University:
College
Course:
College Nursing
Academic year:

2023
Views:

64

Pages:

1
Author:

Julian Salazar

ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME _____________________________________ COPD DISORDER/DISEASE PROCESS __________________________________________________________ Alterations in Health (Diagnosis) Progressive persistent airflow limitations Pathophysiology Related to Client Problem Enhanced inflammatory response in the airway and lungs destroying alveol REVIEW MODULE CHAPTER ___________ Health Promotion and Disease Prevention Smoking cessation, avoid exposure to second hand smoke, influenza and pneumonia vaccinations ASSESSMENT Risk Factors Genetics, cigarette smoking, infection, air pollutants, older adults, Laboratory Tests Sputem cultures and WBC Increased Hct ABGs, electrolytes SAFETY CONSIDERATIONS Expected Findings Chronic dyspnea, SPO2 40-50 during exacerbation, cough (esp in AM), hypoxemia, crackles and wheezes, rapid shallow respirations, barrel chest, use of accessory muscles, clubbing fingers and toes, pallor and cyanosis of nail beds Diagnostic Procedures PFT, CHest XR, AAT PATIENT-CENTERED CARE Nursing Care High Fowlers position, encourage coughing or suction, deep breathing and incentive spirometer, Admin supplemental O2 as needed and monitor O2 sats and face for dryness and skin breakdown Therapeutic Procedures Chest physiotherapy, raising foot of the bed, humidifiers Home O2 use-fire hazard- educate pt on safe use chronic SOB may make ADLs more difficult Instruct pt on proper medication administration and report severe sx Complications Medications Bronchodilators, anti-inflammator y medications, mucolytic agents, Client Education High calorie foods, frequent rest, stop smoking, hand hygiene, take medications, get vaccines, adequate fluid intake Interprofessional Care Pulmonology, Respiratory Therapy, PCP, PT/OT, Nutrition, home care, family education Respiratory Infection, Rt sided HF