University:
Rice University
Course:
BIOS 447 | Biology and Medicine
Academic year:

2023
Views:

196

Pages:

10
Author:

Carissa Thomas

Hypoxemia Acidosis Respiratory infection Cardiac failure (cor pulmonale) Dysrhythmias Respiratory failure COMPLICATIONS OF COPD Risk factors Smoking history History Breathing problems Activity level Weight Physical Assessment/Signs and Symptoms General appearance Respiratory Cardiac changes Psychosocial Assessment COPD ASSESSMEN T: RECOGNIZE CUES BARREL CHEST COPD: ASSESSMENT: RECOGNIZE CUES (2 OF 2) Laboratory assessment  ABG’s (baseline, repeat, follow pattern).  See hypoxemia and hypercapnia  Pox (to gauge treatment response), <90% sometimes  Sputum cultures (for culture/sensitivity)  CBC (look at WBC’s and H/H)  Electrolytes (K, Ca, Mg, phosphate) Imaging assessment  CXR, CT prn Other diagnostic assessments  Peak flow meter (self monitor response to drugs)  Pulmonary function tests   *FEV (diagnosis), VC, RV, TLC FEV decreases as disease progresses PH SCALE NORMALS ABG’S (ARTERIAL BLOOD GASES)  Decreased gas exchange  Weight loss  Anxiety  Decreased endurance  Potential for pneumonia COPD: ANALYSIS: ANALYZE CUES & PRIORITIZE NURSING DIAGNOSES/HYPOTHESES