COPD System Disorder PDF

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ACTIVE LEARNING TEMPLATE:

System Disorder

Espinosa ST UDENT NAME Catherine _____________________________________ Chronic Obstructive Pulmonary Disease (COPD) DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) -Ineffective Airway Clearance -Impaired Gas Exchange -Ineffective Breathing Pattern -Imbalanced Nutrition: Less Than Body Requirements -Activity Intolerance

28 REVIEW MODULE CHAPTER ___________

Pathophysiology Related to Client Problem

Health Promotion and Disease Prevention

Chronic inflammation of the airways, lung parenchyma (resp. brionchioles and alveoli), and pulmonary blood vessels. Airflow liminitation not fully reversible.

-Smoking cessation -Early diagnosis and treatment of respiratory tract infections -Exercise program and yearly follow up

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

Cigarette Smoking Infection Asthma Air Pollution, Occupational Chemicals + Dusts Aging Genetics, Alpha-1 Antitrypsin Deficiency

Laboratory Tests

Chronic cough Sputum production Dyspnea Chest heaviness-increased effort to breathe

Diagnostic Procedures

ABGs Serum alpha 1 antitrypsin levels

-History and Physical examination -Spirometry -Chest X Ray -6 Minute walk test -COPD Assessment Test

Recognize signs and symptoms of respiratory infection and heart failure Establish a medication schedule with the patient Correct use of inhalers, spacer, and nebulizer Be aware of the cause of acute exacerbations Abnormal ABGs

PATIENT-CENTERED CARE

Nursing Care -Long term O2 therapy as needed -Adequate hydration and humidification -Chest PT and Aeresol treatments -Balance activities and rest

Therapeutic Procedures -Smoking Cessation -Drug Therapy -Surgical Therapy -Nutritional Therapy-maximizing food and nutrient intake

ACTIVE LEARNING TEMPLATES

Complications Medications

Client Education

Bronchodilators

Airway Clearance Techniques Effective coughing

Corticosteriods

Breathing Retraining - Pursed lip breathing

Mucolytic Agents

O2 Therapy at home-No Smoking sign

Pulmonary Hypertension Cor pulmonale Acute Respiratory Failure Depression

Interprofessional Care -Respiratory Therapist -Nephrologist -Pulmonary Rehabilitation

Anxiety Acute exacerbations due to bacterial or viral infections Abnormal ABGs...