University:
West Coast University
Course:
NURS 110 | Introduction to Professional Nursing
Academic year:

2022
Views:

218

Pages:

5
Author:

rezancuk2j

COPD exacerbation Pathophysiology air flow limitation caused by an inflammatory response to inhaled toxins, often cigarette smoke. increased numbers of activated polymorphonuclear leukocytes and macrophages release elastases in a manner that cannot be counteracted by antiproteases, resulting in lung destruction. Diagnostics diagnoses based on pt's history, physical exam, chest x-ray, and pulmonary function tests. two main causes of COPD are smoking and genetic predisposition. Labs arterial blood gas sputum culture hematocrit Alpha-1 Antitrypsin levels serum electrolytes Signs/Symptoms productive cough and dyspnea that develop over the years. decreased breath sounds, prolonged expiratory phase of respiration, and wheezing. severe cases may be complicated by wt. loss, pneumonia, frequent acute decompensation episodes, right heart failure, and/or respiratory failure. Meds & treatments Smoking cessation #1 inhaled bronchodilators, or corticosteroids. Supportive care (oxygen therapy, pulmonary rehab) pulmonary rehabilitation treatment of exacerbations ensures adequate oxygenation and near normal blood pH, reverses airway obstruction and treats any causes. Functional Health Pattern Information- (Include assessment, tube, line, wound and equipment data specific to the functional health pattern it pertains to): Health Perception/Health Management From Hawthorne House, plan D/C back there. pt medically managed through Hawthorne. -UTD on Vaccines Nutritional/Metabolic Braden: 18 T 98.2° BMI: 25.08 H: 147cm W: 52.7kg Skin clean dry, warm w/ quick return to normal state, slight ecchymosis. Regular diet Elimination Primafilt to continues suction -LBM- 11/20 Activity/Exercise BP- 100/69 HR- 64, RR- 14, SpO2 95 2LNC JH FIRAT - High risk w/ falls generalized weakness VI will gait belt OOB bed alarm VPO Chest CT indicates community acquired pneumonia Sleep/Rest Appears well rested, pt states she slept great overnight Sexuality/Reproduction no longer sexually active has 1 son never married Self-Perception/Self Concept not oriented enough to be able to assess self-perception. Patient asks questions over and over. Role Relationship lives in Hawthorne House has 1 son, POA Coping/Stress Tolerance pt pleasantly demented, when presented w/ bad news, pt forgets within 10 mins. Cognitive/Perceptual pain AOx1, disoriented to time, place, Situation VPO Value/Belief pt states she is a Christian and asked to attend church frequently. 11/24- vitals - BP-143/69 HR: 81 RR 17 Temp 37.2 SpO2 94 on 2LNC Lungs- all fields faint wheezing, coarse. Bowel sounds - normoactive now assist + 2, decompensating, plan is acute rehab. Slight redness on Sacrum, blanchable AOx2, disoriented to situation and time. Braden 18, fall risk high. primafilt still in use everything else is the same