that may be taken is whether the patient has difficult whendoing exercise (Seidel et al., 2011). In relation to that he or shemay be asked whether when exposed to cold, dust and allergens has anyproblem. The last personal history is to know whether the patient hasever smoked.Physical exam
The physicalexamination gives the nurse clear information whether the patient issuffering from chronic lung disease or asthma. If the patient skin iscolored and pink, if he or she is breathing rapidly and shallowly,and prolonged exhales (Ball et al., 2015). Another physicalexamination that can be conducted is whether the legs are swollen.
One of thediagnostic tests that can be carried is chest examination. The nurseuses the stethoscope to listen if the patient is producing wheezingsound, noise in the chest, whether the chest is taking long to breathand if there is pressure in the veins (Dains, Baumann and Scheibel,2012). Lastly, the patient may be told to cough so that they cancarry an examination of the sputum. In this point if the physicalexam results are positive and the diagnostic test has a relationshipwith physical exam the patient may be put under medication.
Symptoms likedizziness, fatigue and one being unable to breath are associated withlung disease (Sullivan, 2012). If further assessment is carriedsomeone suffering from heart problems may have the same symptoms.
Differentpossible conditions for the patient`s differential diagnosis
Coughing is one ofpossible conditions for the patient differential diagnosis based onthat many people will treat coughing as a normal viral attack. Thesecond is symptoms that are worse at night and at day time theydisappear. The patient tends to ignore the symptoms but he or she maybe suffering from chronic lung disease or asthma. Sneezing whenexposed to cold air or allergens, in such case the patient willconsider it as normal since many people have symptoms when they areexposed to cold, dust and allergens. The forth is recurrent wheezing,the condition is worst and this makes many people seek medical advicesince there is a possibility of one from chronic lung disease orasthma. It is one of the first notable conditions. Lastly, is chesttightness both to adult and young individuals, the problem with thiscondition is that many people will seek medical attention based onthe pain but they do not have an idea they may be suffering fromchronic lung disease or asthma.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &Stewart, R. W. (2015). Seidel`s guide to physical examination (8thed.). St. Louis, MO: Elsevier Mosby.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2012). Advancedhealth assessment and clinical diagnosis in primary care (4thed.). St. Louis, MO: Elsevier Mosby.
Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B.S., & Stewart, R. W. (2011). Physical exam summary: Bloodvessels. In Mosby`s guide to physical examination (7th ed.). St.Louis, MO: Elsevier Mosby.
Sullivan , D. D. (2012). Guide to clinical documentation (2nded.). Philadelphia, PA: F. A. Davis.