Академический Документы
Профессиональный Документы
Культура Документы
Cruz, a lawyer, smokes three packs of cigarette every day for the past 20
years. Now on his late fifties, he started to notice that his cough has been going
on for more than three months. This has also occurred last year wherein his
cough lasted for almost three months. There is sputum production and he
experiences difficulty of breathing whenever he performs his daily activities.
Contents [hide]
1 Description
2 Classification
o 2.1 Chronic Bronchitis
o 2.2 Emphysema
3 Pathophysiology
4 Epidemiology
5 Causes
6 Clinical Manifestations
7 Prevention
8 Complications
9 Assessment and Diagnostic Findings
10 Medical Management
o 10.1 Pharmacologic Therapy
o 10.2 Management of Exacerbations
11 Surgical Management
12 Nursing Management
o 12.1 Nursing Assessment
o 12.2 Diagnosis
o 12.3 Planning & Goals
o 12.4 Nursing Priorities
o 12.5 Nursing Interventions
o 12.6 Evaluation
o 12.7 Discharge and Home Care Guidelines
o 12.8 Documentation Guidelines
13 Practice Quiz: Chronic Obstructive Pulmonary Disease (COPD)
14 See Also
15 Further Reading
Description
Nurses care for patients with COPD across the spectrum of care, from outpatient
to home care to emergency department, critical care, and hospice settings.
This updated definition is a broad description of COPD and its signs and
symptoms.
Classification
Chronic Bronchitis
Emphysema
There is impaired carbon dioxide and oxygen exchange, and the exchange
results from the destruction of the walls of overdistended alveoli.
Pathophysiology
Scar formation. This can cause scar formation in the long term and
narrowing of the airway lumen.
Schematic Diagrams:
Epidemiology
Mortality for COPD has been increasing ever since while other diseases have
decreasing mortalities.
COPD also account for the death of 125, 000 Americans every year.
Mortality from COPD among women has increased, and in 2005, more
women than men died of COPD.
Causes
Clinical Manifestations
Weight loss. Dyspnea interferes with eating and the work of breathing is
energy depleting.
Prevention
Prevention of COPD is never impossible. Discipline and consistency are the keys
to achieving freedom from chronic pulmonary diseases.
Complications
Diagnosis and assessment of COPD must be done carefully since the three main
symptoms are common among chronic pulmonary disorders.
Health history. The nurse should obtain a thorough health history from
patients with known or potential COPD.
The forced expiratory volume over 1 second (FEV1): Reduced FEV1 not
only is the standard way of assessing the clinical course and degree of
reversibility in response to therapy, but also is an important predictor of
prognosis.
Total lung capacity (TLC), functional residual capacity (FRC), and residual
volume (RV): May be increased, indicating air-trapping. In obstructive
lung disease, the RV will make up the greater portion of the TLC.
Medical Management
Healthcare providers perform medical management by considering the
assessment data first and matching the appropriate intervention to the existing
manifestation.
Pharmacologic Therapy
Management of Exacerbations
Surgical Management
Patients with COPD also have options for surgery to improve their condition.
Nursing Management
Nursing Assessment
Diagnosis
Infection treated/prevented.
Nursing Priorities
Nursing Interventions
Evaluation
During evaluation, the effectiveness of the care plan would be measured if goals
were achieved in the end and the patient:
Is free of infection.
Setting goals. If the COPD is mild, the objectives of the treatment are to
increase exercise tolerance and prevent further loss of pulmonary
function, while if COPD is severe, these objectives are to preserve current
pulmonary function and relieve symptoms as much as possible.
Breathing retraining. The home care nurse must provide the education
and breathing retraining necessary to optimize the patients functional
status.
Documentation Guidelines
EXAM MODE
PRACTICE MODE
TEXT MODE
In Exam Mode: All questions are shown but the results, answers, and
rationales (if any) will only be given after youve finished the quiz.
Start
See Also
Further Reading
(17)
COPD: Answers to Your Questions
$14.90$14.95
(9)
(2)
COPD For Dummies
$11.90$21.99
(46)
Ads by Amazon
TAGS
BRONCHITIS
COPD
EMPHYSEMA
SHARE
Cancer
Neurogenic Shock
Anaphylactic Shock
Osteoporosis
Contact Dermatitis
RECENT POSTS
20 Nursing Slang and Code Words
Kristen Smith - Jul 30, 2017
0
Here are some of the most common nursing slang terms and codes!
Anticholinergics (Parasympatholytics)
Jul 11, 2017
Cholinergic Agonists (Parasympathomimetics)
Jul 11, 2017
Load more
ABOUT US
Welcome to Nurseslabs.com, a website dedicated For All Your Nursing Needs!
Contact us: hello@nurseslabs.com
FOLLOW US
About
Suggestions?
Disclaimer
Privacy Policy
Shop