COPD System Disorder - Chronic Obstructive Pulmonary Disease

ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME _____________________________________ Chronic Obstructive Pulmonary Disease (COPD) 15.C DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Results from repeated exposure to respiratory irritants that begin to damage the structures of the respiratory system. A specific progressive disorder that slowly alters the structures of the respiratory system over time, irreversibly affecting lung function. Health Promotion and Disease Prevention Dont smoke and stay away from second hand smoke, avoid air pollution, aviod exposure to people with viral infections, eat healthy, exercise regularly ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Smoking, frequent exposure to smoke, long exposure to chemical irritants, people with asthma, exposure to high levels of irritating substances Chronic cough, shortness of breathe, frequent resoratory infections, cyanosis, fatigue, wheezing, mucous production Smoking cessation is highly recommended, do not smoke Wear oxygen during activities, Laboratory Tests Diagnostic Procedures Hematocrit, hemoglobin, sputum cultures, and CBC with WBC differential Chest X-ray, pulse oximetry, alpha antitrypsin, pulmonary function test (PFT), ABG's, ECG PATIENT-CENTERED CARE Nursing Care Monitor client's O2 Sats & ABG values, administer oxygen as needed, practice turn, cough, deep breathe encourage use of incentive spirometer Therapeutic Procedures Chest physiotherapy, and raising the foot of the bed slightly higher than the head can facilitate optimal drainage and removal of secretions Use oxygen appropriately Eat right and exercise Complications Medications Bronchodilators Ant-iinflammator y agents Mucolytic agents Client Education Encourage the client to eat high-calorie foods to promote energy, Reinforce the importance of taking medications, Smoking cessation is highly recommended Frequent respiratory infections Heart Failure Lung infections Interprofessional Care Physical Therapist, Nutritionist, Nurse, Pharmacist, Primary Care Provider, Family Members, Case Manager, Osteoporosis Depression